HomeMy WebLinkAbout946 Sullivan Avenue - Life Safety System Pre-Engineered Restaurant Fire Suppression Systems Report
SERVICE COMPANY DATE OF ER CE TIME A.M. P.M.
ANNUIkL SEMi•ANNUAL RECHARGE I7ION RENOVATION
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LOCATION OF SYSTEM CYLINDERS ,�J UL 300
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IJ r �r ' MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
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Gu � CYLINDER` R
SIZE gTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
CUSTOMER FUSE LINKS 3W'F. FUSE LINK 7: 1
FUSE LINKS 500°F OTHER
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FUEL SHUTOFF ELECTRIC____
LECTR C GAS SIZE
Address C�f
�' SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
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E City �'` State ZIP
MANUFACTURE 'S MANUAL REFERENCE
I Telephone Store No.
PAGE NUMBER: DRAWING NUMBER: DATE
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. 22. Piping&conduit securely bracketed `
4. System installed in accordance w/MFG UL lusting 23. Proper separation between fryers&flame r
5. Hood/duct penetrations sealed w/weld or UL device _� 24. Proper clearance-flame to filters
6. Check if seals intact,evidence of tampering _V 25. Exhaust fan in operating order
7. .If system has been discharged, report same 26. All filters in place
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 ,
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 Y_
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW 4-
COMMENTS:
On this date, this pre-engineered fire suppression system was inspected-and operationally tested in accordance with the fire
suppressio Syst m requirements of NFPA17 or 17A, 96 and the manufacturer's manual- th the results indicated above.
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SMVIINIt TECHNICIAN PERMIT NO.. DATE: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
AUTHORITY HAVING JURISDICTION