HomeMy WebLinkAbout1530 Sullivan Avenue - Life Safety Syste (2) DO NOT
MOVE BY ORDER OF THE STATE FIRE kkRSHA.L
Pre-En in ere S stem Ins ection Re ort�
TAT UIPMENT Time: AM
AI.� Date of Service:
New Engia Le` er in Fire Protection Annual/Semi-An ual/ ch ew System novation(circle one)
Office(860)793-6900 �...e -S
15 Robert Jackson Way Fax(860)793 6906 OF SERV.
Plainville,Cr 06062 www.alistatefireinc.com VALID FOR 6 MO
S stem Info ation
Customer/Location . 1
Make: V
Name: 1
Model: '
Address:
Size:
City,ST,Zip:
Control Head:
's Phone: ``^-
Location of system:' Yes o NIA
Owner I Manager: Yes No NIA ❑ (�
13 Manual release proper and operable.
1 Hazard unchanged since last inspection 14 Microswitches installed Q- - .e QTY
� LEG.) � ❑
2 System interlocked with building fire alarm. ❑
3 All hazards properly covered wl correct nozzles. ❑ ❑ 15 Gas valve connected to syste ME
❑ 16 Piping 1 conduit securely brackete . ❑
4 Hood 1 duct penetrations properly sealed. O
excessive heavy normal 7 Piping obstruction test performed
5 Grease accumulation: nozzle caps/covers in place. QTY�
❑ 18 Proper ❑
6 Pressure gauge within acceptable range. ❑
' in;atatArhge. WT � ❑ ❑ 19 Exhaust fan in operating condition.
7 Cartridge weight with20 System operational&armed.
8 Cylinder hydrotest due ;6-year main.due ;❑
21 Fan waning sign on hood: ': ❑ ❑
9 Cylinder properly mou
[� ❑ 22 K-Class fire extinguisher in cooking area. ❑
10-Detection line proper and operable. 23 Personnel instructed on manual operation of system.
11 QTY Fusible Links l Thermal Dete r Installed ❑ ❑
_360° 450° _500° _other °) 24 Filters compliant with NFPA96 . ❑ ❑
_2120 _280° ❑ ❑ 25 System meets U.L.30011254 standards.
12 Replaced fusible links-Mfg Date
Hazard Protected: 1
ditions are not corrected and/or verified by an authorized agent of All State Fire Equipment.
Sa
Notice:Non-compliant systems may fail to extinguish/supres na fire.Below are non compliant conditions which require immediate attention.All State Fire
Equi mes no responsibility for system performance if these co
[Is roposal to Correct Deficiencies
Comment " ompliance: :a-�J
t
�...-.�"
Date:
All State Fire Equipment Agent:
Date:
Customer's Authorized Agent:
CT LIC.#F30042 MA-CR.1097
.111913
300 Safety Alert on reverse —Rev
Customer Acknowledgement and UL
-
This report may be forwarded to the local authority having jurisdiction.
NFPA®