HomeMy WebLinkAboutHOOD INSP 6/14/2012EXCELLENT FIRE PROTECTION
531 SUPPLY ROW
TAFT CA 93268
661) 765 -4343
C16- 747594
Name
Address
Cit DWI °2 ,',,O-(4 State ZIP
Telephone Y 1 " -7 f IS Store No.
DATE OF ERVICCE/
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TINiE
e
A.M. P.M.
ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION
LOOCCATION OF YSTE°M BINDER
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UL 300
MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
FUEL SHUT -OFF
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ELECTRIC GAS
21>4_ //
SIZE
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SERIAL NUMBER LAST HYDRO TEST DATE LASTRECHARGE DATE
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MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager p ^ Q ,,( ®
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT U U `
1. All appliances properly covered w /correct nozzles \i 20. Replaced fuse links
2. Duct and plenum covered w /correct nozzles T 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 G
5. Hood /duct penetrations sealed w /weld or UL device t 24. Proper clearance -flame to filters ) (-
6. Check if seals intact, evidence . of tampering i{ 25. Exhaust fan in operating order 3 497 -
7. If system has been discharged, report same Aio_ 26! All filters in place -1s
8. Pressure gauge in proper range (If gauged) 27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) 59'S- i ' S 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
COMMENTS: 3 0 F iP't S
On this date, this pre- engineered fire suppression system was inspected and operationally tested in accordance with the fire
suppssion system requirements of NFPA17 or 17A, 96 and the; manufacturer's manual with the results indicated above. r
SERVICE TECHNICIAN PERMIT NO. D E: -TIME- AM PM U,ST R' yOR'IZED AGENT
The above service technician certifies that the system was personally inspected and found conditi t"o a f; indi ed on this report.
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