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_ - ` : , w. , _ ", - ,- ,. „ - . , ,,i'�, ,. - , ,, � "� . ,� � .. , <br /> . � <br /> Range Hood S:' stems Report <br /> r �, SERVICE COMPANY DA OFSERVC TIME AM. P.M. <br /> ^`1�j�y�S. ,�.�._�-'9 �A/i� � ,O�°f3� �°" <br /> _` � ' ANN ' SEMI=ANNUAL RECHARGE INSTALUTION RENOVATION <br /> NITE 1, ( � <br /> LOCA li OF SYSTEM CYLINDEHS <br /> 'fire protection r.: 1�.� � Aa. r <br /> •� MAN FAGTURER MODELNUMBER WET DRVCHEMICAL <br /> 2900 Shader Road � Orl.ando, Florida-32808 <br /> 407-299-0201 • Fax 407-296-3126 `"�' � '��' `� � <br /> CYLI DER SIZE MASTER CYLINOER SIZE SLAVE CVLINDER SIZE SLAVE <br /> Website:www.unitedfirepro.com f�� � � � <br /> CUSTOMER FU E LINKS 360'F FUSE LINKS 450'F FUSE LINKS 500'F OTHER ' <br /> Name •---�r���F ��F�6�S FUELSHUT-0FF ELECTAIC GAS S <br /> Address ��� ��'EI ��`��`�' Q <br /> � s9'�5/� ,�c�'iw C[� � <br /> ERIAL NUMBER LASTHYDRO TEST DATE U5T RECHAAGE DATE <br /> City ��,,,a�. ��/{� �! °'� '3S'��1 � �{ <br /> � � = r� h-s <br /> MAN FACTURER'S MANUALREFERENCE <br /> Telephone Store No. <br /> PAG NUMBER: DRAWING NUMBER: <br /> Owner or Manager � <br /> , <br /> COOK/NG APPLIANCE LOCATIONS: LEFT TO RIGHT ` <br /> � � 6p��it��� <br /> 1. All appliances properly covered w/correct noules �. 20. Replaced fuse links �r�c� <br /> 2. Duct and plenum covered w/correct noules P'' 21. Check travel of cable nuts/S-hooks rs <br /> 3. Check positioning of all noules. ^-� 22. Piping & conduit securely�bracketed .f' <br /> 4. System installed in accordance w/MFG UL listing � 23. Proper separation between fryers &flame ✓' <br /> 5. Hood/duct penetrations sealed w/weld or UL device � 24. Proper clearance-flame to filters a�'' <br /> 6. Check if seals intact, evidence of tampering .�_ 25. Exhaust fan in operating order / <br /> 7. If systern has been;discharged, report same � '26. All filters replaced 1 �.% <br /> S. Pressure gauge in'proper range(If gauged) � 27. Fuel shut-off in on position .r <br /> 9. Check cartridge weight (If applicable) '� 28. Manual & remote seUseals in place � <br /> 10. Hydro�tatic test date O �f� 29. Replace systems covers ...- <br /> 11. 6 year maintenance date � °�°° 30. System�operational & seals in place , �- <br /> 12. Inspect cylinder and mount p� 31. Slave system operational r �S <br /> 13. Operate system from terminal link �' 32. Clean cylinder& mount ��' <br /> 14. Test for proper operation from remote -.r�" 33. Fan warning sign on hood �,n <br /> 15: Check operation of micro switch �-° 34. Personnel instructed in manual operation of system _.�„� <br /> 16. Check operation of gas valve �-'' 35. Proper hand portable extinguishers ...- <br /> 17. Clean noutes �� 36. Portable extinguishers properly serviced <br /> r <br /> 18. Proper noule covers in place ��' , 37. Service &Certification tag on system ./ <br /> 19. Check fuse links and clean , .� NOTE DISCREPANICES OR DEFICIENCIES BELOW <br /> COMMENTS: �� '��'�'•� '�° �'�'°� <br /> ' ` <br /> On this date, the above sysfem was tested and inspected in acco dance with procedures of the presently adopte�editions of _ <br /> NFPA 17, 17A, 96 and the manufacturer's manual and was oper ed according to these procedure with result�s�mdicated above. <br /> � ��;��p� �rJ��s°� �'r�„ r �j ' � , <br /> �, / �,�, �� <br /> X ��,.. /��_ A!- ms���,y°'� � �' � �/ ,�J � <br /> SER I� E TECHNICIAN . PERMIT NO. DATE: TIME: AM PM ' CUSTOMERS AUTHORIZED AGENT <br /> The above service technician certifies that the system was person Ily inspected and:found conditions to be as indicated on this repoit. � <br /> WHITE-CUSTOMER COPY VELLOW-DISTRIBUTOR PINK-AUTHORITY'HAVING JURISDICTION <br />