HomeMy WebLinkAbout945 Sullivan Avenue - Life Safety System DO NOT REMOVE BY ORDER OF THE STATE FIRE MARSHAL
_ Pre-Engineered System Inspection Report'
�LLSTATE FIRE EQUIPMENT Date of Service: .. - Time: PM
New England's Leader in Fire Protection
15 ROBERTJACKSON WAY& PLAINVILLE,CT06062 Annual/Semi-Annual/Recharge ew Syste Renovation(circle one)
QrFICE(860)793-6900 a FAx(860)793-6906 VALID FOR 6 MON TE OF SERVICE www.allstatefire.biz
Customer/Locationl S stem Information
Name: zr, A i y \1 Make:
Address:
Model: ,
City, ST,Zip: � _ r / Size: „
Phone: Control Head:
Owner/Manager: Location of system: jail
Yes No N/A Yes No N/A
1 Hazard unchanged since last inspection 13 Manual release proper and operable.
2 System interlocked with building fire alarm. 14 Microswitches installed QTY -Tied-in QTY
3 All appliances properly covered w/correct nozzles. 15 Gas valve connected to system VOfCH�ELEC.)
4 Duct(s)&plenum properly covered w/correct nozzles. 16 Piping/conduit securely bracketed:
5 Hood/duct penetrations properly sealed. 17 Proper nozzle caps/covers in place. QTY. _
6 Grease accumulation: _excessive _heavy ormal 18 Exhaust fan in operating condition. 011
7 Pressure gauge within acceptable range. 1,19 System operational&armed.
8 Cartridge weight within acceptable range. WT. 20 Fan warning sign on hood.
9 Cylinder within hydrotest date. Due: Q r 21 K-Class fire extinguisher in cooking area.
10 Cylinder properly mounted. 22 Personnel instructed on manual operation of system.
11 Detection line proper and operable. 23 Filters compliant with NFPA96 —17
12 Replaced fusible links. QTYTern U.L.300 standards.
Hazard Protected (Hood, Ducts,Appliances)
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§afety Notice:Non-compliant systems may fail to extinguish/supress a fire.Below are non compliant conditions which require immediate attention.All State Fire
i Equipment assumes no responsibility for system performance if these conditions are not corrected and/or verified by an authorized agent of All State Fire
Equipment.
i ❑See Attached Proposal to Correct Deficiencies
1,
Comments/Non-Compliance:
LI
t
All Mate"Fire Equipment Agent: `� Date:
Customer's A'GthorizedAaent k Date:
C Q F30042 MA CR:1097 °
mar "'= =,. .�• �'*�s �, , . ..
NFPf� Customer Acknowledge.Rgi an�,UL 300 Safety Alert on reverse —Rev.06-19-09
This report may be forwarded to the,�gcal'authority having jurisdiction.
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