I Pre-Engineered Restaurant Fire Suppression Systems Report
<br /> SERVICE COMPANY DATE OF SERVICE +�t',� �',� TIME F �"�! A.M. P.M.
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<br /> ANNUAL� SEMI-ANNUAL RECHARGE � INS�ALL°ATION RENOVATION
<br /> LOCATION�OF S,Y$TEM CYLINDERS �+ y ;,, ����UL 300
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<br /> 710 S.Powerliae Rd.,Suite H ,NIqNUFACTURER ,�MODEL,Nl7M8ER WET�` bRY CHEMICAL
<br /> Deerfield�$e�ch,FI,33442 ;�;� �, R�����,1% ,����� �,�
<br /> (954)570-9860 ���E���.�:- �`f j -�. � �,�R"�
<br /> ' C,Y,L�tdDER SIZE�MASTER �CYLINDER SIZE SLAVE J CYLINDER SIZE SLAVE
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<br /> FUSE LINKS 360°F. FUSE LINKS 450°F. FUSE LINKS 500°F OTHER
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<br /> ,G��,.-� � ��� �� . �_�' �'�rSERIAL NUMBER� LAST HYDRO TEST DATE LAST RECHARGE DATE
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<br /> ,� MANUFACTUREfi'S MANUAL REFERENCE
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<br /> PAGE NUMBER: DRAWING NUMBER: DATE
<br /> Owner or Manager
<br /> CO,Ol�I,NG AP.PLIAIVCE;LOCATIONS:,L�,FT TO-RIGHT � , ��.,�-, � ,., ,:d.�;.,�- �y , _ ,_,-�.e,� ��-'��'�
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<br /> 1. All appliances properly covered w/correct nozzles � ,. 20. Replaced fu e links� /1 �� f �
<br /> 2. Duct and plenum covered w/correct nozzles ..�`f 21. Check travel of cable nuts/S-hooks ' � �-�
<br /> 3. Check positioning of all nozzles. ' �� 22. Piping&conduit securely bracketed _�
<br /> 4. System installed in accordance w/MFG UL listing . .i`� 23. Proper separation between fryers&flame �''�
<br /> 5. Hood/duct penetrations sealed w/weld or UL device f .�/ 24. Proper clearance-flame to filters -,�-
<br /> 6. Check if seals intact,evidence of tampering �'�� 25. Exhaust fan in operating order d''���.=
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<br /> 7. If system has been discharged, report same i�1���r- 26. All filters in place ��.
<br /> 8. Pressure gauge in proper range(If gauged) �r'.; 27. Fuel shut-off in on position � .-
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<br /> 9. Check ca�tridge weight(If applicable) .���{� �' 28. Manual&remote set/seals in place �°"�
<br /> 10. Hydrostatic test date r�w 29. Replace systems covers -�''��r
<br /> 11. 6 year maintenance date � 30. System operational&seals in place :���
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<br /> 12. Ins ect c linder and mount � 31. Slave system operational �`
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<br /> 13. Operate system from terminal link -_' - �°' ,.-�" 32. Clean cylinder&mount �'
<br /> 14. Test for proper operation from remote �> 33. Fan warning sign on hood �f=
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<br /> 15. Check operation of micro switch �`_.� 34. Personnel instructed in manual operation of system •�°'
<br /> 16. Check operation of gas valve �`�j^ 35. Proper hand portable extinguishers y�
<br /> 17. Clean nozzles � �A''f`" 36. Portable e�inguishers properly serviced -�-�'
<br /> 18. Proper nozzle covers in place r"'�.�'` 37. Service&Certification tag on system ''�
<br /> 19. Check fuse links and clean •� NOTE DISCREPANICES OR DEFICIENCIES BELOW ��''r
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<br /> COMMENTS: `�``��,.,�-r;-,��,,;.��r�-�.,, � '�, � ---�--� --
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<br /> On this date, this pre-engineered fire suppression system was inspected and operationally tested in accordance with tlie fire
<br /> supp�r�ession�systemfequirements of NFPA17 or 17A, 96 and the manufacturer's manual�with the results indicated above.
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<br /> SERVICE TECHNI,C-IAN PERMIT NO. DATE: TIME: AM PM ` CUSTOMER'S AUTHORIZED AGENT
<br />� ' i t � ��nici n c rtifie that the s stem was ersonall ins ected and found conditions to be as indicated on this re ort.
<br /> The above servi ce ech a e s
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