HomeMy WebLinkAbout6300 WHITERange Hood Systemo neput
SERVICE COMPANY
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Name l \ i ,
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Address 4" P
City V ` State/ A ZI433-
Telephone j - L 1 i) Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS:: LEFT TO RIGHT
1. All appliances properly covered w /correct nozzles 20. Replaced fuse links r
2. Duct and plenum covered w /correct nozzles 21. Check travel of cable nuts /S -hooks
3. Check positioning of all nozzles. i 22. Piping & conduit securely bracketed i
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 i 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 L 26. All filters in place i
8. Pressure gauge in proper range (If gauged) 27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) i 28. Manual & remote set/seals in place
10. Hydrostatic test date s 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 i 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
COMMENTS:
On this date, this range hood 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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The above service
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IAN PERMIT NO. ATE: TIME: AM PI
nician certifies that the system was personally inspected and found
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OMER!$- UTHORIZED
to be as indicated on t