HomeMy WebLinkAboutHOOP SYSTEM REP. 1/10/2010Range Hood Systems Report
SERVICE COMPA Y DATE OF SERVICE
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TIME
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A.M. P.M.
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3. Check positioning of all nozzles. 22. Piping & conduit securely bracketed
ANNUAL SEMI - ANNUAL I RECHARGE INSTALLATION RENOVATION
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5. Hood /duct penetrations sealed w /weld or UL device 24. Proper clearance -flame to filters
LOCATION OF SYSTEM CYLINDERS UL 300
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7. If system has been discharged, report same
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MODEL NUMBER WET DRY CHEMICAL
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9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
29. Replace systems covers
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11. 6 year maintenance date 30. System operational & seals in place
FUSE LINKS 360° F. FUSE LINKS FUSE LINKS 500° F. OTHER
CUSTOMER
Name A "I l i t,s
13. Operate system from terminal link
FUEL SHUT -OFF ELECTRIC GAS SIZE
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33. Fan warning sign on hood
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16. Check operation of gas valve d 35. Proper hand portable extinguishers
S RIAL NUMBER LAST RECHARGE DATE
City
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StateL ZIP r15-311
18. Proper nozzle covers in place 37. Service & Certification tag on system
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MANUFACTURER'S MANUAL REFERENCE
Telephone 1 , Store No.
NOTE DISCREPANICES OR DEFICIENCIES BELOW
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager --)r.
COOKING APPI IANCF I OCATIONR• I FFT Tn 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
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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 r
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
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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 d 35. Proper hand portable extinguishers
17. Clean nozzles 36. Portable extinguishers properly serviced i
18. Proper nozzle covers in place 37. Service & Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS: () V L rl d+ Vee-A
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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, w;th the results indicated above.
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SERVIC ETECF4NICIAN PERMIT NO. DATE: TIME: AM PM CU OMEI` AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and foun conditions to be as indicated on this report.