HomeMy WebLinkAboutRange Hood Systems Report - FIR Inspections - 2/25/1999 ystems Report
SERVICE N TE OF SERVI E� TIME A.M. P.M.
MAY 2 8 NNUAL SEMI-ANNUAL RECHARGE INSTALLATION RENOVATION
QA��'�' LOCA F SYSTEM CYLINDERS
BiIl's 1 of 1�ERMIJ ���7J�MJE ria a 4C( ( ("VA`li
P.O. Box 3005 RINACTURER MODEL NUMBER WET RY EMIGRE
Bremerton, WA 98310
'hone: 37--8108 CYLI DER SIZE MASTER CYLINDER SIZE SLAVE CYLINDERSI ESLA E
FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500'F OTHER
CUSTOMER
Name ( o,*,
FUEL SHUT-OFF ELECTRIC GAS SIZE
N Address w t 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
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
I
1 ��PG rr.L
1. All appliances properly covered w/correct nozzles Z, 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 NU (Uf�D_%J�N
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 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 0'_ 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 ::�a 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: NU <JL._- 3 JJ I��, 1\-, - ►V y F_- tc'c _lln..r*J� - CX I- v5
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 a manufacturer's manual and was operated according to these procedures with results indicated above.
X
SERVICE TEC ICIAN PER O. 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.
m Brooks Equipment Company,Inc.
AUTHORITY HAVING JURISDICTION
Itood Systems Report
R E P Y Ij DATE OF SERVICE TIME A.M. P.M.
{11`I `) ���� ANNU MI-ANNUAL RECHARGE INSTALLATION RENOVATION
` ` / LOCATION OF ST CYLINDERS
FERNY A55-1S1Nc��� t���R O
�����
Ir�X 3 MA CT MODEL NUMBER WET DRY CHEMICAL
/ d �� a J
F CYLINDER SIZIt MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
7, WA 98310
73-8138
CUSTOMER FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500'F OTHER
hfcs Name FUEL SHUT-OFF ELECTRIC SIZE
Address
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
City e t�<<� 2
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER:
Owner or Manager J
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
1
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. 1hi-�u 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 /L� 25. Exhaust fan in operating order
7. If system has been discharged, report same / J 26. All filters replaced
8. Pressure gauge in proper range (If gauged) UJ__��' 27. Fuel shut-off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place U
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 DA,IS//C��REPANICES OR DEFICIENCIES BELOW
COMMENTS: U C.v -V�Z l (J1- 310 C�-"`�"�k
On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA 17, 1-7A, 99 an the manufacturer's manual and was operated according to these procedures with results indicated above.
X _
SERVICE TECHNICIAN PERMIT NO. DAT 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,Int
L
AUTHORITY HAVING JURISDICTION
'* Range Hood Systems Report
W SERVICE COMPANY DATE OFF SERVICE TIME A.M. P.M.
r Ilk-
ANNUAt- SEW-ANNUAr RECHARGE I INSTALLATION RENOVATION
o� ;$iU's Fire Ext. ServiCi LOCATION OF SYSTUM CYLINDERS
V.4 q.^ P.O. Box 3005 /
BPe inerton, WA 98310 MANUFACT MODELNUMBER WET DRY CHEMICAL
o--- Phone: 373-8138 �«I^C c,. ( L%
CYLINDER SIZE MASTM CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
a . ■
FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500'F OTHER
CUSTOMER
Name FUEL SHUT-OFF ELECTRIC GAS SIZE
Address N `-
rn SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
City L 4
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER:
Owner or Manager
COOKING APPLI LOCATIONS: LEFT TO RIGHT
ft (I Co r»! o
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 �y
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 a_c
10. Hydrostatic test date 29. Replace systems covers vV-�
11. 6 year maintenance date 30. System operational & seals in place (�]
12. Inspect cylinder and mount ,r �Y 31. Slave system operational
13. Operate system from terminal link S 32. Clean cylinder& mount +
14. Test for proper operation from remote 33. Fan warning sign on hood J
15. Check operation of micro switch � 34. Personnel instructed in manual operation of system
71
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 r l NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS: -�\���=������1�(w o �k L,� 1 �1� - lSq a o:_ I,u it n; f 1�/� �''!
IA I<L el„ Q r. s.x 1 I�t i;/.CIS 'I :I` o i" 1 Q e 2 -
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.
4q 1
ERVICE TECH ICIAN 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
OD SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
3' 4 d 8 k ,
ANNUAL SEMI-ANNUAL RECHARGE INSTALLATION RENOVATION
1L�I LOCATION O YSTEM CYLINDERS
's Fire Ext. lervir,
P.O. S®x 3005 °
MA ��,_ACTURER MODELNUMBER WET Y MICAL
Yemerton, WA 98310
mRhcne: 373-8138 CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDERSI ESLAVE
FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500'F OTHER
CUST MER
Name
FUEL SHUT-OFF ELECTRIC GAS SIZE
Address
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
City
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER:
Owner or Manager
COOKING APPL E LOCATIONS: LEFT TO RIGHT
�(CC(wc S < fir« ffy'c
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w/correct nozzles c 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 v
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 positioncf,
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place QJ s
10. Hydrostatic test date J 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 syste 1
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: No5---1 1 vA t,�r✓ J e-y ( c/ e ( U
P � I
ul
--
r+ccblt Flp��r? _
On this date, the above system was tested and inspec ed 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 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
Range Hood Systems Report
SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
ANNUAL L RECHARGE ALLATI RENOVAT N
II's Fire Ex . erillt� LOCATION OF SYST M CYLINDERS
PA. Box 3006 MANUFA MODEL NUMBER WET DRY CHEMICAL
Bremerton, WA 933p10
P'"mp„e: •8 v C11-114DER SI E ASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
CUSTOMER
FUSE LINKS 360'F. FUSE LINKS 450'F FUSE LINKS 500'F OTHER
Name FUEL SHUT-OFF ELECTRIC G�GAS SIZE
Address 'n� a Z)�� 14(w U 0 C >
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
City
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER:
Owner or Manager
COOKING APPLI N E LOCATIONS: LEFT TO RIGHT
CC �
ur
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 devi 24. Proper clearance-flame to filters
6. Check if seals intact, evidence of tampering r) 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'V
11. 6 year maintenance date ,(� ,� 30. System operational & seals in place
12. Inspect cylinder and mount V�J 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 (/1 34. Personnel instructed in manual operation of system
16. Check operation of gas valve ll 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: 0 Aao 4, -
o
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 N?�
SER' TECHNIC N PERf DA E: 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.
®Broo10 Equipment Company,Inc.
AUTHORITY HAVING JURISDICTION
1
Range Hood Systems Report
SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
ANNUAL - NU L RECHARGE_[___INSTALLATION _[VENOVATfOIQ
gill's Fire Exile $ervfct LOCATION OF SYSTEM CYLINDERS
Pj0.Box 3008 f
M UFA U O L MBER WET DRY CHEMICAL
Bremerton, WAp9783o10
Phone: 373_$13$ C L DER IZEMASTER CYLINDER SIZE SLAVE CYLINDER r ESLAVE
FUSE LINKS 360°F, FUSE LINKS 450'F FUSE LINKS
CUSTOMER 500°F OTHER
/
Name FUEL SHUT-OFF ELECTRIC G SIZE
Address H�4)U j
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
CityO I L/1� n ��A/1
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
r r A
etiPAGE NUMBER: DRAWING NUMBER:
Owner or Manager
COOKING APPLI N E LOCATIONS: LEFT TO RIGHT
t
1. All appliances properly covered w/correct nozzles rt 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 r 23 roper separation between fryers &flame
5. Hood/duct penetrations sealed w/weld or UL device Proper clearance-flame to filters tJ _
6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order ( 1-
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 T
10. Hydrostatic test date 29. Replace systems covers
11. 6 year maintenance date 30. System operational & seals in place _
12. Inspect cylinder and mount �T " 31. Slave system operational
13. Operate system from terminal link 32. Clean cylinder& mount _
14. Test for proper operation from remote N" 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: l/v f Py.i Lac t)j �E�►?�e -
L �
A t,)-€�r�'r�, r S4`a J- /h P /"c/c
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 0 el _T
SERV CHNICIAN % PERMI 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.
L Brooks Equipment Company,Inc.
AUTHORITY HAVING JURISDICTION