HomeMy WebLinkAboutFAI18-0014 Suppression Hood Inspection 2018 Wet Chemical Pre-Engineered California Code of Regulations-Title 19 Semi-Annual 1 of 2
Fire Extinguishing System ; Inspection,Testing,and Maintenance Report
OF._e,4Ct,�
Property Information7A.34" p Contractor or Licensed Owner Information
Building Name BUTTE CO. JUVENILE HALL ' ., l� Name Wilgus Fire Control Inc.
`\"'� 4:r Address 1703 Sonoma St
Address 41 COUNTY CENTER DR. ��.i�
k\\,,,,,,.,,,.7.,
t . P City Redding St. CA Zip 96001
City OROVILLE License# 462979 Phone (530)241-2465
Contact Person NINO PICCINO (I SFM Job# 3285051718
Phone [I CSLB Misc.
Cylinder Size 3 Gal/3 Gal Last Hydrostatic Test Date 2014 x2 Flow Points Capacity Used 15 of 22
System Location Left of Hood System Mfr. Ansul Model# R102
Fuel/Heat Shut Off:
Gas# Yes Electrical# Yes + Alarm Integral Make Up Air Shut Down NO
Items.;, #of Items,, ' Dimensions Nozzle Nozzle Nozzle -7� h Total
Model*._ —"FtoW Points .. Q ow Points
Hoods 1 17'
Plenums 2 8'6" 1N 1 2 2
Ducts 2 12"-X15" 2W 2 2 4
Cooking Appliances
Left to Rlght with Sizes and Coverage Nozzles
s' • Nozzle lozzle, Total Nozzle Nozzle Total
Appliance Name Appliance Name Model F w,Points Flaw-Pints
Model, , Flo*Poir t�F1,ew,Points, .,„;--'`-',-4,,,4,,; ,t, H, .
Range 260 2 8
Griddle 1N 1 1
Fixed Temperature Sensing Elements
(Such as Fusible Links)
Mfr Install Mfr Install
Quantity Temp Date Date Quantity Temp Date Date
5 360 2018 5/2018
HJT w .
I =Inspection T =Test M=Maintenance P=Pass F=Fail N/A=Not Applicable
Item Description '' ': Alfi,1F 'q CA Date Comments Only P,F,NfA
I Manual Actuators are Unobstructed
1.1 7.2.2(2) 5/23/20 P
(i.e. Remote Pull Station)
1.2 I Tamper Indicators&Seals Intact 7.2.2(3) 5/23/20 P
1.3 I Maintenance Ta Place 7.2.2(4) 5/23/20 P
g in Title 19 f906
1.4 I No Obvious Physical Damage 7.2.2(5) 5/23/20 P
1.5 I Gauge Readings within Proper Limits 7.2.2(6) 5/23/20 N/A
(Stored Pressure)
1.6 I Blow-Off Caps in Place&Undamaged 7.2.2(7) 5/23/20 P
1.7 I Hoods, Ducts, Filters in Place and Clean CFC 904.11.6.3 5/23/20 P
1 8 I Hood, Ducts&Protected Cooking Appliances Have 7 2 2(8) 5/23/20 P
Not Been Replaced, Modified or Relocated
2.1 T Automatic Detection/Manual Actuation Functioned 7.3.3.4 5/23/20 P
Correctly
Form AES 20
Sept.3,2013
Wet Chemical Fre-Engineered California Code of Regulations -Title 19 Semi-Annual 2 of 2
Fire Extinguishing System Inspection,Testing,and Maintenance Report
p'4 A1 Contractor or Licensed Owner Information
Property Information A`7,4. "``�•,O
rnr -%......::‘,9s,„
41-7
Building Name BUTTE CO. JUVENILE HALL ,
Name Wilgus Fire Control Inc.
Address 41 COUNTY CENTER DR. '91�*--. J Q Job# 3285051718
/RE_MP`s
City OROVILLE
�i/e,:',4% ,"430,7
i ,"43 ,7''1"j c /� 4Z7481 i Fail N/A =Not Applicable
I =Inspection T =Test M=Maintenance P=Pass F=
NFPA 17A CA 1Date Comments Only P,F,N/A
Item Description ed.`Reference
4
2.2 T Fuel Shut-Off Operated Correctly 7.3.3.4 5/23/20 P
2.3 T Regulator Tested&is within Acceptable Limits 7.3.3.4 5/23/20 N/A
2.4 T Manual Reset Relay Functioned Correctly 7.3.3.4 5/23/20 P
(If Applicable)
3.1 M All Agent Containers within Acceptable Hydrostatic 1.b.1(1) -- 5/23/20 P
Test Dates
3.2 M All Auxiliary Pressure Containers and/or Hose 7.5.1(2)(3) 5/23/20 P
Assemblies within Acceptable Hydrostatic Test Dates
3.3 M Cartridge Weights within Acceptable Limits 7.3.3.1(2) 5/23/20
P
3.4 M Liquid Level within Acceptable Limits 7.3.3.1(2) 5/23/20 P
(Non-pressurized)
3.5 M No Signs of Corrosion in Agent Cylinder 7.3.3.1(2) 5/23/20 P
(Non-pressurized)
3.6 M Distribution Piping Unobstructed and Contiguous 7.3.3.1(3) 5/23/20 P
3.7 M Nozzles are Correct,Clean&Properly Aimed 7.3.3.1(2) 5/23/20 P
3.8 M Fixed Temp Fusible Metal Alloy Type Detectors Replaced 7.3.4 5/23/20 P
Fixed-Temp(Other Than Fusible Metal Alloy Type)& 735 5/23/20 N/A
3.9 M Heat Detectors Maintained or Replaced
3.10 M Auxiliary Equipment Such as Water valves 7.3.3.1(2) 5/23/20 N/A
Functioned Correctly
3.11 M Internal Maintenance as Required by Manufacturer Title 19§904.7 5/23/20 N/A
D=Deficiency C=Comment (Indicate type) yyr, r
Y //
❑Check here if additional Deficiencies and Comments are listed on Form AES 9. Number attached
❑ 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 Rustin Barth
Signature ._. � Date 5/23/2018
Form AES 20 Sept.3,2013