HomeMy WebLinkAboutHOOD SYST. REP. 8/1/2011Range Hood Systems Report
CUSTOMER
Name
Address
City t r.'i State ZIP
Telephone Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
DATE OF SERVICE TIME A.M. P.M.
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22. Piping & conduit securely bracketed
ANNUAL- SEMI- ANNUAL RECHARGE INSTALLATION RENOVATION
LOCATION I SYSTEM CYLINDERS UL 300
1
ES NO
MANUFACTURY MODEL NUMBER WET bRY CHEMICAL
27. Fuel shut -off in on position
28. Manual & remote set/seals in place
29. Replace systems covers
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
31. Slave system operational
FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500' F. OTHER
33. Fan warning sign on hood
FUEL SHUT -OFF ELECTRIC GAS SIZE
36. Portable extinguishers properly serviced
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SERIAL NUMBER LAST HYDROTEST DATE LAST RECHARGE DATE
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MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
1. All 4gpl agce sproperly covered w /correct nozzles
2. Duct and plenum covered w /correct nozzles
3. Check positioning of all nozzles.
4. System installed in accordance w /MFG UL listing
5. Hood /duct penetrations sealed w /weld or UL device
6. Check if seals intact, evidence of tampering
7. If system has been discharged, report same
8. Pressure gauge in proper range (If gauged)
9. Check cartridge weight (If applicable)
10. Hydrostatic test date
11. 6 year maintenance date
12. Inspect cylinder and mount
13. Operate system from terminal link
14. Test for proper operation from remote
15. Check operation of micro switch
16. Check operation of as valve
17. Clean nozzle
18. Proper nozzle cove in place
19. Check fuse links and clean,
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COMMENTS:
20. Replaced fuse links
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22. Piping & conduit securely bracketed
1. All 4gpl agce sproperly covered w /correct nozzles
2. Duct and plenum covered w /correct nozzles
3. Check positioning of all nozzles.
4. System installed in accordance w /MFG UL listing
5. Hood /duct penetrations sealed w /weld or UL device
6. Check if seals intact, evidence of tampering
7. If system has been discharged, report same
8. Pressure gauge in proper range (If gauged)
9. Check cartridge weight (If applicable)
10. Hydrostatic test date
11. 6 year maintenance date
12. Inspect cylinder and mount
13. Operate system from terminal link
14. Test for proper operation from remote
15. Check operation of micro switch
16. Check operation of as valve
17. Clean nozzle
18. Proper nozzle cove in place
19. Check fuse links and clean,
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COMMENTS:
On this date, this range hood fire suppression system was inspected and operationally tested in accordance with the fire
suppression system requirements of NFPA17 or 17A, 96 and the manufacturer's manual, with the results indicated above. i
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SERVICE'TECHNICIAN PERMIT NO. "'DATA: TIME: AM PM CUSTOM R'S AUT' ORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be.as indicated on this report.
20. Replaced fuse links
21. Check travel of cable nuts /S -hooks
22. Piping & conduit securely bracketed
23. Proper separation between fryers & flame
24. Proper clearance -flame to filters
1 25. Exhaust fan in operating order
26. All filters in place
27. Fuel shut -off in on position
28. Manual & remote set/seals in place
29. Replace systems covers
30. System operational & seals in place
31. Slave system operational jJ1L
32. Clean cylinder & mount
33. Fan warning sign on hood
34. Personnel instructed in manual operation of system
T35. Proper hand portable extinguishers
36. Portable extinguishers properly serviced
37. Service & Certification tag on system
NOTE DISCREPANICES OR DEFICIENCIES BELOW
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On this date, this range hood fire suppression system was inspected and operationally tested in accordance with the fire
suppression system requirements of NFPA17 or 17A, 96 and the manufacturer's manual, with the results indicated above. i
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SERVICE'TECHNICIAN PERMIT NO. "'DATA: TIME: AM PM CUSTOM R'S AUT' ORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be.as indicated on this report.