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• i <br /> SECURITY IRE EQUIPMENT � '�>>appliances piotected with correct nozzles: � No <br /> 1833 Lawrence Rd , 2.Duct&Plenum protected wiUi comect no�les es No '� <br /> Dade ity,FL.33523 3.Position of all nozzles correct es No <br /> (3� )567-7340 4.System installed in accord with Man.–DL listing No <br /> Fire Su res ion S stem Re Ol't 5.Hood–Duct penetrations sealed Y No <br /> ��� ,t e ` 6.Has system been dischuged or damaged y� � <br /> Name: ��'��;;� S 7.Wl�at is the cylinder pressure <br /> � — <br /> I Address: �� �j � 8��T1�at is the cartridge weight CQ"►fa <br /> �..J_�r� <br /> ` 9.Gas Valve Mechani Electrical <br /> City: State: FL.Zip:�� 10.Hydrostatic test Date <br /> Owner–Manager: �,e 11.Operate system from fusible link No <br /> 12.Operate system from remote release Yes No <br /> Phone: �) 7 � �, 13.Did micro-switch function <br /> Yes No <br /> 14.Did gas shut-0ffvaive function Ye No <br /> Date uf Sen+ice � Time ,n,hq pM 15.Clear all nozzles <br /> 8�}�/ � � . � Y No <br /> J 16.Nozzle covers in place Yes No <br /> Type of Service Semi Annu 1 NeW C�e��g 17.Check&dean fusible links Y� � <br /> � 0 18.Replaced fusible links Qt}__� ye No <br /> Model <br /> Manufacturer /(.1�� � p ��� 19.Piping securely bracketed Yes No <br /> /�#� n� 20.Exhaust fan operating <br /> e No <br /> Slave Cylinder <br /> Master Cylinder � � � ,� � 21.Make up air operating Yes No <br /> � ` 22.A11 grease filters in place Sc clean Yes No <br /> Fype of Link <br /> Link Temp � 23.Personnel instructed on use of system Yes � <br /> , <br /> ML B 24.Exhaust hood–du�t clean es No <br /> Fuel Shut-0ff Valve t�1Ze 25.Alarm Actuation <br /> Yes No <br /> ` � <br /> Serial Nbr ��Q 7 �C�1 Comments or discrepazicies: ���Y1 ,� S <br /> � � <br /> ApiJ11111Ces <br /> Len Width liance Nozzle <br /> �� / f't"� _ _ !v _ <br /> Z <br /> 6 <br /> � � v f'� e -�(� On the above date,this system was inspected&tested in accordance with procedures of the <br /> •Z,�..t ''L v L , presenUy adopted editions of NFPA]7,I?q and tLe manufachaer's manual and was ope��� <br /> G/ � � according to these pmcedm�es with results indicated above. <br /> � � ` 1 � Disclaimer. <br /> Owner–Mgr undersfands that all discrepancies must be addressed within 16 days of this r�eport <br /> and that this equiprt�ent must be re-inspetted after disaepanaes are corrected,Security Fire <br /> Equipment wiil not be held liable for any pre-engineered fire suppression system faiture.Oxmer– <br /> � �j� Q a N x Z Mgr understands that this is a fire suooression svstem and that operation of this system may not <br /> � e�inguish a fire or a fire may infially be suppressed bui can re-ignite.pymer–Mgrwill be <br /> � `L W responsible for immediately notifying emergency services to respond to these premises in the <br /> Hand Portable Fire Extinguishers event of a fire.Owner–Manager assumes all responsibility for damage and/or injury due to a fire <br /> or fire suppression sysfem failure on these premises <br /> Restaurant Exhaust Hoods Cleaning <br /> Operator Instructed: <br /> Fire Suppression Sy tems <br /> Emergency ighti ng Owner–Mgr: <br /> Batt ries and Bulbs <br /> Service Technician: <br /> All Fire Kelated Products <br /> . <br />