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HomeMy WebLinkAbout10750 STOCKDALE HWYJORGENSEN CO STATE FIRE MARSHAL A -0309 CONTRACTORS' LICENSE C 16 C 10 C7 OBAKERSFIELD (661) 327 -4352 OFRESNO (559) 268 -6241 OMERCED (209) 383 -6647 13MODESTO (209) 529-0835 Nano: 1'- *'!S 0 Address: 1,3 7 Sj Stjr K ck -elf th-o City: o� KP w S `l c 1 C. o. Jurisdiction: K 1- " y RANGE' �-S Code: r ('.[NIXING APPLTANCFS LOCATION- LEFT TO RIGHT WITH SIZES HOOD` SYSTEM � � 0 "'1257 _C_� REPORT Jan I () DATE of SERVER I -- !X_ Ind TOM 1I•;313 3 r C i,� e AM 5 -I r %A I MANUFACTURER Ih Y' 7 AA MODE.NUIaRD! K � t DRY M24DER MILASIRR 011R+A CYLINDER LOCATION OFGAS VALVE 3.775Y3 .e c eiit PUBS LINK 1.oQ�rY. POSE LIM .wQmr. POSE I&M looQTY. OTHER LINKS RPrt.AC� FUEL slLtrr- oPF 1 y- r ` YU NO� YES . � EECTxIC MANUAL PURL OPERABLE DETECTION LINER OPERABILUNPRAYE) AIL NOZZLES RP.MOV= CLEANED PER I CO t MANUFACTIMES SPECIFICATIONS NO NO YE NO v LOCATION OF SYSTEM ANSUL SEAL CART. 5 �A C. 3f lr 'YE910•••..NG �� HOOD SUE Ft DUCT B� MANAGERS NAME PHONE NUMBER I i1 E r z '�- i 3 r C i,� e 4 5 -I r %A I 6 r,; . r 7 AA 8 .. I a J v V"RT EACH SYSTEM WHHANY OF THESE PROBLEMS• _�-0 Additional nozzles am required for: I . Are all external hood penetrations sealed, welded or sealed with a UL device? NO 2. Is pressure gauge inoperable range? . S NO 3. Record 6 year.ihaiMenance du ❑ Electric or Gas cut -otimust be in `_'1 Q aLW ed'to prevent,a lire from' :. 1• .. °', }' nt. :• .)r ;•.•'5 :1+ W °� "••'�jC 4: Redd Hydrostadictiue,.date.' reigniting per N.F.P.A. 96,17& 1 7Acodds Year i*ileto>,test,i ❑ Additional fire dtitectais are required to'assure reliable fire .6.­ Are cartrid 's we within detection '1: Is the proper extipgui� her =iirpl ❑ This system is designed for coverage with no more than alight grease buildup. Grease buildup appears excessive. We recommend the exhaust system be professionally cleaned. Initials ❑ Bocause of the age and/or condition of this fire comrol system it may fail and should be replaced with a new system. Initials ❑ ON THIS DATE CUSTOMER WISHES NOT TO HAVE THIS SYSTEM Comments: C A.-C, �--t 8. Are the exhaust fans working? ible limits? Y$ NO ser�cid?�-,. NZ NO NO 9. Next due date for extinguisher service. 10. Next due date for extinguisher hydro. 11. Is this system a U.L. 300? S NO ❑ With the introduction of Vegetable oil in place of animal fat, U.L. has changed it's standard to extinguish grease fins. We understand you art using this type of oil. We recommend upgrading to the new standard to man you have the proper fue protection Initials On this date the above system was inspected in accordance with the State Fire Marshal regulations, the manufacturer's manual, and Jorgensen C . Vmce manual. SERVIC9 TECHNICIAN I have been instructed n and understand the operation of this system. CUSTOMER'S AUTHORIZED AGENT' The above service tech== caitifies that the 4*= was pmonaily umpeated and found conditions to be as mdiosted is this repart. WHITE — CUSTOMER COPY CANARY — JORGENSEN -PINK — AUTHORITY HAVING JURISDICrrON JORGENSEN CO RANG, E HOOD SYSTEM REPORT STATE FIRE MARSHAL 16 CI CONTRACTORS LICENSE C 16 CIO C7 (1 �I �`��..•• 1 tJ VV ��JJIIJJ V DATE oP s®evics Tam OBAKERSFIELD (661) 327 -4352 -.:i a�:` i �. �,� •.�i,J. Upow S. ' ... .. NtaaM...... OFRESNO (559) 268-6241 , DAY Y 10 �.7= ❑MERGED (209) 383 -6647 CTi.011= seM MASTER arimx cn5 mix . > ANN a� aes v,u ve: ❑MODESTO (209) 5290835 M0.41V.' 4500tY.. 50otYnr. :: ; a ri. VA Name: j MAMMLPISLOPMAIMA nEM=W'IM ALLNOZZLES REMOVPD6.CLAANFlt I i OPFJIABIJE%lWMAYFD !'MMMWACT�AtBSiSPBCO'ICAnONS Address: ! J 7 �O � J C k dwe �"t1►'` . .. '�es ''°:.. NO rio� �► h l IWATION OP SYSTIrd - ANSUL SEAL CAF city: ism y[ `e i 1r%Q , t� a S _ YES No FK= DUCT Jurisdiction: ,("�"� SUE �•. " SUE by Code: I NAME I Nuke= COOKING APPLIANCES LOCATION: LEFT TO RIGHT WITH SIZES i V­ jv '' 1 e Iraq z s a , 5 6 7 8 ZEPORT EACH STS7EW R?THANY OF THESE PROBLEMS ' 0 Additional nozzles are required for: ❑ Electric or Gas cut -off must be installed to prevent a fire from reigniting per N.F.P.A. 96,17 &17A codes. ❑ Additional fire detectors are required to assure reliable fire detection. ❑ This system is detsigmd for coverage with no more than a light grease buildup. Grease buildup appears excessive. We recommend the exhaust system be professionally cleaned. Initials ❑ Because of the age and/or condition of this fire control system it may fail and should be: replaced with a new system. Initials ❑ ON THIS DATE CUSTOMER WISHES NOT TO HAVE THIS SYSTEM SERVICED. ,; ') Comments: 'Le7e, G /roc.' ri 1. Are all external hood penetrations sealed, welded or sealed with a UL device? IZP NO 2. Is pressure gauge in operable range? Aft NO 3. Record 6 year maintenance due date. 4. Record Hydrostatic due date. )6. J 14 5. Record 12 Year regulator test due date. "'°- 6. Are cartridge's weights within acceptable limits? ft NO 7. Is the proper extinguisher in place and serviced? YE NO 8. Are the exhaust fans working? Y% NO 9. Next due date for extinguisher service. 10. -Next due date for extinguisher hydro. 11. Is this system a U.L. 300? NO ❑ With the introduction of Vegetable oil in place of animal fat, U.L. has changed it's standard to—extinguish grease fires. We understand you art using this type of oil. We recommend upgrading to the new standard to assume you have the proper fire protection Initials ,--� On this date the above system was inspected in accordance with the I have been instructed on understand the operation of this system. State Fire Marshal regulations, the manufacturer's manual, and Jorgensen,Go. service mian clan. SERVICES TTECHNICIAN �_.. —.--- CUSTOMER'S AUTHORIZED AGENT The above service tedsomm certifies that the system was personally inspeotad and found cw tiow to be as i &cded in this report. WHITE — CUSTOMER COPY CANARY — JORGENSEN PINK— AUTHORITY HAVING JURISDICITON Al