HomeMy WebLinkAboutFIRE SUPPRESSION SYSTEM 7/14/2011Pre - Engineered Restaurant Fire Suppression Systems Report
SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
21. Check travel of cable nuts /S -hooks _
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4. System installed in accordance w /MFG UL listing
ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION
6. Check if•seals intact, evidence of tampering
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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)
LOCATIO OF SYSTEM CYLINDERS
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MODEL NUMBER WET
10. Hydrostatic test date
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
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31. Slave system operational
FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
33. Fan warning sign on hood _
CUSTOMER
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16. Check operation of gas valve 35. Proper hand portable extinguishers _
17. Clean nozzles
FUEL SHUT-OFF ELECTRIC GAS SIZE
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NOTE DISCREPANICES OR DEFICIENCIES BELOW _
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j SERIAL NUMBER LAST HYDROTEST DATE LAST RECHARGE DATE
City State ZIP
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
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.
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4. System installed in accordance w /MFG UL listing 23. Proper separation between fryers & flame
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) Vf,1 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 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 DISCREPANICES OR DEFICIENCIES BELOW _
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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.
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SERVICE TEPHNICIAN 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.
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