HomeMy WebLinkAboutRange Hood Systems Report - FIR Inspections - 1/27/2004 Range Hood Systems Report
SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
Ali
AN AL SEMI-ANNUAL RECHARGE INSTALLATION JLRENOVATION
Ir� Xfi. Service LOCATION OF SYSTEM CYLINDERS
R ��p�y��, CO�LN 2
P•�rW. BOX 3005 MANUFACTURER MODEL NUMBER WET DRY C EMICAL
__W I WA 98810 (��
i 9YOs4139 CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
STOMER
],J� FUSE LINKS 360'F. FUSE LINKS 4507 F FUSE LINKS 500'F OTHER
Name
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FUEL SHUT-OFF �( ELECTRIC GAS SIZE
Address vS 3 ako'N'Stm ' 1 't6h
BSERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
city I� 2
MANUFACTURER'S MANUAL REFERENCE
Telephone for No.
PAGE NUMBER: DRAWING NUMBER:
Owner or Manage
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. f� 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 devic 24. Proper clearance-flame to filters �0
6. Check if seals intact, evidence of tampering 25. haust fan in operating order
7. If system has been discharged, report same i filters replaced C-,F5 -
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
12. Inspect cylinder and mount 31. Slave system operational
13. Operate system from terminal link 32. Clean cylinder& mount G� A
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 V
17. Clean nozzles --56. rtable extinguishers properly serviced
18. Proper nozzle covers in place 37. Service & Certification tag on system
19. Check fuse s and clean NOTE DISCREPANICES j EFICI NCIES BELOW
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On this date, the above system was tested and inspected in accorda ce with procedures of the presently adopted editions of
NFPA 17, 17 the manufacturer's manual and was operated according to these procedures with results indicated above.
X
SERVICE T CHNICIAN PERMIT NO. DATE: F. 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