HomeMy WebLinkAboutFAI15-0029 Suppression Hood Inspection 2018 Wet Chemical Pre-Engineered California Code of Regulations Semi-Annual
Title 19 Report
Fire Extinguishing System 1 of 2
Inspection,Testing,and Maintenance P
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ofCALI Iskk 1 Contractor or Licensed Owner Information
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PropertyInformationyL` �/ a ID Name Wilgus Fire Control Inc.
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Building Name ,, ` � `�i 1703 Sonoma St.
',1),) .--.___---..,,,'-4sy vbv Address
Address is ^� s 1C l. City Redding St. Ca Zip 96001
License# 462979 Phone 530-241-2465
City vU'.CL SFM Job#
Contact Person , ,f%%`u 1..,
Phone
-2) -- C�;' 51 v] CSLB Misc
.iOOO /�� <,YO✓r.,,,11,111ice`
Last Hydrostatic Test Date -7_,L-;("`1 Flow Points Capacity Used Li
Cylinder Size (� C��Y co.,. y Mfr. 1�,C,C�gt: Model AA-lb c� ✓r �'
System
System Location '��,� k._\pr.� .
Fuel/Heat Shut Off. Integral Make Up Air Shut Down /
Gas# % ( r Electrical# � "' Nozzle Total
Nozzle Nozzle
` #of Items I Dimensions Mod„i Flow Points Qty __—_._Flow Points
Hoods + ( x I F' l k
Ductsto
Plenumst 1 y"" X tz" A b P k �.
_.__.___
Cooking Appliances
Left to Right with Sizes and Coverage Nozzles
Nozzle Nozzle Total Nozzle NoModel Flow Points Flow Points zzle. Total
Name
Appliance Name Appliance Model Flow Points- Flow'Points
Fct,i cc t.. `5 t... y I
Fixed Temperature Sensing Elements
(Such as Fusible Links)
Mfr Install Mfr ' Install
Quantity' Temp Date Date Quantity Temp Date Date
- i
9 P=Pass F=Fail N/A =Not Applicable
=Inspection T =Test M=Maintenance —
Descri tion NFPA 17A CA Date Comments Only P,F,N/A'
Item P ed.Reference
Manual Actuators are Unobstructed 7.2 2(2) fj '
1.1 I (i.e. Remote Pull Station) c l� ;
1.2 I Tamper Indicators&Seals Intact 7.2.2(3) -1,.+1 rS f
1.3 I Maintenance Tag in Place 7.2.2(4)Title 19§906 5-1 t ir e
1.4 I No Obvious Physical Damage 7.2.2(5) 6./..\46-
,6"./-`
1.5 I Gauge Readings within Proper Limits 7 2 2(6) ed
(Stored Pressure) I5- 1-�
1.6 I Blow-Off Caps in Place&Undamaged 7.2.2(7) 5_1_jc5
1.7 I Hoods, Ducts, Filters in Place and Clean CFC 904.11.6.3 5,;,-1..t s `
Hood, Ducts& Protected Cooking Appliances Have 7 2 2(8) lr$
1.8 I Not Been Replaced,Modified or Relocated - 6_�' ��
1 2.1 T Automatic Detection/Manual Actuation Functioned 7.3.3.4 •Ci-'-lk -r
Correctly
Form AES 20 Sept.3,2013
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��� ��f'rticat Pre-Engineered. ` California Code of Regulations-Title 19 2 of 2
Fire Extinguishing System . Inspection,Testing,and Maintenance Report
Tr��t Contractor or Licensed Owner Information
Property Information �� , ..,O
6 a yf r ' v d Name Wilgus Fire Control Inc.
Building Name U\4t.-v:_C k,e ,i \\* �`f
c"-.1? Yj ws Job#
Address Lj �' K 1
it"471;71,W5,4kitgikaligigiaikaVIAcwireizie,,,,gogowifkhdePne,220:1iitzfregg‘itgigveg:t9a2:Ai.%,x,:,i,w2nEgo.7,
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minizmusimiiiiiii �Z��!RE Mph'
I =Inspection T =Test M= Maintenance P=Pass F=Fail N/A =Not Applicable
NFPA 17A CA Date Comments OnlyP,F,N/A
Item` Description ed.Reference
2.2 T Fuel Shut-Off Operated Correctly 7.3.3.4 _5-1__ins
2.3 T Regulator Tested&is within Acceptable Limits 7.3.3.4 Ea-1-is> '�it Pc
2 4 T Manual Reset Relay Functioned Correctly 7.3.3.4
(If Applicable) `�"�
3.i M All Agent Containers within Acceptable Hydrostatic 7.5.1(1)
Test Dates ,J "�
'All Auxiliary Press.;ra Containers and/or Hose
3.2 M 7,5.1 2 3OO V-1,
Assemblies within Acceptable Hydrostatic Test Dates 7 �- j*
3.3 M Cartridge Weights within Acceptable Limits 7.3.3.1(2) 5•'1-t e
3.4 M Liquid Level within Acceptable Limits 7.3.3.1(2) 5-1.. kcf t,,J1.4
(Non-pressurized)
3.5 M No Signs of Corrosion in Agent Cylinder `
7.3.3.1(2) _ t�R�
(Non-pressurized) �� i�, t'�►
3.6 M Distribution Piping Unobstructed and Contiguous 7.3.3.1(3) - 1•(SS
3.7 M Nozzles are Correct, Clean&Properly Aimed 7.3.3.1(2) 3-Z- 153- e
3.8 M Fixed Temp Fusible Metal Alloy Type Detectors Replaced 7.3.4
"1'i('
Fixed-Temp(Other Than Fusible Metal Alloy Type)&
3.9 M Heat Detectors Maintained or Replaced 7.3.5 "�"lei' 13k
3.10 M Auxiliary Equipment Such as Water valves 7.3.3.1(2) r�-1-i 1 c,
Functioned Correctly
3.11 M Internal Maintenance as Required by Manufacturer Title 19§904.7 C-1-IV tl, A
D=Deficiency C=Comment (Indicate type) g
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[_i Check here if additional Deficiencies and Comments are listed on Form AES 9. Number attached.
El See Correction Form AES 10 for corrected deficiencies. Number attached:
I hereby certify that the fire protection equipment listed above has been fully inspected, tested,and maintained on this date by
the company indicated above,in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable
except as noted in the"Deficiencies and Comments"section of this form.
Print Name Ur."\ IM.tx-f'--``QPti--
Signature £rtI- 'frti- fk--, Date 1:--3-- -7 - (W
Form AES 20
Sept.3,2013