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Range Hood Systems Report <br /> SERVICE COMPANY DATE OF SER ICE TwE A LI I PM. <br /> 3-a-4, i►L -2• /v ✓ <br /> A -1 FIRE EQUIPMENT ANNUAL 1 1 RECHARGE f..2../c.) <br /> L" °" 1 RENOVATION <br /> ■ <br /> ABA FIRE EQUIPMENT LocATIONOF rearm CYUnoHts <br /> 3619 N.W. 2nd Avenue / 7- c.H'riti <br /> Miami, Florida 33127 <br /> MANUFACTURE MODEL NUMBER WET DRYCHEMNCAL <br /> • (305) 573 -8273 ekarlagiTE R 1 cYL, , SIZE EWE , CYLINDER SIZE SLAVE <br /> i <br /> i FIDlli eD F LINKS 4fi0` F FUSE MO• F OTHER <br /> CUSTOMER , <br /> Name T/te--o 541-1- 41- 4' 6 I o J . <br /> , + -or ELECTRIC GAS <br /> Address 73/ 7 6.y cc 4 ✓ / , H <br /> p SE NUMBER LAST HYDRO TEST GATE LAS I REC DATE <br /> City P9/JY� /a� /1 L s PL.' 33j-91 i�2N T ° t ,AL AEFE o -a- t' X - <br /> UF R•S RENCE L. " 3 <br /> TeiephoneP3 - )id " asf/ Store No ''AA <br /> PAGE N U Da DRAWING NUMBER R10 0 <br /> Owner or Manager <br /> COOKING APPLIANCff LOCATIONS : T TO RIGHT <br /> BLNT�JY.LR AWL) ZCIZ f'ey '. it <br /> 1. All appliances properly covered w /correct nozzles ■ 20. Replaced fuse links J_ <br /> 2. Duct and plenum covered w /correct nozzles .� 21. Check travel of cable nuts/S -hooks _iG <br /> 3. Check positioning of all nozzles. _._. 22. Piping & conduit securely bracketed _AZ._ <br /> 4. System installed in accordance w/MFG UL listing _.C___ 23. Proper separation between fryers & flame ✓ <br /> 5. Hood/duct penetrations sealed w/weld or UL device _ ' 24. Proper clearance -flame to filters _..r__ <br /> 6. Check if seals intact, evidence of tampering jZ_ 25. Exhaust fan In operating order ✓ <br /> 7. If system has been discharged, report same _Z__ 26. All filters replaced ✓ <br /> B. Pressure gauge in proper range (If gauged) //fi 27. Fuel shut-off in on position _V_ <br /> 9. Check cartridge weight (If applicable) ✓ 28. Manual & remote set/seals in place _� <br /> 10. Hydrostatic test date • 29. Replace systems covers <br /> 11.6 year maintenance date 30. System operational & seals in place ----- <br /> 12. Inspect cylinder and mount I, 31. Slave system operational Age <br /> 13. Operate system from terminal link +/ 32. Clean cylinder & mount <br /> 14. Test for proper operation from remote _44_ 33. Fan warning sign on hood _1L <br /> 15. Check operation of micro switch s___ 34. Personnel instructed hi manual operation of system 4 <br /> 16. Check operation of gas valve 35. proper hand portable extinguishers <br /> 17. Clean nozzles 38. Portable extinguishers properly serviced <br /> 18. Proper nozzle covers in place _, 37. Service & Certification tag on system _J <br /> 19. Check fuse links and dean _� NOTE DISCREPANCIES OR DEFICIENCIES BELOW <br /> Comments:it Avms /v.rr .%44' ' Pe&-N Aecs/y 4,# <br /> On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of <br /> NFPA 1 , 17A, 98 and t, manufacturer's manual and was operated according to these procedures with r indcated above <br /> , <br /> SERVICE TE "'. IAN PERMIT NO. DATE: TIME: AM PM f' STOMERSA 40i%' AG' II <br /> he above service technician certifies that the system was personally inspected and found co , • ns to be as indicated • this report <br /> WHITE -CUSTOMER COPY YELLOW- DISTRIBUTOR PINK -AUTHORITY HAVING JURISDICTION <br />