HomeMy WebLinkAbout1102 UNION AVENUE..:..
h Range Hood Systems Report t;
Owner or Manager
4
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
1. All appliances properly covered w /correct nozzles Yes _
SERVICE'COMPANY:
DATE OF SERVICE
2. Duct and plenum covered w /correct nozzles mss-
TIME' ". •. `'G
A.M.
I P.M.
22. Piping & conduit securely bracketed
Yes
4. System installed in accordance w /MFG UL listing Yes
23. Proper separation between fryers & flame
Yes
5. Hood /duct penetrations sealed w /weld or UL device
Yes
24. Proper clearance -flame to filters
ANNUAL
SEMI -A N
RECHARGE
INSTALLATION
f RENOVATION'
Yes
EXCELLENT PIKE. ZOT'ECTION
27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) Yes es
28. Manual & remote set/seals in place
Yes
es-
10. Hydrostatic test date
29. Replace systems covers
LOC ON OFSYSTEMCYLINDERS
11. 6 year maintenance date
UL 300
Yes
53p1 SUPPLY ROW
31. Slave system operational
"`
yes
13. Operate system from terminal link
YES NO
N/A
TAFT C/'1",.9326
A
Yes
UMBER
WET
Yes
DRY CHEMICAL
35. Proper hand portable extinguishers
(661) 765 -4343
17. Clean nozzles
36. Portable extinguishers properly serviced
Yes
18.. Proper nozzle covers in place es
37. Service & Certification tag on system -
Yes
19. Check fuse links and clean s
C16-747594
CYLINDER SIZE MASTER
CYLINDER SIZE SLAVE
CYLINDER SIZE SLAVE
Mlal
FUSE LINKS 360° F.
FUSE
LINKS 450° F.
FUSE LINKS 500°
F.
OTHER
CUSTOMER
Name
✓
�-
° -�-�-
X
4/2/10
Uneon
-
FUEL SHUT-OFF
'ELECTRIC
GAS
SIZE
Address
1.102 c l R.on
X
X
X
3/411
The above-service technician certifies that the'system was personally inspected and found conditions to- be -as- indicated on this report.
AUTHORITY HAVING JURISDICTION C Brooks Equipment Company, Inc.
SERIAL NUMBER
LAST HYDRO TEST DATE
LAST RECHARGE DATE
City BAKERSFIEi
n State -GA- ZIP °Q3
MANUFACTURER'S MANUAL REFERENCE
Telephone
3:23-07152 Store No.
PAGE NUMBER:
DRAWING NUMBER:
DATE
Owner or Manager
4
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
1. All appliances properly covered w /correct nozzles Yes _
20. Replaced fuse links
Yes-_
2. Duct and plenum covered w /correct nozzles mss-
21. Check travel of cable nuts /S -hooks
Yes
3. Check positioning of all nozzles. des-
22. Piping & conduit securely bracketed
Yes
4. System installed in accordance w /MFG UL listing Yes
23. Proper separation between fryers & flame
Yes
5. Hood /duct penetrations sealed w /weld or UL device
Yes
24. Proper clearance -flame to filters
6. Check if seals intact, evidence of tampering y s
. 25. Exhaust fan in operating order
Yes
7. If system has been discharged, report same WA
26. All filters in place
Yes
8. Pressure gauge in proper range (If gauged)_
27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) Yes es
28. Manual & remote set/seals in place
Yes
es-
10. Hydrostatic test date
29. Replace systems covers
11. 6 year maintenance date
30. System operational & seals in place
Yes
es
12. Inspect cylinder and mount
31. Slave system operational
Yes
yes
13. Operate system from terminal link
32. Clean cylinder & mount
N/A
Yes
14. Test for proper operation from remote
es
33. Fan warning sign on hood
Yes
15. Check operation of micro switch "
34. Personnel instructed in manual operation of system
Yes
16. Check operation of gas valve e
es
35. Proper hand portable extinguishers
Yes
17. Clean nozzles
36. Portable extinguishers properly serviced
Yes
18.. Proper nozzle covers in place es
37. Service & Certification tag on system -
Yes
19. Check fuse links and clean s
NOTE DISCREPANICES.OR DEFICIENCIES BELOW
Yes
COMMENTS:
On this date, this range hood fire. suppression system was inspected and operationally: tested in, accordance. with the fire
suppr ssion.system �equirernents:of NFPA17 or 17A;,96 and the manufacturer's man ual,,with- th�e - - -- results- indicated above.
J,
5:15
✓
�-
° -�-�-
X
4/2/10
-
- -
SERVI E f ECHNICIAN PERMIT NO. DATE:
TIME: AM- PM .CUS`TOMER'S AUTHORIZED
AGENT
The above-service technician certifies that the'system was personally inspected and found conditions to- be -as- indicated on this report.
AUTHORITY HAVING JURISDICTION C Brooks Equipment Company, Inc.