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HomeMy WebLinkAboutHOOD-SYSTEM REP. 3/3/2011PHOENIX FIRE PROTECTION PAY FROM THIS INVOICE 210 South Cotta Court Visalia, CA 93292 TEL: (559) 622 -8969 FAX: (661) 310 -1032 LIC # C16- 779030 Name 7' 0 A ra / e T" "k Address i City State zip Cash Check# Authorized By: i P.M. IQ Net 10 Days Phone .. Serviced By: 1736 / ,1!4r Minimum $30 Charge) Description of Automatic Systern Parts & Materials Date of Service Time Fuse Links P.M. Ansul Blow Off Caps / Seals PullStation ........................... ............................... Pressurized Cartridges Semi - Annual Recharge Fire Extinguisher Size Renovation Location of System J; f Nitrogen Cylinder Size Slave ange Guard Credit Surcharge Fuse Links 3 OF use Links 450 F Vuse Links 500 F Other Fuel Shut-Off Dry Chemical Gas Size Hydrostatic Testing l© T Hydrostatic 'resting Manufacturer Model Number Wet Dry Description of Automatic Systern Parts & Materials Date of Service Time Fuse Links P.M. Ansul Blow Off Caps / Seals PullStation ........................... ............................... Pressurized Cartridges Semi - Annual Recharge Fire Extinguisher Size Renovation Location of System J; f Nitrogen Cylinder Size Slave ange Guard Credit Surcharge Fuse Links 3 OF use Links 450 F Vuse Links 500 F Other Fuel Shut-Off Electric Gas Size Hydrostatic Testing l© Quantity Parts & Materials Date of Service Time Fuse Links P.M. Blow Off Caps / Seals PullStation ........................... ............................... Pressurized Cartridges Semi - Annual Recharge Fire Extinguisher Size Renovation Location of System J; f Nitrogen Cylinder Size Slave 4 Credit Surcharge Fuse Links 3 OF use Links 450 F Vuse Links 500 F Other Fuel Shut-Off Electric Gas 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. r f' Signature Jy \ -r'i Date Payment.due upon completion. Hood System Report System Description Date of Service Time A.M. P.M. G PullStation ........................... ............................... Annual Semi - Annual Recharge Install Renovation Location of System J; f Cylinder Size l 17 l5 Cylinder Size Slave 4 Fuse Links 3 OF use Links 450 F Vuse Links 500 F Other Fuel Shut-Off Electric Gas Size Control Head ......................... ............................... l© Manufacturer Model Number Wet Dry Fuse Links - Replaced or leeaned`ti .................. 0 Pr duction Date Hydro Date Last Serviced 2 -ooZ 6 Aaj Appliance Arrangement Item Inspected G PullStation ........................... ............................... Gas Valve / Electrical Cutoff ............................ Nozzle Location /Appliance Coverage ................ FJ TankHydro ........................... ............................... litnk ....................................... ............................... r Control Head ......................... ............................... l© Braketing............................... ............................... 9 Fuse Links - Replaced or leeaned`ti .................. 0 Systems Installed to Mfctr's Recommendations .. e® Filter..................................... ............................... 6 El 1:1 ExhaustFan ......................... ............................... Makeup Air ............................ ............................... Other..................................... ............................... Other..................................... ............................... UL300 ................................... ............................... Appliance Arrangement