HomeMy WebLinkAboutHOOD-SYSTEM REP. 8/11/2012PHOENIX -FIRE '
PROTECTION 9 >U'Fl
PAY FROM THIS INVOICE
210 South Cotta Court
Visalia, CA 93292
TEL: (559) 622 -8969
FAX: (559) 622 -9023
LIC # C t6- 779030
Name
Addre?.
City
Authorize` Bye
Phonc
ilEmai l
Description 1
System Report
System Description
Date of rvi e
r
Time I P.M.
Annual emi- Annual Recharge Install Renovation
Location of System
cl.
Cylinder Size Slave
I t
Cylinder Size
v
4 ' 1 Vi
Fuse Links 60F use Links 450F Fuse Links 500E Other
Fuel Shut -Off
r4*
Electric _ Gas Size
Manufacturer
p rr
Model Number
Qp. % 6°
Wet Dry
Hydrostatic Hydro Date Last Serviced
Serv y:
Failures & Recommendations:
The signature below assures that the above stated services have been rendered accordingly. I have
been given authority to allow and approve payment for such required services by the establishment
which has received this service and hereby authorized payment for all services rendered.
Services performed prior to 30 days of expiration.
Signature ;':LU 2r Date
Hood
Size
Payment due upon completion.
Nozzle ®Links .
Hood System Report
System Description
Date of rvi e
r
Time A.M. I P.M.
Annual emi- Annual Recharge Install Renovation
Location of System
cl.
Cylinder Size Slave
I t
Cylinder Size
v
4 ' 1 Vi
Fuse Links 60F use Links 450F Fuse Links 500E Other
Fuel Shut -Off
r4*
Electric _ Gas Size
Manufacturer
p rr
Model Number
Qp. % 6°
Wet Dry
Production Date Hydro Date Last Serviced
Serv y:
1 -.
Type Appl Type Appl Type Appl Type Appl Type Appl Type Appl
Distance Distance Distance Distance Distance Distance
Nozzle Nozzle Nozzle Nozzle Nozzle Nozzle
Item Inspected
PullStation ........................... ............................... ElGasValve / ctrica Cutoffs MKK
Nozzle Location /Appliance Coverage .................
Tank Hydro ........................... ...............................
y
Tank..................................... ...............................
Control Head ........................ ...............................
Braketing...... ....... .........................
Fuse Links ^ eplaced oj,Cleaned .......................
Systems Installed to M cf tr's Recommendations- r,
Filter..................................... ...............................
ExhaustFan .......................... ...............................
Makeup Air .......................... ...............................
UL300 ............... ............................... . a
Filters - Baffle Style ...... ............. ?q j.............. K- Class ............................. ...........,.................. 1 :1 E]
Detection Line ...................... ............................... El
System Monitored By: Yes NoED e
PH# 4oDI&
Hood& Duct ........................ ............................... CR El
Other ..................................... ...............................
Other..................................... ...............................
1 -.
Type Appl Type Appl Type Appl Type Appl Type Appl Type Appl
Distance Distance Distance Distance Distance Distance
Nozzle Nozzle Nozzle Nozzle Nozzle Nozzle