HomeMy WebLinkAboutFIRE SUPPRESSION SYSTEM 7/3/202Pre - Engineered Restaurant Fire Suppression Systems Report
SERVICE COMPANY DATE OF SERVIC TIME A.M. P.M.
20. Replaced fuse links
ANNUAL SEMI- ANNECHARGE
21. Check travel of cable nuts /S -hooks
INSTALLATION RENOVATION
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LOCATION OF SYSTEM CYLINDE
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UL 300
YES NO
6110 vO UN:_11 J MANUFACTURPR MODEL NUMBER WET DRY CHEMICAL
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25. Exhaust fan in operating order
7. If system has been discharged, report same 26. All filters in place
G'V)) 033 -5513 FAX SG.U-.13 12 CYLINDER S12E MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
39,41 e
i/ 9,41 1
29. Replace systems covers
FUSE LINK 380° F. FUSE LINK 450° F. FUSE LINKS 500° F
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OTHER
CUSTOM /E !
Name f/ (' j /1! 7
13. Operate system from terminal link
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14. Test for proper operation from remote
FUEL SHUT -OFF ELECTRIC GAS SIZE
Address
35. Proper hand portable extinguishers .
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1
City i) /\ State ZIP
SERIAL NUMBER LAST HYDRO TEST DATE
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LAST RECHARGE DATE
19. Check fuse links and clean
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT n
f eft;. UA j ", l ME A 1h i
1., All appliances properly covered w /correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w /correct nozzles 21. Check travel of cable nuts /S -hooks
On this date, this pre- engineered 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.
X
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
AUTHORITY HAVING JURISDICTION
1., All appliances properly covered w /correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w /correct nozzles 21. Check travel of cable nuts /S -hooks
3. Check positioning of all nozzles. 22. Piping & conduit securely bracketed
4. System installed in accordance w /MFG UL listing 23. Proper separation between fryers & flame
5. Hood /duct penetrations sealed w /weld or UL device 24. Proper clearance -flame to filters
6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order
7. If system has been discharged, report same 26. All filters in place
8. Pressure gauge in proper range (If gauged) 27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place
10. Hydrostatic test date 29. Replace systems covers
11. 6 year maintenance date I 30. System operational & seals in place
12. Inspect cylinder and mount 31. Slave system operational
13. Operate system from terminal link 32. Clean cylinder & mount
14. Test for proper operation from remote 33. Fan warning sign on hood
15. Check operation of micro switch 34. Personnel instructed in manual operation of system
16. Check operation of gas valve 35. Proper hand portable extinguishers .
17. Clean nozzles 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place 37. Service & Certification tag on system
19. Check fuse links and clean NOTE DISGREPANICES OR DEFICIENCIES BELOW
COMMENTS:
On this date, this pre- engineered 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.
X
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
AUTHORITY HAVING JURISDICTION