HomeMy WebLinkAbout1109 PACHECO ROADRange Hood system's Report
AAA QUALITY SERVICES, INC.
5800 SO. UNION
BAKERSFIELD, CA 93307 -5426
(661) 833 -5510 FAX 833 -5512
r CUSTOMER
Name Y��<<! \ �� M ��AllP _C \lNc ccA
Address 10 G 94 c �\e C-C -)
City �. l„�+ /��f��t :S State ZIP 9 �
Telephone Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
DATE OF SERVICE
TIME
A.M.
P.M.
2.
Duct and plenum covered w /correct nozzles
>f
ANNUAL
SEMI -6
RECHARGE
INSTALLATION
RENOVATION
LOCATION OF SYSTEM CYLINDERS
300
Yl
S ❑ NO
MA UrACTURER
MODEL ROMBER
ET _
DRY CHEMICAL
r u
1
i�-
CYLINDER SIZE MASTER
CYLINDER SIZE SLAVE
CYLINDER SIZE SLAVE
25. Exhaust fan in operating order
t/
7.
FUSE LINKS 360° F.
FUSE LINKS 450° F.
FUSE LINKS 500° F.
OTHER
3
Pressure gauge in proper range (If gauged)
✓
, re--4-
FUEL SHUT -OFF
ELECTRIC
GAS
SIZE
28. Manual & remote set/seals in place
Ix
10.
Hydrostatic test date
SERIAL NUMBER
LAST HYDRO TEST DATE
LAST RECHARGE DATE
11.
06
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
1�
1.
All appliances properly covered w /correct nozzles
✓
20. Replaced fuse links
2.
Duct and plenum covered w /correct nozzles
>f
1.
All appliances properly covered w /correct nozzles
✓
20. Replaced fuse links
2.
Duct and plenum covered w /correct nozzles
>f
21. Check travel of cable nuts /S -hooks
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
1/
5.
Hood /duct penetrations sealed w /weld or UL device
1
24. Proper clearance -flame to filters
i�-
6.
Check if seals intact, evidence of tampering
25. Exhaust fan in operating order
t/
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
_jZ_'
9.
Check cartridge weight (If applicable)
✓
28. Manual & remote set/seals in place
Ix
10.
Hydrostatic test date
_
29. Replace systems covers
4
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
V/
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:
{
On this date, this range hood 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 results indicated above.
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMER'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