HomeMy WebLinkAboutRange Hood System Reports - FIR Inspections - 3/8/2000 Range Hood Systems Report
SERVICE COMPANY DATE OF SERVICE TIME A M. P.M�
S o ra v
ANNUAL SEMI-ANNUAL RECHARGE INSTALLATION RENOVATION
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6�l1 )�� �.A . P, ., i.01
I `r + v. :J LOCATION OF SYSTEM CYLINDERS
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V1 10 MAN ACTURER MODELNUMBER WET DRY CHEMICAL
pholic:
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500°F OTHER
S ��uSTo�R S a-
Name r P U
FUEL SHUT-OFF ELECTRIC GAS SIZE
Address
`� �j SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
I Y
MANUFACTURER'S MANUAL REFERENCE
Telephone
/ PAGE NUMBER: DRAWING NUMBER:
Owner or Man • .
COOKING APPLIANCE LOCATIONS: LEFT RIGHT t L
(Qa,-_Wq!ne Gr Id d LP,
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links v
2. Duct and plenum covered w/correct nozzles 00 2Le 21. Check travel of cable nuts/S-hooks
3. Check positioning of all nozzles. rL 22. Piping & conduit securely bracketed y
k-4. System installed in accordance w/MFG UL listing?0Z 23. Proper separation between fryers & flame
5. Hood/duct penetrations sealed w/weld or UL device 140 24. Proper clearance-flame to filters y'
6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order 11_�
7. If system has been discharged, report same 0M 26. All filters replaced y
8. Pressure gauge in proper range (If gauged) �v 27. Fuel shut-off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place
v
10. Hydrostatic test dated 29. Replace systems covers
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 l/
14. Test for proper operation from remote 33. Fan warning sign on hood y
N5. Check operation of micro switch 34. Personnel instructed in manual operation of system
16. Check operation of gas valve 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' C �`) �- NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS: (�C. 3�J '244_2t - 0-.. k.. ttiJv i/ ty4Cl�vn�
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On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA 17 17A, 9 d the manufacturer's manual and was operated according to these procedures with results indicated above.
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S VICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
z Brooks Equipment Company,Inc.
Range Hood Systems Report
SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
ANNUAt 9MI_-ANNUW RECHARGE INSTALLATION RENOVATION
BiII's fire Ext. Sei"V102.
LOCATION OFSYS YLINDERS
P.O. sox 3005
Bremerton, WA 98310 MANUFA ER ODELNUMBER WET DRY CHEMICAL
Phone: 373-8'3 8 CYLINDER SI STER 7
YLINDER SIZE SLAVE CYLINDER SIZE SLAVE
TOMER FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500-F OTHER
US
Name FUE UT-OFF ELECTRIC ' GAS SIZE
V
Address
�& SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
Clry
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
j! L PAGE NUMBER: DRAWING NUMBER:
Owner or Manage \
COOKING APPLIAN E LOCATIONS: LEFT TO RIGHT
� eIL
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w/correct nozzles 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
5. Hood/duct penetrations sealed w/weld or UL device 24. Proper clearance-flame to filters
6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order
7. If system has been discharged, report same 26. All filters replaced \`
8. Pressure gauge in proper range (If gauged) i 27. Fuel shut-off in on position W -
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place CV_
� I
10. Hydrostatic test date 29. Replace systems covers J
11. 6 year maintenance dated 30. System operational & seals in place
12. Inspect cylinder and mount 31. Slave system operational
13. Operate system from terminal link v 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 sy t
16. Check operation of gas valve \ 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, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA 17, 17A, 96 and the manufacturer's manual and was operated according to these procedures with results indicated above.
X
SERVICE CIAN PERMIT NO. ATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report
m Brooks Equipment Comy
AUTHORITY HAVING JURISDICTION
Range Hood Systems Report
SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
ANN NU L RECHARGE INSTALLATION RENOVATION
Elk Fire Ext.
yy Ser7 icc LOCATION OF SYST M YLINDERS
P.O. gOX 3n06 MANU MODEL NUMBER WET D Y C MICAL
Bremerton, WA 98310
Phone: j 73•8 Y '� CYLINDER-SIZE MASTER CYLINDER SIZE SLAVE CYLINDERS&E SLAVE
FUSE LINKS 360-F. FUSE LINKS 450'F FUSE LINKS 500'F OTHER
IS CUSTOMER
'Ad
Name � fr A �Y,G1 FUEL SHUT-OFF ELECTRIC G SIZE
Address
SERIAL NUMBER LAST HYDRO TEST ATE LAST RECHARGE DATE
City
MANUFACTURER'S MANUAL REFERENCE
Telephone S re No.
PAGE NUMBER: DRAWING NUMBER:
n
Owner or Manager
COOKING APPL ANCE LOCATION LEFT TO RIGHT
Fr r -
T
l
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links y� _
2. Duct and plenum covered w/correct nozzles iG 21. Check travel of cable nuts/S-hooks �T
3. Check positioning of all nozzles. JZ 22. Piping &conduit securely bracketed
4. System installed in accordance w/MFG UL listing�(rrj'1gL�/ 23. Proper separation between fryers & flame _yL
5. Hood/duct penetrations sealed w we evice 4a1�- 24. Proper clearance-flame to filters
6. Check if seals intact, evidence of tampering Tom" 25. Exhaust fan in operating order
7. If system has been discharged, report same M1! 26. All filters replaced
8. Pressure gauge in proper range (If gauged) A.-- 27. Fuel shut-off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in lace
�� P
10. Hydrostatic test date 1ef 29. Replace systems covers _
11. 6 year maintenance date _z__ 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 -� 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: 111G) r i* ol.,r l i r y E'Errt At 4a;,2=
d�Z
On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA 17, 17 and the manufacturer's manual and was operated according to these procedures with results indicated above.
X 1
SERVICE AGANTC IAN P ITN . b, AM PM CUSTOMERS AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
a Brooks Equip at company.Inc.
AUTHORITY HAVING JURISDICTION
- Range Hood Systems Report
' SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
ANNUAL I-ANNUA RECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS
B1II's Fire Exit. Service P.O. Box 3005 _ a�
MANUFACT MODEL N ER WET DRY CHEMI AL
Bremerton, WA 98319
Phone: 373-8138 CN��R STER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
CUSTOMER FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500'F OTHER
e{�� -��� �
Nam
J FUELS T-OFF ELECTRIC GAS SIZE
Address
/� SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
city � 1 III-(;� n y�'i_`
MANUFACTURER'S MANUAL REFERENCE
Telephone -Store No.
PAGE NUMBER: DRAWING NUMBER:
Owner or Manager
COOKING APP IA CE LO ATIONS. LE O RIGHT
r� 2
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w/correct nozzles 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 f -� 23. Proper separation between fryers &flame
5. Hood/duct penetrations sealed w/weld or UL devic 24. Proper clearance-flame to filters
6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order _
7. If system has been discharged, report same �_ 26. All filters replaced
8. Pressure gauge in proper range (If gauged) 27. Fuel shut-off in on position J
9. Check cartridge weight (If applicable) W 28. Manual & remote set/seals in place C�
10. Hydrostatic test date 29. Replace systems covers
11. 6 year maintenance date j 30. System operational & seals in place w
12. Inspect cylinder and mount 31. Slave system operational
13. Operate system from terminal link �y 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 syste
16. Check operation of gas valve 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 nd clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS:
0
On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA 17, 17A, 96 and the manufacturer's manual and was operated according to these procedures with results indicated above.
X .I'Vit
SERA E TE NPERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
c Brooks Equipment Company,Inc.
AUTHORITY HAVING JURISDICTION
Range Hood Systems Report
r
SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
v
ANNUALI =
UAL ECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS
$ill's Fare W. Servite ,
MA MODEL NUMBER WET DRY CHEMICAL
Brert?Won, WA 98310 .
Phone, J 373.00 13 8 CYLINDER STZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500-F OTHER
CUSTOMER
t (/ _
�-�T-� -- FUEL SH -OFF ELECTRIC GAS SIZE
oor
Address �J 4---
�--^ SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
city �c� � i-� ( (�_
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER:
Owner or Manage ��\
COOKING APP IANCE LQCATIONS: LEFT TO RIGHT
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w/correct nozzles 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
5. Hood/duct penetrations sealed w/weld or UL device.` 24. Proper clearance-flame to filters
6. Check if seals intact, evidence of tampering W` 25. Exhaust fan in operating order
7. If system has been discharged, report same �_ 26. All filters replaced
8. Pressure gauge in proper range (If gauged) 27. Fuel shut-off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place
10. Hydrostatic test date" 29. Replace systems covers Q�=
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 r
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 s ste
16. Check operation of gas valve 35. Pybper hand portable extinguishers y
17. Clean nozzles 6-.70ortable extinguishers properly serviced
9 P P Y
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, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA 17, 17A, 96 and the manufacturer's manual and was operated according to these procedures with results indicated above.
r - L
ERVICE NICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
®Brooks Equipment Company,Inc.
AUTHORITY HAVING JURISDICTION
Range Hood Systems Report
4
+ SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
ANNUAL SEMI-ANNUAL I RECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS
45
111's Fire FA
+ Al te MANUFACTURER MODELNUMBER WET DRY CHEMICAL
Bremert,t W:•i 98310 fhonw 373-8138 CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
A
C OMER FUSE LINKS 360'F. FUSE LINKS 450°F FUSE LINKS 500`F OTHER
Name h
FUEL SHUT-OFF ELECTRIC GAS SIZE
iri►^
Address r !/
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
city o
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
/k PAGE NUMBER: DRAWING NUMBER:
Owner or Manage�r� -�
COOKING APP /ANCE LOCATIONS: LEFT TO RIG
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w/correct nozzles 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
5. Hood/duct penetrations sealed w/weld or UL device 24. Proper clearance-flame to filters
6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order
7. If system has been discharged, report same ��� 26. All filters replaced
8. Pressure gauge in proper range (If gauged) u r 27. Fuel shut-off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place
10. Hydrostatic test date 29. Replace systems covers
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 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: 6,4
On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA- , 17A, 96 and the manufacturer's manual and was operated according to these procedures with results indicated above.
X - 646 T _f L
ERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report
Z Brooks Equipment Company,
AUTHORITY HAVING JURISDICTION