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<br /> � I�.�; V.JAL i SEMI-ANPIUA� RECHARGE ; iNSTALLr`T,OP! RENpVATION I
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<br /> ( _ �:SA?lc�N C� SYS i ENi CYUNDERS UL 300 7
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<br /> � ViANUFACT�F,ER MQCEL MUMBER � WET DRY CMED/ICAL �
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<br /> � CYLINDER SIZE UtASTEa ' CYLINDER 5!
<br /> I � , i Zc SLAVE � CYLINDER 3iZE SLAVE �
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<br /> ' -- ' FUSc L3MKS 3&0" F FUSE LINtC$ 450` F. FUSE L1NKS S00° T O7HER
<br /> CUSTQ(�1ER ;
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<br /> ` FUEL SHUT-OFF ELECTRIC GAS S32E
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<br /> Address � ` - ` '> , �,
<br /> - `" SERIAL NUMBER LAST HYDRO TEST DATE traST RECHARGE QATE
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<br /> •: � •, " tvIANUFACTURER'S MANUAL REFERENCE " �
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<br /> Tefephone_.� ' � � Store No.
<br /> ,,, -, PAGf NUMBER: pFAWWG NUIv18ER DATE
<br /> Owner or Manager _ - .
<br /> COOKING APPLIAPICE LOCATIONS. LEFT TO RIGHT
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<br /> f Ali appliances pr�perly covered w/correct nozzles "`� 20. Replaced fuse links �� ��_
<br /> 2. Duct and pienurr covered w/correct nozz es �`"� 21. Check travel of cable nuts/S-hooks
<br /> 3. Check positionin � of all nozzles. °° 22. Piping & conduit secure(y bracke#ed �-- `
<br /> 4 System installed in accordance w/MFG UL listin �-�` �,. F
<br /> 9 23. Proper separation be#ween fryers & flame � ��:= �
<br /> 5 Hood/duct penet�ations sealed w/weld or UL device ��°" 24 Proper clearance-flame to filters r�
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<br /> 6. Check if seals intact, evidence of tamperi�g --'� � 25_ Exhaust fan in operating order ��� � � •-�`
<br /> 7. If system has been discharged, report saine �"' 26. Ali filters in place / �,:=�
<br /> 8. Pressure gauge �n proper range (If gauged) --' 27. Fuel shut-off in on position
<br /> 9 Check cartridge �veight (if applicable) ` � 28. Manuaf & remote seUseals in piace ~
<br /> 10. Hydrostatic test clate ` �'�: ' ' 29. Replace systems covers
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<br /> 11. 6 year maintenarce date =`-�'�` 30. System operationai & seals in place ��'
<br /> 12. Inspect cylinder �nd mount �..�' 31. Slave system operationa! ,� ��;'
<br /> 13. Operate system from terminal link �;.-' 32. Ciean cylinder & mount
<br /> 14. Test for proper operation from remote 33. Fan warning sign on hood ,�"
<br /> 15. Check operation of micro switch �--°' 34. Personnel instructed in manual operation of system '
<br /> 16. Check operation of gas valve ,r'f ��'" 35 Proper hand portable extinguishers .�.-•�
<br /> 17. Clean nozzles 36. Portable extinguishers properly serviced �---
<br /> 18. Proper nozzle covers in place >.�-_' 37. Service & Certification tag on system
<br /> 19. Check fuse links and clean �'',-''� NOTE DISCREPANiCES OR DEFICIENCIES BELOW
<br /> COMMENTS:
<br /> On this date, this pre-engineered fire suppression system was inspected and operationally tested in accordance with the fire
<br /> suppression system requirements of NFPA17 or 17A, 96 and the manufacturer's manual with the results indicated above
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<br /> . SER1%ICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMER'S AUTHOR�ZED AGENT
<br /> The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
<br /> DlST'R1�UTOR
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