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SECURITY FIRE EQIJIPMENT I_All appliances protected with correct nozz]es: esj No <br /> 18330 Lawrence Rd 2-Ducc&Ple�um pcocuxed with coaect aozzles es` No <br /> Dade City,FL 33523 3_Posidon of all nozzles coffect es� No <br /> (3 52)567-7340 4.System installed in accoid with Man.–IJL listing 'e No <br /> 5.Hood–Duct penetrations sealed �e�,i No <br /> Fire Su�ressifln S ystem Report 6.Has system been dischazged or damaged Yes Io <br /> �T� ..../ f7.Whaz is the cylir►der pmssure �-`� <br /> Name:d � i.wt S .�l��g� ����d 8.�Vhat is the cartrid�e wei�h[ <br /> 9.Ga�Vatve MecF�u Etecxrical <br /> Address: _ �'?��j �� _��( �tt ST ,...� ,�_ <br /> 10.Hydrostauc test Date M(� <br /> City: ��p��l.-�u�f��� St3te: FI,.Zip: ��S-��o� 1 i.Operate system from fusible link � No <br /> � 12.Operate system from remote ielease No <br /> Owner–Manager_ <br /> 13_Did micro-switch funcdon Ye�d No <br /> Phone: (�� �'�—��.�� 14.I1id gas shut-off valve funcrion Y �` No <br /> I 5.Clear all nozztes No <br /> Date of Service T'une AM - M lb.Nozzle covets in place es� No <br /> Z" � `� � l7.Check&clean fusible links Yes No) <br /> Type of Service �� ,�. 3 Repipe - Rechazge <br /> � �°`� 18.Replaced fusibie links Qty� � No <br /> Mannfacturer Model 19.Piping securely brncketed � No <br /> .� <br /> Master G�tinder S ave Cylinder 20.Ezhaust fan operating �'+ No <br /> ?l.All grease filters in place&ciean �;e, No <br /> Link Temp Type of ' <br /> � " � �_B 22.Personnel insaucted on use of sysrem � No <br /> Fuel Shui-Off Valve Size 23.Exhaust hood–dud clean Y�e,` No <br /> ���r �� 24.Alazm Actuation 1'� No <br /> ,� ��C'� <br /> i <br /> Comrnents or disciepancies: I <br /> Appliances , <br /> Len Widih A liance T <br /> le <br /> �J 1i _ �.f Gas - Electric <br /> j r c ,� - Gas - IIectric <br /> � �l <br /> j ` /�' �./° Gas - Elect�ic <br /> y'��k � Gas - II�tric <br /> � `� `� On d�above date,this system waz inspected&tested'm acco�daoce with prnaed�of tBe <br /> �f 4 /v Gas - EleCtrIC P���h•adopted edido�of NFPA 17,17A and the manufacpuer's menoal and was opemted <br /> �� `f j ����` accordin ro these <br /> f! /,�l � 8 P�duies with nsnits i�dica0ed above. <br /> y Cras - IIearic <br /> •3•� S'"'� �'"� - f a7�,�"� Gas - Electric Disdaener: <br /> _ �� ��� Owner–Mgr underslands riat ali discrepancies must be addressed wifiin tU days of this�eport <br /> Gas - Electr;c and fhat this equipment must be rein.specled afEerdiscrepancies are correc�ed.Seqrriiy Fire <br /> � fras - Elecaic EqeipmeM wili not be held�le for any pre-eng6�ee�ed fire suppression sys�m failure.Owr�er– <br /> .;i�a.�► /� Mgr lmderstands U�at this is a fire suonression svstem and fiat opera�ion af tlus system may not <br /> Q r� �,.,7 s: Gas - Elec[ric ext�guish a fire or a fire may in+liaAy be suppressed b�►i can re-ign�e.Oamer–Mgr w1p be <br /> x°Z responsble for Kr�nediately r►otitying e�neryency services to respona��ese prertbs�n u�e <br /> Gas - Eiectric evenf of a fire.Owner–M�ager assianes aA respauib�'6ty for damege and/o1��►jury due�o a fire <br /> or fire suppression system failure ai these prern�es <br /> Date Exhaust System Cleaned:__7 oz 7�� <br /> �j\ Operator Instcucted: <br /> Cteaned hy: /'� f��1'�,� <br /> , <br /> Owner-Mgr_ <br /> �'���le,� z1r� ��r��' _ <br /> Service Technician: �,�_ — �-� <br />