HomeMy WebLinkAboutFAI15-0052 CF Suppression Hood Inspection 2018 (2) jryn
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Andress
Peron
Range Hood Suppression System Report
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cuR,,..._ BUTTE COLLEGE
QC/2234567l910
Contact;
Date of Servka: 1/11/2019 sFic
AckIeess: 35 36 9
)Tiff CAMPUS DRIVE
PO4-
-
Phone: OR�LLE,CAM965 Inspection installation:
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Fax;
Installation l Off IBAppka6le}
Manuh Signature1 Data' I
gerrer System Infomset in .. .. -. -
Model it
Information
Serial* X100E Hydro Manufacturer I zM6 1 Tank Pressure 240
WHOP 400$&wHC1R 260 Cartridge Weight
l 2706 I 11 iiiiii. I: IIII-i
Size 4G 2.6 water Flew rest)Psi} l 11 I I
--_______ I I _ Cool**/VentIrlmI Equipment
I Fusible W la 360 I I I - - I NumberofDut{s}and 1010
6 Duct
Sires IIX30
Fuel$} • Other. - .____
450•
Type: -' GASG Hood Site I .
a..
Size: Plenum Stte + ..
tist
.
tNOTECooking appliances)type and I Fitter Typo and sire 2DX16
] {EI...r Y:r 1 f
Ikt.PoaanaF, size of coakrrtg surface. . Otv- 12
Imm left t0 ri rl)Sae.Length a wedehi.'Lira sources E.Electric.G.Gas,ss.som FueO Nettie Type and i]wmlry}
Fuel
4 Nozzle
4LE Type
6&GRf ORANGE 36X24 G1
ACPRanee Sae Source
Norio Type Qty.
71
CHARIIROILER 72X24 G I I 2
Li 32X24 G I 1 2 g'I I —
® FAYERSXS 114X145EA+ G I I 3 B I '
G I I �I
11 I I 1l_1
12.1
L All Applgr Properly P Yes WM NIA
L D Protected w/Correct Nozzles y 1- I r Yes No N/4
Duct And Plenum vrotected w/OOrTeR Nozzles 14. System Installed M Aetordantt.W
3. All Nog es P -X4 . _-1 r �' r /Min.tit L6eng
Property Aimed At Hazard/Unobstructed . 15.System Meets Ul 300 kanmrds
4. Proper Speration Between Fryer1s}and Open Flame Sr -. .F r ® A r r
S. Nome Blow.ofT r r .• :1111111111111 a r r
Cap:Installed[Realm,d needed} ®Pig And Concha Secured To Rigid surface ;4
r r 1R ARuaticn Line Vaaeum Test Performed(Evers 6 Months} r a r
6. Nome Elio Penetrations _Sealed w/Weld or UL Dena p
fr T" 14. Obwout Months)rtion Piping Network Wavy M a N+hoaen
7- Check Cartridge We' very 12 a
Weight(Replace if needed) R T (Every r r
8. Test Detection System From Terminal Detector r 20. Exhaust rants)Operating
r.
I r I r " r r
9. I Replace Fyslhk Links[Every fi Months} Es Air Falls}shut Dorn a
1., Test Re 17 1 r I r r
Remote Manual Pull Station _. —' ®flualdrug Err Alarm CmrtEcted/Adiwled A r
1L Test M la r r ell AN Filter! r
_ echanic l Gas Shut Off Vahre 'I r Spacers er/Placard
ia ar w r
12. Test Electric - r r—
solenoid Gas Shut-off Verve w/Reset Re6y r 1 al X Rethrpaher w/ a Operation present p r r
13. Test '-. - 1 r I�L Electric Switch For Proper Operation F„ 25. system Retumeo to Normal r
r 26. last Regulator and Hydrostastic Test Date(Every nery 12 Years) 2016
ALL COMPONENTS OF SYSTEM ARE CU NOTE DEMEN[7fS OR DISCREPANOES
NRENTLY COMPLIANT AND SYSTEM IS FUNCTIONING PROPERLY AS REQUIRES)BY LAW.
MPOI(TAdri NOTICE TO C115TOYEIt;Cuomo.
errr The aeT NOTICE gear r TONER n,C omo.adecanactea b rid apnea Slat n the Maraca ore Serino AQeemert between pray,sancta henyrdar are pertnnyd P luinlb are Weis iV Gem b/pafdM a c oarews aQead rxnr acme d Nork eh Grey warn a In Wed worirx4 oder and roper.Were sorrow Weaned wen or■ mild c n on are nies Ida relicvelure(
on p (of no ernes araer r...
vopnalle wit Dances can be mnplaied CUSTOMER'S ATTENTION IB DIRECTED TD THE LWnATIQII OF taRANTY niaae. wild OTHER
CONDITIONS
apt ISM VERSE nCE
erihm lMYhesa
Lna.Ba2ro,WARRANTY,atDEnlafY AND DTRER coNotTtorzs OR THE
Acceptance of customer or customer's represenf4t1ve
Jel vlLC rei.unuan agrmwr..
* Oate Time Customer's Authorized
1/11/2014 Agent signature Date
1:30
—
AM r Customer's Authorized Arent Print
ERIC HESEMAN PM Sr 1