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Home My WebLink AboutRange Hood System - FIR Inspections - 12/11/2000 < < Range Hood Systems Report SERVICE COMPANY DATE 7$E, CE TIME ANNUAL SEMI-ANNUA RECHARGE INSTALLATION RENOVATION F/� �s i li s n re ;6 pat• Service LOCATION OF SYSTEM CYLINDERS / P.1). 0 3 x sn05 �i>'' rrea-ertcFa WA 98310 MANUFACTURER MODELNUMBER WET DRY CHEMICAL Fhone; 373-3138 CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE 32 b CUSTOMER FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500°F OTHER Name 6ba 6� ) FUEL SHUT-OFF ELECTRIC GAS SIZE Address SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE City � 1�G Ill. '`�j�^J(]' MANUFACTURER'S MANUAL REFERENCE Telephone S o. PAGE NUMBER: DRAWING NUMBER: Owner or Manage � _ COOKING APPL ANCE LOCA:TIONs: LEFT TO RIGHT i r U h � 1. All appliances properly covered w/correct nozzles P � 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 mil' 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 N 25. Exhaust fan in operating order �► 7. If system has been discharged, report same Nr" 26. All filters replaced 8. Pressure gauge in proper range (If gauged) fir` 27. Fuel shut-off in on position 9. Check cartridge weight (If applicable) V 1 28. Manual & remote set/seals in place 10. Hydrostatic test date ' 1 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 �IJ 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 N TE DISCREPANICES OR DEFICIENCIES BELOW COMMENTS: 'cj U`' 3,so 4IN Flti�- IIH'{it )�� rl10E PIS NO /�/P/� �FC�• 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 -RVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT service technician certifies that the system was personally inspected and found conditions to be as indicated on this report. bb ^s Brooks Equipment Comparry,Inc. dUTHOMW HAWNG mllRisnrcTinN REPORT OF INSPECTION-RANGEHOOD EXTINGUISHING SYSTEM DATE OF INSPECTION _ L - INSPECTOR: ..IL j_ 1 <, NAME OF FACILITY: Y INSPECTIOICpMPANY ADDRESS: ADDRESS: CITY: KY ZIP: - CITY E: OCCUPIED AS: i STATE: ZIP: ._ PHONE: ( ) SEND REPORT TO: REASON FOR REPORT. ( )INITIAL INSTALLATION;` ) SEMIANNUAL INSP.; ( )ANNUAL INSP.; OTHER(specify): SYSTEM MANUFACTURER AND MODEL: sssstssstssssssss*tssssssssstssssv ttststsssssssststtttsrssssssssssssstsssstsssssssssssssstss►sstttssssssssssss►sstssssssssstssssss►sss 1. TYPE OF SYSTEM: ( .)`DRY-CHEMICAL; ( )WET-CHEMICAL; ( )HALON; ( )CARBON DIOXIDE; OTHER(specify) I EXTINGUISHING AGENT' POTASSIUM BICARBONATE; ( )MONAMMONIUM PHOSPHATE; (' )SODIUM BICARBONATE; ( ) POTASSIUM CHLORIDE; ( ) UREA POTASSIUM BICARBONATE; ( ) HALON ( )CARBON DIOXIDE; ( )WATER AND POTASSIUM CARBONATE-BASED CHEMICAL; ( )WATER AND POTASSIUM ACETATE- BASED CHEMICAL; OTHER (specify) I AMOUN OF AGENT'. LBS./GAL.; NO. OF AGENT CONTAINERS ; DATE AGENT CHANGED/CHARGED 4. NOZZLES: TOTAL NO. INSTALLED ; FOR SURFACE / ' , DUCT , PLENUM_ ,OTHER (specify) 5. PIPING: CORRECT SIZE(YES)(NO); PROPERLY INSTALLED(YES)(NO); FREE OF PHYSICAL DEFECTS/OBSTRUCTIONS(YES)(NO) 6. DETECTION DEVICES: (`,FUSIBLE METAL ALLOY TYPE LINKS; ( ) BULB TYPE; ( )HEAT DETECTORS;OTHER(specify) TEMPERATURE RATING ; MANUFACTURER AND MODEL 7. EQUIPMENT PROTECTED: (�).DEEP FRYERS, NO. _; ( ) GRILLS, NO. _; ( -)"RANGE TOP, NO. OF BURNERS ( ) GRIDDLES, NO. ; ( ) CHAR-BROILERS, NO. ; ( ) UPRIGHT BROILERS, NO. ; OTHER (specify) 8. EXPELLANT: ( )CARBON DIOXIDE CARTRIDGE- WT.; ( )NITROGEN CARTRIDGE- PSI NORMAL PRESSURE; PRESSURIZED CYLINDER PSI; �, ) COMPRESSED AIR, ( ) NITROGEN; OTHER (specify) //^^ 9. AUTOMATIC SHUTDOWN: ('AYES ( ) NO; FOR ( )ELECTRICITY ( )FUEL; TYPE FUEL(specify) FUEL LINE SIZE ; TYPE, MAKE, AND MODEL OF SHUTDOWN DEVICE: MANUAL RESET ONLY ON SHUTDOWN DEVICE( )YES( )NO; DEVICE OPERATES PROPERLY( )YES( )NO 10. MANUAL RELEASE: PROPER LOCATION(",,)ICES( )NO; OPERATES PROPERLY(,4-YES( )NO 11. HYDROSTATIC TEST: DATE OF CURRENT HYDROSTATIC TEST THE FOLLOWING DEVICES WERE TESTED: ( ) PRESSURE CYLINDER(S); ( )AGENT CYLINDER(S); ( )VALVE ASSEMBLIES; ( )CHECK VALVES; ( )HOSE AND FITTINGS; ( ) MANIFOLDS: ( ) DIRECTIONAL VALVES; ( ) AUXILIARY PRESSURE CONTAINERS; OTHER (specify) 12. ALARM: THE EXTINGUISHING SYSTEM ACTIVATES THE FIRE ALARM SYSTEM WHEN OPERATED? ( )YES( )NO IF YES, THE ALARM RECE CATION WAS NOTIFIED BEFORE THE SYSTEM WAS TESTED( )YES( )NO; NAME OF PERSON CONTACTED _ �I_Y AT ALARM OPERATION WAS SATISEkCTORY( ) YES( )NO 13, OTHER:ALL SAFETY DEVICES AND/OR SEALS ARE PROPERLY INSTALLED( )YES( )NO;A FULL SYSTEM TEST WAS CONDUCTED? ( ) YES( ) NO; OWNER HAS A COPY OF INSTALLATION/MAINTENANCE DOCUMENTS? ( )YES( )NO; THE SYSTEM WAS LEFT IN SERVICE AND WAS FULLY OPERATIONAL? ( )YES( )NO 14. REMARKS: EXPLAIN EXPLAIN ANY "NO" ANSWERS I01 _i Gi wrvt>r.T (l `C1,e 1�/Q'fl. f .fit '! el- — c T- ST' �'Y b e Press hard-you are making 4 copies. WHITE- Owner; BLUE-State Fire Marshal; PINK- Inspectors Copy; CANARY-Other i Range Hood Systems Report S MPANY DATE OF SERVICE TIME A.M P M. •J! ANNUAL' SEMI-ANNUAL I RECHARGE INSTALLATION RENOVATION �'II�� Fire te}, ��f CI LOCATION OF SYSTEM CYLINDERS . ` D� lit J( P..O.GBox33t008 MANUFACTURER MODEL NUMBER WET DRY CHEMICAL �u Bremerton, yWAp1J9i8310 1/f � l Phone: 3 3'v i38 CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500`F OTHER CUSTOMER Name h i vn� FUEL SHUT-OFF ELECTRIC GAS SIZE Address Eel SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE City �e Ire r!(A MANUFACTURER'S MANUAL REFERENCE Telephone Store No. C, PAGE NUMBER: DRAWING NUMBER: Owner or Manager COOKING APPLIANCE LOCATIONS: 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. to 22. Piping & conduit securely bracketed 4. System installed in accordance w/MFG UL listingAN, 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) 27. Fuel shut-off in on position 9. Check cartridge weight (If applicable) j 28. Manual & remote set/seals in place 10. Hydrostatic test date 29. Replace systems covers l� 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 V ~ 34. Personnel instructed in manual operation of system 16. Check operation of gas valve- ,Proper hand portable extinguishers 17. Clean nozzles 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: 1Y1.LC` J I�P�,i )� �� r 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 714, -u-U,-,�- �,l�,, ,�, �3� S VI IAN PERMIT KO.- 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. r Brooks Equipment Company,Inc. All rUf1r2 ITV UAvlKlrn n imiQnir Tinq*i Range Hood Systems Report SERVICE COMPANY DATE FftvlC (� TIME A P.M. Bill's Far `� • @�v�ce ANNUALSE - AL RECHARGE INSTALLATION RENOVATION IP n• � �o E 0 � L N OF YSTEM CYLINDERS Bretrtet isR7- Phone, 18 A FAACCT(`URER MODELNUMBER WET DRYCHEMI L SEP 0 , VL_ I CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE WIT ', nT SE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS500°F OTHER CUSti ME ��( Name �� eV"llC LV(/� � W �( FUEL SHUT-OFF ELECTRIC G SIZE Address `�O � !� "" SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE City ^ (2 � MANUFACTURER'S MANUAL REFERENCE Telephone b! 7 Store No. PAGE NUMBER: DRAWING NUMBER: Owner or Manager % COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT �'l 22 - 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) 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 n 12. Inspect cylinder and mount \J S 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 l 15. Check operation of micro switch 3 ersonnel instructed in manual operation of system 16. Check operation of gas valve `vv oper hand portable extinguishers ) " _+ 17. Clean nozzles '36 ortable extinguishers properly serviced 18. Proper nozzle covers in place 37. Service & Certification tag on system 19. Check fuse links and clean NO DISCREPANICES OR DEFICIENCIES BELOW COMMENTS: It Y P& C_ J ^a (N 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 jabove. ' SERVICE TECHNICIAN PERMIT,NO. DATE: TIME: AM PM bj TOIkRS AUTHORIZED AGENT The above service technician certifies that the system was personally inspected and found c nditio s to be as indicated on this report. ^s Brooks Equipment Company,Inc. A11TWA9WITV MAUMr. -IIIRICPNf`TIAN