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PIPER FIRE PROTECTION INC. <br /> 231 COIVIM�RCE DR.s., � SUPPRESSION <br /> LARGO, FL 33770 / �f �, �� � <br /> STATEWIDE(800)327-7604 �' SYSTEM <br /> PIPIEL'i.AS FAX(727)581-8332 ,.l:.t <br /> SARASOTA FAX(941)377-2001 f��„�-="�' ���°� ��'���c���� REPORT <br /> pfpmall@piperfir+e.com <br /> CUSTOMER NM9E CUSTOMFR NO. DA7E <br /> D/MAGGIO THAT'S AMORE 11/3N4 <br /> s�nce aooaess c�r srn� aa 33 � <br /> 5347 GALL BLVD. ZEPHYRHILLS FL �� I <br /> aiwricnooa�ss crn srn� na . <br /> CONTACTNAME CON�ACT7FLN0. It�C71aN o INSTALLAT1dJ n <br /> ANNA ROMAN 813-270-2238 s6t+nce u r�ovnnori u <br /> srsr�an�ocnnoN n�uwuFacn�En Mooa� sFwa.a s� <br /> KITCHEN ANSUL R 102 R-23854 6 GALLOIVS <br /> DEfECTONTYPE NUMBER TFM� YEAR MANUALPLAL <br /> FUSE LINK 5 450F 2014 1 <br /> EQUIPMENTSHUiDOYVN ElECTRICAL C-!aS HVAC <br /> ELECTRIC/GAS/AIR MICRO SWlTCH MECHANICAL FRESH AIR <br />� CYLIPIDERWEIGFii AGETITWEIGFR PItEEEURE MFG/TE.ST�TE <br /> N/A N/A 901-30(2004)WT.'60.5oz. 2003,2004 MFG. <br /> O O O O o HOOD= 10���� <br /> -► DUCT= 14" x 14" <br /> uv uv <br /> z z � zao <br /> S{-IFf F <br /> 8 J3U12NER CHAlt 131ZO1LElt FRYI3R <br /> 48"x 23" 36"x 21.�' Zl"x 14" <br /> 1. All appliances properly protected w/correct noules YES 20.Check travel of cable nuts/S-hooks YES <br /> 2. Duct and plenum covered w/correct nozzles YES 21. Piping and conduit securely bracketed YES <br /> 3. Check positioning of all nozzles YES 22. Proper separation between fryer&flame YES <br /> 4. System installed in accordance w/MNF UL listing YES 23. Proper clearance of flame to filters YES <br /> 5. Hood/duct penetration sealed w/weld or UL device YES 24. Exhaust fan-in operating order YES <br /> 6. Check if seals intact,evidence of tampering YES 25.All fitters re-installed YES <br /> 7. If system has being discharged,report same YES 26. Fuel shut-off in on position YES <br /> 8. Pressu�e gauge in proper range(if gauged) N/A 27.Manual&remote seUseals in place YES <br /> 9. Check cartridge weight(If applicable) YES 28. Replace system covers YES <br /> 10. Hydrostatic test date checked YES 29.System operational and seals in place YES <br /> 11.6 year maintenance date PUA 30.Slave system operational N/A <br /> 12.Inspect cytinder weight(if applicable) wA 31.Clean cylinder and mount YES <br /> 13. Operate system from terminal link YES 32. Fan warning sign on hood YES <br /> 14.Test for proper operation from remote YES 33. Personal instructed on system operation YES <br /> 15.Check operation of micro switch YES 34. Proper kitchen portable extinguisher class K YES <br /> 16.Clean noules YES 35. Portable extinguishers properly serviced YES <br /> 17. Proper nozzle covers in place YES 36. Service and Certification tag on system YES <br /> 18.Check fuse links and,clean YES 37 Does system meet UL 300 Standard Np <br /> 19.Replaced fuse links YES NOTE DISCREPANCIES OR DEFICIENCIES BELOW <br /> COMMENTS: ANSUL R-102 REGULATED RELEASE MECHANISM AUTOMAN NEEDS TO REPLACED,DOES NOT MEET UL300 <br /> STANDARDS. `jt�g�Crr i S p� F�� � ry���� <br /> 4u�� \D �ollo� <br /> On this date,the above system was tested and inspected in accordance with procedures of a presently adopted editions of NFPA 17,17A, 96 <br /> and the manufacturer's manual and was operated according to these procedures with results indicated above. <br /> MARK C.GARCIA 79218300012006 11/3/14 I <br /> s�xvice�crwicwwN Pevarrrio. on� nr,� nr� �►n CU&TOMERAUT110WZFDAGH4� <br /> The above service technician certifies that the system was personatly and found conditions to be as indicated on report. <br />