09-9386 - Laserfiche WebLink

Browse Search

z.v---400 �L � A / *-o? SECURITY FIRE EQUIPMENT 1. All appliances protected with correct nozzles: ® N 18330 Lawrence Rd 2. Duct & Plenum protected with correct nozzles No Dade City, FL 33523 3. Position of all nozzles correct 400 No . (352) 567 -7340 4. System installed in accord with Man. — UL listing 46 No 5. Hood — Duct penetrations sealed No Fire Suppression System Report 6. Has system been discharged or damaged Yes CRS7 f 7. What is the cylinder pressure \lame: / G� a � , 1A , .oc ii41erl7 8. What is the cartridge weight Address: 1 � 2� /� 9. Gas Valve 41-Mechanical Electrical / 10. Hydrostatic test Date /. /� Zity: - `yell g " State: FL. Zip: 11. Operate system from fosibie link Yes No Dwner — Manager 12. Operate system from remote release Yes No 13. Did micro- switch function Yes No 'hone: ( ) 14. Did gas shut -off valve function Yes No 15. Clear all nozzles Yes No Date of Service Time 16. Nozzle covers in place 7,7 ,a,a1040. AM 614 _ Yes No Type of Service 17. Check & clean fusible links Yes No Semi Annual New Recharge 18. Replaced. fusible links Qty Yes No �� Model 19. Piping securely bracketed Yes No Master Cylinder Slave Cylinder' 20. Exhaust fan operating Yes No Link Temp Type of Link 21. All grease filters in place & clean Yes No ML - B — K 22. Personnel instructed on use of system Yes No Fuel Shut -Off Valve Size 23. Exhaust hood — duct clean Yes No Serial Nbr DOM 24. Alarm Actuation Yes No �ppI1811Ces Comments or discrepancies: i % o-we-C ..r y1. -� • '/ , _0. / v o &tv_ - 64., sir !t Length Width Appliance Type Gas - Electric aZa_ A ' 4 / 11,sc a �1 r Gt,, t/ Gas - Electric Gas - Electric Gas - Electric " On the above date, this system was inspected & tested in accordance with procedures of the Gas - Elect preswdy adopted editions of NFPA 17, I7A and the mamdact rer's manual and was operated Gas - Electric among to these procedure with results indicated above. Gas - Electric Disclaimer Gas Electric Owner — Mgr understands that all discrepancies mu stbe addressed within 10 days of this report and twills equipment must be re- inspected after discrepancies are conected. Security Fire Gras -Electric Equipment will not be held liable for any pre- engiieered fire suppression system failure. Owner — Mgr understands that this is a fee suooression syst++ and that operation of this system may not Gas - Electric extinguish a fire or a fire may initially be suppressed bid can re- igriite. Owner — Mgr will be responsible for in nediatey notifying emergency services to respond to these premises in the Gas - Electric event of a fore. Owner — Manager assumes ail responsibility for doge andlor ip'ury due to a fire rate Exhaust System Cleaned: or fire suppression system failure on these premises leaned by: Operator Instructed: - Owner — Mgr: A / ,'c'Sr,v..° SUBMITTED PLAN(S) HAVE BEEN REVIEWED Service Technician: 7 BY ZEP • 11 / I : ; ARSHAL'S OFFICE • Date: //"Y.' _ Reviewer: �r�% _ � zi p— ,