Laserfiche WebLink
I Pre-Engineered Restaurant Fire Suppression Systems Report <br /> SERVICE COMPANY DATE OF SERVICE +�t',� �',� TIME F �"�! A.M. P.M. <br /> • ,} r"'Y�) ;�,�1'" p ' �y't� `�. ,�,`.' <br /> . y N d �� , �' fs-- <br /> ANNUAL� SEMI-ANNUAL RECHARGE � INS�ALL°ATION RENOVATION <br /> LOCATION�OF S,Y$TEM CYLINDERS �+ y ;,, ����UL 300 <br /> .� r • ,iP {� �'�d ' 7.✓ ����a, <br /> ' HD Service Division,Inc. ` °-�.+. �g �1fL�;��,� :�ro�' �' ;�-� F='� � .Ov�s ❑No <br /> ti.� �r q t°� °`Y r "' �- a yl Cl ��Z-''�.``�....�=-�' 9 <br /> 710 S.Powerliae Rd.,Suite H ,NIqNUFACTURER ,�MODEL,Nl7M8ER WET�` bRY CHEMICAL <br /> Deerfield�$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 <br /> F��p� .,m �9',,�� ��ty�G��.�% �� - .....-����" <br /> �-�� � �° �t�.� p �'�. �1 <br /> t f b� 9 .�� . <br /> FUSE LINKS 360°F. FUSE LINKS 450°F. FUSE LINKS 500°F OTHER <br /> "� '; + •.�n�� GUSTOMER ,.� . � ��°+'e�� .�'�� <br /> ��?i �r�^. 4 3 �, J ,pf�f�j ,.r.-^� �f,�,°f�� r,� \�/ � ....�-�- <br /> :_-=s e)L�' ��4i' e� ��.¢{�ti I_'r-� Jfdf�1✓'_-:/ tr�/���� � ``_�O <br /> Namecr�� �E � �l;• . - _ <br /> � 6 <br /> .Fr.+� - � FUEL SHUT-OFF ELECTRIC �!' GAS SIZE p, <br /> �� ��p ��y, =r�'' ".� ��j�P'',,� �srf� �� d`7 �'�� Ft�y' �',d"� .� "� �•d � <br /> ^'�✓`�„`=;.!:�'6� ��' �f X P `�''1 j'ti:�' � y ��.�'a. �j° p �-: <br /> Address��-.---• .� �d-� . � , ,r' <br /> ,G��,.-� � ��� �� . �_�' �'�rSERIAL NUMBER� LAST HYDRO TEST DATE LAST RECHARGE DATE <br /> �, �.s!.I;�,9�� ,`` ia'- !�k�P �" §°��..� �' "`r^^ ".� <br /> ciry ..�=,r, ;��•�fjy.� rF��;�_)_ State � ziP � �'��:� ��,� �`� :� �._�' ���`� �f�� <br /> - ,� � .�.� � v� <br /> ,� MANUFACTUREfi'S MANUAL REFERENCE <br /> Telephone Store No. � <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,� ��-'��'� <br /> �.. � -'-,��'Y 1� v y i � . ' p-l f�%� , �y-'��,,e%c; ` 7s"ur�;+4:y� . "' .i'lf <br /> t '���`" �3��+- c�-``''y�°c: d+s'���- �s'� ;::� �." _ �r��i ri�?y�y' � ,y ��-�7 " , :4 ,.✓ l./ ��e.'�''u%��:'t�.''�-r= <br /> � ��r� ��� 7 .✓ � ;�`�;.." ,f <br /> y��i'� f'° �"�� :! ` :� .�-_7 'v= '°'!.�-t'` �-.s .�'��;i,�:%`���' <br /> y. . �;�•'J 'o" ����6 o'.Y 7�./� �� es d - : <br /> t t{~ � c� a��d'� /��b'r���� ~ <br /> �: C_l �� ; i i ;I, ;"� ' , . <br /> .� �J�_f�j� � �-� • `� ' ✓�"��_.� /� ;'I_ f � <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''���.= <br /> >,ti o t.� <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 � .- <br /> d�:,. <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 :��� <br /> P <br /> 12. Ins ect c linder and mount � 31. Slave system operational �` <br /> P y ,,...��� <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= <br /> y : X <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 <br /> � r^� . <br /> COMMENTS: `�``��,.,�-r;-,��,,;.��r�-�.,, � '�, � ---�--� -- <br /> � �; v a . ° - y, -- ���.-�; <br /> �--°��'``�°`� -�:",, ��,,"'� � �' �-;�,,� � . ",�:�: s' <br /> a�' .�. �-� ; ��o� ► �"`� �� :�-n--_.� <br /> p • ••+.,sa' - �A i ��-�-.� jl <br /> Q Z <br /> 'I <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. <br /> :A'�✓'°�G����:m�`✓'c:�.-'f "` � 6 a .'�{✓ �..�"� .-;,'J f. �� <br /> XJ .��''5 9 �� / A�9Ys�If 9�'}9' o°' :�=`� ��' _ <br /> f`?:7 :/_L!'f�� ` .��K�).'y �d�d x�f���,1 ��in�-?f tJ�� � F 6�� �a• � •��l� ` - <br /> ?.S,:f`i' t ✓1'v �_ �!G..fif%:'. �.%�'�!`'� � .t f ; .-_ <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 <br /> Y P Y P P <br />' � � � AUTF10E31TY FIA!lltdG JllE3ESDiC'P90f� ' <br /> ! <br /> � <br />