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HomeMy WebLinkAboutRange Hood Systems Report - FIR Inspections - 3/9/2004 Range Hood Systems Report SERVICE COMPANY DAT SERVICE TIME A P.M. I` �\© ANNUAL S MI-AN� RECHARGE INSTALLATION RENOVATION R- � r ^ LOCATION OF SYSTEM CYLINDERS Bill's Fire i xt- Y?nm vic') P.O. Box 3005 MANUFACTURER MODEL NUMBER T DRY CHEMICAL Bromertan, WA 9 ::310 Phone: 3 1-.8138 CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE FUSE LINKS 360°F, FUSE LINKS 450'F FUSE LINKS 500'F OTHER CUST R Namepa-1 Pk--C � �r e FUEL SHUT-OFF LECTRIC GAS SIZE Addr (' N(Wr." x- 7��_oi(L- I - SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE City MANUFACTURER'S MANUAL REFERENCE Telephone Store No. ' PAGE NUMBER: DRAWING NUMBER: Owner or Manager CORKiNGAPPL14NCZLOCATIONS: LEF TO RIGH 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 a _ 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 w 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 L 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 COMMENT On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of NFP 17A, 96 and the manufacturer's manual and was operated according to these procedures with results indicated above. X4�� - � -4 1 SERVICE 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. ®Brooks Equipment Company,Inc. AUTHORITY HAVING JURISDICTION