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Home My WebLink AboutBUSINESS PLAN Systems Report CAT~I OF SYSTEM CYLINDERS ANUFACTURER /MODEL NUMBER I WET DRY CHEMICAL CYLINDER SIZE SLAVE ' FUSE LINKS 360' F. FUSE LINKS 500' F OTHER CUSTOMER ELECTRIC .=-SIZE '/~,~/' ~ .~.~.~'-" ~./,,,/'-,~ MANUFACTURER'S MANUAL P. EFE~ENCE PAGE NUMBER: 0RA.WING NUMBER: ruer or Manager )OKING APPLIANCE LOCATIONS: LEFT TO RIGHT /~11 appliances properly covered w/correct nozzles ~___~ 20. fuse links Duct and plenum covered w/correct nozzles ? 21. Check travel of cable nuts/S-hook~ .~heck positioning of all nozzles. ~ 22. Piping & conduit securely bracketed __~ ~ystem installed in accordance wlMFG UL listing ~ 23. Proper separation between fryers & flame -load/duct penetrations sealed w/weld or UL device ~/-u'c'"~/./.~. 24. Proper clearance-flame to filters ~heck if seals intact, evidence of tampering ~ 25. Exhaust fan in operating order f system has been discharged, report same 26. All filters replaced ~ressure gauge in proper range (if gauged) /~,~-.~-- 27. Fuel shut-off in on position .~heck cartridge weight (If applicable) "'//~/-~T~ 28. Manual & remote set/seals in place --F-- Hydrostatic test date .~-/'~ 29. Replace systems covers 6 year maintenance date 30. System operational & seals in place Inspect cylinder and mount _~ 31. Slave system operational /~ Operate system from terminal link / 32. Clean cylinder & mount ~-(?'~' Test for proper operation fram remote ~ ' 33. Fan warning sign on hood ~ _ Sheck operation of micro switch /C~//' ' 34. Personnel instructed in manual operation of system __ _ Check operation of gas valve L/~.~'~ 35. Proper hand portable extinguishers __ _ gloan no721os g6. Portablo o~tin§uishors propod¥'$onticod __ ~roper nozzle covers in place -' ./ 37. Service & Certification tag on system 3heck fuse links~;~a~nd clean' ~ NOTE DISCREPANICES OR DEFICIENCIES BELOW ~^ 1 ?, ~ ?^, .96 ~cl th~ manut~ct~mr'~ m~n~l and was op~led ~¢¢~rcli~g Io th~$~ proced~m~ with m$~1t$ in~lJ~,a, t~d abovj~o SEFi¥1C~ TECHNICz~N' PEflMIT NO. DATE: TIME: AM ' PM /cUs'~OMER$ AI~THORIZEE~AGENT above service technician certifies that the $¥$lem was personally inspected and lou~d conditions to be as irldJoated on this report. ange Hood Systems Report. C~ ~ ~R [ C~l~ S~ ~ [ C~ S~ ~k~ F. ~ L~' F ~~F O~R ~UFAC~RE~ ~ Tel~ne ~ ' '~ ~ '*" Store ~. P~ N~: O~ N~ ~~ ~PL~N~ L~ATI~S : ~ TO ~ /.-~ :_ :.., ...:~ ).:~,..,:.,.~ ...... ":':.., . ' I. ~ ~¢~nms pro~dy mver~ w/m~ no~l~ "~,4:: 20. Repla~ ~ lin~ ~. Du~ ~d ~enum mver~ w/m~ no~ ~ 21. Ch~ ~avel of ~le n~h~ : - i ~. Piping & ~ndu~mly bra~t~ ~. Ch~ ~oning of ~1 no~.. ...../ ,-.: t. S~ i~l~ in a~~"w/M~G ~L:~ng" ~ ".. "~. Pm~r se~tio~ ~n f~em & fl~e '. I~ s~tem h~ ~en dis~g~, mpo~ ~me >']~:Y 26. NI filters repla~ L Prate g~ in proper r~e (If gauge) x/~', s~ 27. Fuel shutoff in on ~sffion L Gh~ ~d~ ~oi~ht {l~ ~li~lo} ~./?) 28. ~u~ & mmoto ~1~ in 3. H~r~ta~c test ~te )-'~'¢ 29. Repla~ s~tems ~vers 1.6 y~ m~~~... ~ ~. Systom o~rafionffi & ~ffis in pla~ ~. I~ ~lindor ~d mount ~ ~1.81avo ~tom ~. ~mte system from termin~ link ~ 32. Clean ~linder & mount ~. T~ for pm~r o~ra~on ~om remote ~ ~. F~ w~i~ sign on h~ 5. G~ ~m~on ol mi~ ~itch /¢' ~' a4. ~omnn~lJns~et~ in manual opera, on r. C~ ~les ~ ~. Po~e e~ngu~ pm~dy sewi~ ~. Pm~r no~le ~vem in ~a~ ' ~ 37. Se~i~ & Ceffifl~tion ta~ on system ). Ch~ ~se lin~ ~d ~e~ >,~ NOTE DISCREpANICES OR DEFICIENCIES BELOW ~ ~i .:: 5.6 '/'~ ~"-~ -':~-~" : ~ ~ ?'~ ~ '" '.., ~ 4_ ' q ~..., /:(-¢:. .... ~ _' ~ ¢ - -~ -:.., ..... ~/(, d i ¢-"~ ~n ~ ~to, ~o ~vo s~stem w~ t~t~ ~d im~t~ in ~ord~ ~i~ pme~uros of tho pms~nfl~ adoptod FPA 17, 17A, ~ ~ the manufa~ureCs m~u~ ~d w~ o~rat~ a~ffii~ to ~ese pr~ures ~th resu~ indimt~ ~ove. '""'"" l:>>':.l, II ' .'7,' ../ :'//5]'v :.~ ...../ / ,, , ' :} , ,-'~ SERVICE ~ECHNICIA~ ' PERMff ~. :DA~: TIME: ~ PM ' ~UST~ERS A~HOR~D AG~T he ~ve ~ t~n~ ~ ~at ~e s~t~ ~ ~mn~ i~~ ~d ~ou~ mnd~o~ to ~ Range Hood Systems Report LOCATION OF SYSTEM CYLINDERS ~ LINKS 360' F. FUSE LINKS 450' F FUSE UNKS ~ F ~ OTHER elePhone ~;~J !-' ~;~ 3-' q O Store No. __ PAGE NUMBER: DRAWING ~ OOKING APPLIANCE LOCATIONS: LEFT TO RIGHT · All appliances properly covered w/correct nozzles ,~)£~ 20. Replaced fuse links . Duct and plenum covered w/correct nozzles f 21. Check travel of cable nuts/S-hooks --Jr-- Check positioning of all nozzles. _~ 22. Piping & conduit securely bracketed System installed in accordance w/MFG UL listing 23. Proper separation between fryers & flame - Hood/duct penetrations sealed w/weld or UL device 24. Proper clearance-flame to filters Check if seals intact, evidence of tampering 25. Exhaust fan in operating order if system has been discharged, report same ~'o 26. All filters replaced Pressure gauge in proper range (If gauged) .¥£? 27. Fuel shut-off in on position __L Check cartridge weight (if applicable) ~//~ 28. Manual & remote set/seals in place Hydmstetic test date y '~ ~' 29.. Replace systems covers 6 year maintenance date Jr 30. System operational & seals in place Inspect cylinder and mount ~[ 31. Slave system operational Operate system from terminal link / 32. Clean cylinder & mount ..'-/~- Test for proper operation from remote 33. Fan warning sign on hood Check operation of micro switch "~'/~'~ 34. Personnel instructed in manual operation of'system Check operation of gas valve ~/~ 5' 35. Proper hand portable extinguishers Clean nozzles . --~ 36. Portable extinguishers properly serviced Proper nozzle covers in place - 37. Service & Certification tag on system Check fuse links and clean / / NOTE DISCREPANICES OR DEFICIENCIES BELOW )MMENTS: "~ & ~r~-,,~-~ ~,,~ ~ '~ ~ r'~ o ~,~ L o tz ~ z-'~ .~.._.c:.::r'g,.,~ .~ ['/.. t. p l.-ft ~Y_ ~ this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of --PA 17, 17A, 96 and ~.e manufacturer's manual and was operated according to these procedures with results indicated above. .... I: 1 Irt/,:., :--' --_~-~ .'>"~'-~-~-"-' . 11 r~, b~ 5--' ~ ~ SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHOR~GENT ~e above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report. Range Hood Systems Report SERVICE COMPANY DATE OF SERVICE ~ / I TIME ' P.M, FUSE LINKS 3~' [ ~SE LINKS ~0' F FUSE L~ 5~" F I O~ER ~TOMER ~ . ~ NU~R ~ ~T ~DRO ~ DA~ M~UFACTURER~ M~U~ R~NCE Telephone ~ -]~ !. ~ 9 ~ Store No. ~ P~ N~ER: D~W~G ~ner or Manager / //~/Z ~ ~ C~KING APPL~NCE LOCATIONS · LE~ TO RIGHT ~12~'~ </~ "/ ~'~c 20. aepla~ ~um iin~ 1. All ~ii~ces properly ~ver~ w/~rr~ no~ies ~. Du~ ~d plenum ~ver~ w/~rre~ no~les ~ 21. Ch~ t~vel of ~le n~S-hoo~ ]. Ch~ ~s~ioning of ~1 no~les. 22. Piping & ~nduit securely bracket~ ~. System ins~led in a~rd~ce w/MFG UL liS6ng ~ ~. Proof s~ara~on ~n ~em & flame 5. Ho~duct ~netraaons seal~ w~eld or UL ~ce ~ 24. Proper clearanc~fiame to filte~ ~. Che~ if se~s intact, eviden~ of tam.ring 25. Exhaust fan in operating order '. It system h~ ~en disch~g~, re~ s~e ~'~.~ 26. All flltem r~la~ Pre~ure gauge in pro~r r~ge (If gauge) ~zj 27. Fuel shut-off in on ~sition ~. Ch~k ~ddge weight (If appli~le) ~ 28. Manual & remote seFse~s in pla~ 3. Hydm~atic test date ~ 29. Repla~ sys~ms ~vem 1. 6 year maintenan~ date ~ 30. System opera~on~ & se~s in pla~ 2. I~p~t cylinder and mount [ 31. Slave system o~ra~on¢ ~. O~rate system from te~in~ link ~ 32. Clean cylinder & mount ¢. Test for proper operation from remote ~ 33. Fan warning sign on hood 5. Ch~k o~rafion of micro switch ~ ~. Personnel instmct~ in manu~ operation of system ~. Ch~ o~rafion of gas v~e 35. Proof hand ~able e~nguishem ~. Cle~ ~zzles ~ 36. Po~le e~inguishem pm~y se~ic~ ~. Pro~r nozzle ~vers in pla~ .' ~ 37. Se~ice & Ce~ifi~fion ~g on system ). Ch~ fu~ lin~ ~d dean ~ NOTE DISCREPANICES OR DEFICIENCIES BELOW ~n ~is date, the ~ove system was tested and ins~t~ in a~ordance with pro~dures of the presenay adopt~ ~ons of FPA 17, 17~, 96 ~d the manufa~ure¢s m~ual ~d was o~rated a~rding to these pr~edures with resuEs indicted ~ve. 8ERViOE ~OHNIOlAN PERMIT NO. D~TE: TI~E: ~ P~ O~TOMER8 ~ORIZED ~NT he ~e se~i~ t~hnician ~es ~al ~e s~slem w~ pe~onall~ inspe~ ~d found ~nd~on~ to ~ ~ indi~l~ on ~ Range Hood Systems Report SERVICE COMPANY DATE OF SERVlCE/ [ TIME P.M. LOCATION OF SYSTEM CYLINDERS FUSE LINKS 360' F. FUSE LINKS 450' F ~ FUSE LINKS 500' F I OTHER I SERIAl- NUMBER I fAST HYDRO TEST DATE LAST RECHARGE DATE MANUFACTURER'S MANUAL REFERENCE )hone "'/9.~] - ~' q () Store No. PAGE NUMBER: DRAWING NUMBER: 9r or Manager /,~/t~..t~y, pt~r~, )KING APPLIANCE LOCATIONS: LEFT TO RIGHT 11 appliances properly covered w/correct nozzles ~ ~o 20. Fleplaced fuse links ~uct and plenum covered w/correct nozzles L/L ~ 21. Check travel of cable nuts/S-hooks ;heck posilionin§ of all nozzles. .~ ~2. Piping & conduit semaml¥ brackelu:~l ;ystem installed in accordance w/MFG UL listing~ 23. Proper separation between fryers & flame Iood/duct penetrations sealed w/weld or UL device 24. Proper clearance-flame to filters :beck it seals intact, evidence o! tampering 25. Exhaust fan in operating order s~tem has been disc, barged, report same 4]1~.~; 26. All filters raplaced ~ressure gauge in proper range (If gauged) 27. Fuel shut-off in on position ;heck cartridge weight (If applicable) ~/,q 28. Manual & remote set/seals in place -lydmstatic test date '!.t~ 29. Replace systems covers i year maintenance date 30. System operational & seals in place nspect cylinder and mount 31. Slave system operational 3perate system from terminal link 32. Clean cylinder & mount · Test for proper operation from remote 33. Fan warning sign on hood . Check operation of micro switch 34. Personnel instructed in manual operation of system · Check operation of gas valve 35. Proper hand portable extinguishers .' Clean nozzles 36. Portable extinguishers properly serviced ~ Proper nozzle covers in place 37. Service & Certification tag on system ~ Check fuse links and clean ~,:,3 NOTE DISCREPANICES OR DEFICIENCIES BELOW n this date, the above system was tested and inspected in accordance with procedures of the presehtly adopted editions of FPA 17, 17A, 96 and ~e m~refs manu~ and was operated a~or~ng to ~e~ pr~ur~ ~ resuEs indicted a~ve. ~E~IOE TEOHNICI~ , PER~ff NO. DATE: TIBE: AM P~ /'' OUSTOBER8 A0~ORIZED AGENT he above se~ice technician ce~ifies that the system was personally inspected and found conditions to be as indicated on this repo~. Brooks Equipment Company, Inc.