HomeMy WebLinkAbout4241 E BRUNDAGE LN 5-1-2014 (6)Pre - Engineered Restaurant Fire Suppression Systems Report
= Slc#1llG� EOMPANY
DATE OF S VICE
TIME
A.M.
P.M.
r
' i
ANNU
SEMI - ANNUAL
RECHARGE
INSTALLATION
RENOVATION
� 'o.` IK,I- `." �'``" o 2
LOCATION OF SYSTEM CYLINDERS
UL 300
ES r NCB
I D AIFE I NV
MANUFACTURER
MODEL NUMBER
WET
DRY CHEMICAL'
CYLINDER SIZE MASTER
CYLINDER SIZES VE
C INDER SIZE SLAVE
70
-
FUSE LINKS 360° F
FUSE LINKS 4500 ,15.
FUSE LINKS 5 0° F.
OTHER
cusraMER
Vame C.--
,�� "�''`>G.'.Zt/''
Nddress ? �-
FUEL SHUT-OFF
ELECTRIC
GAS
SIZE
SERIAL NUMBER
LAST HYDRO TEST DATE
LAST RECHARGE DATE
D/ity_� State: ZIP�I�3j1_-Z,
MANUFACTURER'S MANUAL REFERENCE
f elephone- �? Store No.
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCA IONS: 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 /Shooks
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 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: Q' •
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 rMlts indicated above.
SERVICE TECHNICIAN
IT NO. Dom: TIME: AM PM C TOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found condins to be as indicated on this report.
Independent Fire and Safety Inc. 10016 Rosedale Hwy, Bakersfield, CA 93312 '661M9-M91
New System Installation;, System Upgrade System Services _.��,�
N.ame
Address
city
�. * .� r ..: r �' -� -• Date
;f
state �Y......+...^ �S,,.r Z1 p 1. � �i�"•�� �"%
Automatic Fire Suppression System Service and nstallatilon Warranty
Independent lire and Sa guarantees Fire Suppression Service for a period of 6 months. The recommended
service interval for a fm suppression system is a period of 6 months, according to manufacturer recommendations
and NFPA 96 Chapter 11. New system installations have a one year factory warranty on equipment and parts. A
system not serviced on a regular 6 month service interval is out of compliance with factory recommendations and fire
code regulati
'WC;_CVC
SAKERSVI EW CALIFORNIA
NUMBER
DATE
CUSTOMER PO
CHARGE TO
Elite Collision Center
PROJECT NAME/NUMBER
FINISHMASTERS
ADDRESS
MAILING ADDRESS
4241 E Brundage Ln.
PHONE NUMBER
661.332.5454
CITY, STATE, & ZIP CODE
CITY, STATE, & ZIP CODE
Bakersfield, Ca
INVOICE ATTENTION TO
Richard
DESCRIPTION OF WORK PERFORMED OR TYPE OF SERVICE
6
EMPLOYEE NAME
FOR COMPANY USE ONLY
Driver
TrllCk#
Gallon
INCHES
TOTAL AMOUNT
Arrival Time: am / pm
Sludge
Solids
Departure Time: am / pm
SOLVENT MANIFEST #
SLQD55 -58000
Solvent Cleaner - 55g /Dm - (Pumpable)
o P/U o DEL
SLQD30 -580OG
Solvent Cleaner - 30g /Dm - (Pumpable)
o P/U o DEL
Other
WATER CLEANING CHEM MANIFEST #
H2LQ30 -5800G
Water Chem Cleaner - 30g /Dm - (Pumpable)
o P/U o DEL
H2SOL55 -5800
Water Chem Cleaner - 55g /(Drum Pick -up)
o P/U o DEL
H2SOL30 -5800
Haz H2O Slds W Sery - 30g /Dm (Dm P /U) Hard dry
paint, stack scrapings, floor debris, rags)
T-1
OTHER - SALES
Qty
HZ5397 -PC
2 -Drum Pallet Containment
HAZ -SK55
Haz -Mat Spill Kit - 55g
HZ5373
30 -Gal /Drum (Metal)
HZ5371
30 -Gal /Drum (Poly)
HZ5385 -DOT
55 -Gal /Drum, 17 H D.O.T.�`"
5800 -ARD
Antifreeze Removal Service - 30g or 55g /drum
(Drum Pict? -up)
o P/U o DEL
5800 -MOR
Motor Oil Removal Service - 30g or 55g /DM
(Drum Piclz -up)
5800 -PBFD
Paint Booth Filter Removal 5ery - 55g -
P /U) - Fiberglass, cardboard, paper, Styrofoam,
rolls
o P/U o DEL
YO- REPRESENTATIVE
:The above referenced work was completed and done to my satisfaction
BY:,� Ew.
q r -- �= --=rZ --
AU r0R1*710N 0 � I' TITLE DAT
tiu..
SAKEV.90191M CALIFORNIA
CVC NUMBER
DATE
T ti
CUSTOMER PO
CHARGE TO
Mite Collision Center
PROJECT NAME/NUMBER
FINISHMASTERS
ADDRESS
MAILING ADDRESS
4241 E Brundage Ln.
PHONE NUMBER
661. 332-5454
CITY, STATE, & ZIP CODE
CITY, STATE, & ZIP CODE
Bakersfield, Ca
INVOICE ATTENTION TO
Richard
DESCRIPTION OF WORK PERFORMED OR TYPE OF SERVICE
EMPLOYEE NAME
FOR COMPANY USE ONLY
Driver -
Truck#
Gallon
INCHES
TOTAL MOL
Arrival Time: am / PIT,
Sludge
Solids
Departure Time: am / pm
SOLVENT MANIFEST #
L
SLQD55-580OG
Solvent Cleaner - 55g/Dm - (Pumpable)
❑ P/U ❑ DEL
SLQD30-580OG
Solvent Cleaner - 30g/Dm - (Pumpable)
❑ P/U ❑ DEL
Other
WATER CLEANING CHEM MANIFEST #
H2LQ30-5800G
Water Chem Cleaner - 30g/Dm - (Pumpable)
❑ P/U ❑ DEL
H2SOL.55-5800
Water Chem Cleaner - 55g/(Drum Pick-up)
❑ P/U ❑ DEL
H2SOL30-5800
Haz H2O SIds W Sery - 30g/Dm (Dm P/U) Hard dry
paint, stack scrapings, floor debris, rags)
OTHER SALES
Qty
HZ5397-PC
2 -Drum Pallet Containment
HAZ-SK55
Haz-Mat Spill Kit - 559
HZ5373
30-Gal/Drum (Metal)
HZ5371
30-Gal/Drum (Poly)
HZ5385-DOT
r,
55-Gal/Drum, 17 H D.O.T.
5800-ARD
Antifreeze Removal Service - 30g or 55g/drum
(Drum Pict? -up)
EI'P/U o DEL
5800-MOR
Motor Oil Removal Service - 30g or 55g/DM
(Drum Piclq-up)
5800-PBFD
Paint Booth Filter Removal Sery - 55g/DR - (DIT
P/U) - Fiberglass, cardboard, paper, styrofoam,
rolls
❑ P/U ❑ DEL
CVC REPRESENTATIVE
The above referenced worn was completed and done to my satisfaction
BY:
AUTHORIZATION
TITLE DATE