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HomeMy WebLinkAboutHOOD REP. 4/22/2011Simp/exGfinne// BE SAFE. ATyco International Company RANGE HOOD SYSTEMS REPORT F 2788 N. Larldn Avenue 0101 Fresno, CA 93727 LIC.# 882591 P 559-34"614 F 559.348 -1281 Customer �1Z Address l 0 i TO -s D fk 41 R Mwy ���e� �, �.�� 9 • ems- � 33 � Attention U Phone ( ) CP ! - L1 ""°3 Fax Date f Service Time AM PM �! P5 21. Proper separation between fryers and flame Annual Semi- Annual Recharge Installation Renovation Other O 25. All filters reinstalled 25. Fuel shut -off in ON position Lo ion of Sy /stem Cyy�l�liindeprs (� N } 4-A'10 26. Ma ufacturer Model We Dry Chemical A F+S� �- /d z )c a` Cylinder Size (Master) G ylind Size (Slave) Cylinder S' (Slave) .7 �-� 7,4 � 7- J �. ^ t'_ Fuse Links 360 °F Fuse Link °F Fuse Links 500 °F Other Qty Qty. eO Qty. Proper hand portable extinguishers Fuel Shut Off Electric Gas Size •PS .OS Y PS rSerial Number Last Hydro Test Date Last Recharge Date COOKING APPLIANCE SIZES .(NOTE: List appliances from left to right and indicate nozzles used for each) Plenum �,Si�e�s) -, ) Z X- I Check travel of cable nuts /S -hooks �{ ` 20. �! P5 21. Proper separation between fryers and flame Duct Size(s) i z 2 i�.�, - CK AP_ iJ a4 l -9 rt- - L All appliances properly covered w /correct nozzles 2. Duct and plenum covered w /correct nozzles 3. Check positioning of all nozzles 4. System installed in accordance w /Mfg UL listing 5. Hood /duct penetrations sealed w /weld or UL device 6. Check if seals intact, evidence of tampering 7. If system has been discharged, report same 8. Pressure gauge in proper range (if gauged) 9. Check cartridge weight (replace, if needed) 10. Hydrostatic /6 year maintenance date 11. Inspect cylinder and mount 12. Operate system from terminal link 13. Test for proper operation from remote 14. Check operation of micro switch 15. Check operation of gas valve 16. Proper nozzle covers in place /clean nozzles 17. Check fuse links and clean 18. Replaced fusible links (record date here) 10i NOTE DISCREPANCIES OR DEFICIENCIES 19. Check travel of cable nuts /S -hooks �{ ` 20. Piping and conduit securely bracketed P5 21. Proper separation between fryers and flame < 22. Proper clearance -flame to filters l 23. Exhaust fan operating properly O 25. All filters reinstalled 25. Fuel shut -off in ON position T 26. Manual and remote set/seals in place '' 27. Replace systems covers g 28: System operational and seals in place a` 29. Slave system operational 30. Clean cylinder and mount 2 31. Fan warning sign on hood Q 32. Personnel instructed in manual operation of system 33. Proper hand portable extinguishers 34. (K Class and ABC) Portable extinguishers properly serviced . 35. Service and certification tag on system IMPORTANT NOTICE TO CUSTOMER TOTAL SERVICE Customer acknowledges and agrees to the terms and conditions on the reverse side of this Range Hood Systems Report, agrees that the services have been completed to Customer's satisfaction and that the system is in good working order and repair, unless services TOTAL SALES performed were of a temporary nature, in which case Customer acknowledges that part of customer's system may have been bypassed or is otherwise inoperable until service can be completed. LABOR or FRT or CUSTOMER'S ATTENTION IS DIRECTED TO THE LIMITATION OF LIABILITY, WARRANTY, INDEMNITY TRIP CHARGE AND OTHER CONDITIONS ON THE REVERSE SIDE. Acceptance of customer or customer's reprejentatiye GRAND TOTAL Dery a tecnmctan ware �7 ( t tme 'vp /C ,'IIVl nv� uswmcr s 11utnun`zeu vlgem, 1 © SimplexGrinnell LLP 2008. All Rights Reserved: " SG0720 R2 (09/09):•: TECHNICIAN COPY