HomeMy WebLinkAboutHOOD/FIRE SYSTEM INSPECTION - 11-00106 - El Garden Construction PermitADDRESS O(�a
SINGLE
CITY f �,P ❑
1 � � � L1 DOUBLE
PHONE_ ' Lll " El TRIPLE
❑OTHER _
OWNER OR MANAGER 1{4 �1� i !1f� f.`
YES NO N/A
1. All seals intact, no evidence of tampering
Kitchen Hood
Fire System Inspection & Maintenance Report
FIRE777��
2. All appliances properly covered w/correct nozzles
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SERVICJE'
Phone 1-800-866-3640
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TIME
❑°PM
of IDAHO,
Fax 1-208-232-0449
Locally Owned a Operated
❑ NEW INSTALL
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5. Hood/duct penetrations sealed
❑ ANNUAL❑
AMEREX 1:1KIDDIE ElRANGE GUARD
NAME
❑ SEMI-ANNUAL
❑ ANSUL ❑ PYRO-CHEM ❑ OTHER -
J
❑ RECHARGE
❑ BADGER
ADDRESS O(�a
SINGLE
CITY f �,P ❑
1 � � � L1 DOUBLE
PHONE_ ' Lll " El TRIPLE
❑OTHER _
OWNER OR MANAGER 1{4 �1� i !1f� f.`
YES NO N/A
1. All seals intact, no evidence of tampering
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2. All appliances properly covered w/correct nozzles
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3. Duct and plenum covered w/correct nozzles
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4. Check positioning of all nozzles
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5. Hood/duct penetrations sealed
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6. Grease accumulation ❑ Excessive ❑ Heavy
❑ Moderate
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7. Pressure gauge in proper range
8. Checked cartridge weight
9. Cylinder hydrostatic test date
10. Inspect cylinder and mount
11. Checked travel of cable and link position
❑ ,❑ ❑
❑ ❑ ❑
❑ 360° =&TYPE
1:1450-
E]
450°❑ 500°
❑
OTHER LOCATION OF SYSTEM
ALL
YES NO N/A
20.Proper separation between fryers and open flame
21. Exhaust fan in operating order
22. Remote manual release seals in place
23. System cartridge replaced / safety pins removed
24. System operational and armed
25. Fan warning sign on hood
26. K class fire extinguisher in cooking area
27. Proper ABC fire extinguisher for other areas
six year maintenance 28. Fire extinguishers properly serviced
❑ ❑ ❑ 29. Personnel instructed in manual operation of system
❑ ❑ ❑ 30. Personnel instructed on required monthly insp. of Sys.
12. Fusible links 360 450
500
31. Personnel instructed on use of fire extinguishers
13. Replaced fusible links, manufacture date:
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32. Service and certification tag on system
14. Checked manual release
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33. Originally installed as a UL 300 compliant system?
15. Checked micro -switch
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34. Is the system as currently configured
16. Checked gas valve mech.- electric -
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a UL 300 compliant system?
17. Piping/conduit securely bracketed
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18. Nozzles cleaned / Chear of Blockage
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19. Proper nozzle caps / covers in place
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El ❑ ❑
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El ❑ ❑
❑ ❑ ❑
El ❑ ❑
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71 El
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NOTE: Non compliance systems may fail to extinguish/suppress fire
COMMENTS / NON COMPLIANCE:
On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of NFPA 17, 17A, 96 and the manufac-
turer's manual and was operated according to these procedures with results indicated above.
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SERVICE TECHNICIAN DATE TIME AM PM CUSTOMER'S AUTHORIZED SIGNATURE
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.