HomeMy WebLinkAboutHOOD-SYSTEM REP. 9/8/2011PHOENIX FIRE
PROTECTION
l • k
N 18880
PAY FROM THIS INVOICE
210 South Cotta Court
Visalia, CA 93292
TEL: (559) 622 -8969
FAX: (559) 622 -9023
LIC # C16- 779030
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Name S TrL) C
Address t ' ,
City State Zip
S ( Cash
Check#
Autho ze Y:
ILI
p1me ] Fax
WO Visa or Mfistercard4) fEmail
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Loca on of System
Auth #
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.
I
Services performed prior to 30 days of expiration.
Signature
l }
Date
Payment clue upon completion.
Hood
Size
Nozzle ® Links
U
Hood System Report
System Deseritrtu®irn
Date of Service
q- P1
Time
o 9
A.M. P.M.
An I Semi - Annual Recharge Install Renovation
Loca on of System Cyli der Size Slave
Cylinder Size
o
Fuse Links 360F Fuse Links 450F Fuse Links 50OF Other
Fuel Shut -Off
X
Electric < Gas Size
I,yfi ufacturer Mpdel cnb'r Wet Dq
Production Date Hydro Date t Serv'
Serv' ed By7
Item Inspected
QaC,
Go``
Pull Station ........................... ............................... 9
Gas Valve / Electrical Cutoff . ...............................
Nozzle Location /Appliance Coverage .................
TankHydro ........................... ...............................
Tank..................................... ............................... E El
Control Head ........................ ...............................
Braketing...... ......... .. ................p/.....,1.......
Fuse Link. - Replaced Cleaned .......i...........
Systems Insta e to Mfctr's Recommendations ..
j Filter..................................... ...............................
ExhaustFan .......................... ............................... 79 El El
Make up Air .......................... ...............................
UL300 .................................. ...............................
Filters - Baffle Style .............. ...............................
K- Class ................................. ...............................
Detection Line ...................... ...............................
System Monitored By: Yes No
PH #
Hood & Duct ........................ ...............................
Other..................................... ...............................
Other..................................... ...............................
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Type Appl Type Appl Type Appl Type App] Type App] Type Appl
Distance Distance Distance Distance Distance Distance
Nozzle Nozzle Nozzle Nozzle Nozzle Nozzle