HomeMy WebLinkAboutFAI15-0060 CF Suppression Hood Inspection 2019 * Q Isg {� !�� .R 5,90itl�' a ilta of O old . :I:4 y 4t�gemi Annttai, � t
.1 -- p I 0 s in` S le t;. -,w d` 1. sxirig a!�ilMahAtaikr y, - 1t s Reportl;,t-, , f1 of 2
Property Information ��A,---- Op9 Contractor or Licensed Owner Information I
'Building Name�=j, Q� .-,,. GIn o-,e,, , f D 'Name Wilgus Fire Control Inc.
(Address tl '� �'� (Ley�.. �� �_ I tit
BUD%,��� (Address 1703 Sonoma St.
I ��RE MP` I ---•--1
�K, City Redding St. Ca Zip 96001
ICi - ( 0 $ MCA._t License# 462979 'Phone
'` I 503 241-2s6a
'Contact Person "f,g-l.5'f-LA I E] SFM (Job
'Phone S , 2 'Lo 1� I ® CSLB IMisc
'�k # S • -iza•,'��}' e $ c m f = i 'i s t_,r 2 r:S + 6i, i ,,,. ?#F , s
"1,_ •"kZ y fi { r, r +i, V ��8•ut /� +....!}�r=t' '?;'Z' ay„ e c4. V 7� j .� {�gx'`,311/t
"S....r ifi ..: ... t i;YC".:r1:0 7.�'1 �_Lls�,..2^,1221e r.:::a.3<t.;'1i' .A. F:C •m.� 4TJTK6'.3iliivi......g.4: ....t.Wi3.-tkrA4gii1' .V.t_,74 _.3t'f ,SAtAS3x...f ., .
Cylinder Size G 1 ..,,;N Last-Hydrostatic Test Date --Lzyn ' Flow Points Capacity Used
ISystem Location LAJA 1 tI System Mfr4-1 1,,,:y-.3t. t Model# i_- I u2 —
IFuel/Heat Shut Oft
'Gas# ( I J -2 _. Electrical# e,i"' Integral Make Up Air Shut Down l`___
�s 1.3. 1,, kiry% 1 y3 a1! 4 38 .., , (y! }rP -i� a-, •f.t ` {. t° t, OZ- e 'N° ' Yt-
� 4' 1 it.4- t 4 . i 4' tZ it f(Lr 4 • w zzi 6_`y t
4 .ti P''.w b >a r,., "f.ti r. 1 . ._ta:..1 . ,a. 'r oox r: 'r�.�', :. r../.. ointS . • e3.. 4,7-��. .
IHoods I l I '- 'i I 1 I F
'Plenums I I I 1 kni 1 A I 1 I 1 _—
IDucts d' I i I 1 ;"X t c 11 ti I \ I 1 __l__-_.._.._L _._
Cooking Appliances
left to Ri ht with Sizes andoverage Nozzles
y,_
ii.„....0..,.._
64."6.--- - ' 4
ski g%,°ti) 1 i �i„ :: `4 `! P. . . ...hts I, Appl•)anre Name. Model - , o tAt..„... ht,.i
a} o,. . ,,-,i . :�,�,loW+� is
I}6 e:cacl t..e—zx t I t t..N I 1 I 1 I I I I •
1 P. c 74—• x-7-7 1 '7-4 Z'" I t I t ' I I I I
` �' I _ I I ' II —
l I
r
I I I I I I
_ I I 1 I I _-.— _l 1__._ I j
Fixed Temperature Sensing Elements • l
(Such as Fusible Links)
''Quantik • Tem Mfi` 'i�,, t- H • htfr • ° �
y _ P , Quantity Temp I 11_ - iK • `'
:Dale D e., DgtQ�, .� ��-
` I c-t-r-7 I ?r) t V I `1 - z-z-1`i I I II I
I I I I I I I .1. I
Alt
N•', lid[ :,)tiy �'il+-'7'-.'"+ �g-yF" t`F YL+'b' '9,l.�k' -..':t, , ?.7 Q, u2,—,, f ,",.t!,,:fPK:� YY; �, .ri ,. tr t 4 ' ' ''n.
�t - n " e r.: . a- ;). am. . _,
I =Inspection T = Test M=Maintenance P=Pass F=Fail N/A=Not Applicable
S Y_. � - .
Des ription Wig t_
i.,�(�kt 1.,,`." c:>., .; 1, -, I "fence; I" Date Com(t t iVi '.... 014gt. ;I
1 1 I I 'Manual Actuators are Unobstructed I -7 2 2(2) 7Z�
(i.e.Remote Pull Station) � ) -'( )
1 2 I I 'Tamper Indicators&Seals Intact 7,2 2(3) t i
( ) l 1
1.3 I I 'Maintenance Tag in Place f Title 19 06 I
1 4 I I (No Obvious Physical Damage 7.2 2(5'. , I _
1 t Gauge Readings within Proper Limits 7 2 2(6)
k 1-":S(-1 -E
(Stored Pressure) II
1.6 I 'Blow-Off Caps in Place&Undamaged 7 2 2(7) I
I
1 7 I 'Hoods.Ducts,Filters in Place and Clean I CFC 904.11.6 3 ' 1
Hood,Ducts&Protected Cooking Appliances Have ( ) ^+�\
1 8 ( t lNot Been Replaced,Modified or Relocated I 7 2.2 9 I >� I P ,
1 I T 'Automatic Detection/Manual Actuation Functioned I 7 3 3 4 I 1 I‘e 1
1Correctly
Form AES 20 Seot 3 2013
•
txe 9 hi h �h e0e,,', '' C if itnip 0 de otie aticit*A 9 i�� � . w " ay
i; ,+ Q ,.` 1''hM l Y in thWtion)1 stmgrvo1y atilte181Ck%P a ROA i7 ?
GSts"C 11,
Property Information ��a- P.N./AN, Contractor or Licensed Owner Information
(Building Name;0 s/2--.•C` < c' nc) �yl 7" (Name Wilgus Fire Control inc.
!Address 10 Z-.7) ,„ 1 P_22.-A- At)e..,___ + q' `• ..� � Job#
ICi --"c.` e. _ 1 , I - rI
z` Yrt , n.,7 t! s .g.. rX , rf p ii yyc r g: f, !, i . " '-. has .4.
4s�'sa f 4 , .,: �'_?44t=` La-& t,: s?gi: -.i[r lcr "e, ar_4 j:: �`4 �' 5 . 'a. r,t ?
_Y+. 4,e. crear�,a �,L.4 =..t � s n., xafr ., #
I I =Inspection T =Test M = Maintenance P=Pass F = P,111 ry/A =tiot Applicable
m 1( pe
'. �., Descriptiotl' '. ' .. "r"1�d�. p, teilc4 �� Date ,;,' -'`Comin'er s Only; i ! ',E,N/A
2.2 T `Fuel Shut-Off Operated Correctly 7 3.3.4 1. ici _[' )
2 3 T Regulator Tested&is within Acceptable Limits 7 3,3.4 [ ( 'C'
Manual Reset Relay Functioned Correctly
2.4 T (If Applicable) 7 3.3.4
All Agent Containers within Acceptable Hydrostatic 7 i )
3 1 M Test Dates 5 1 11 \
I Auxiliary Pressure Containers and/or Hose ,1
3-2 b7 semblies within Acceptable Hydrostatic Test Dates 7.5.1(2)(3) ! N A _
1 3.3 M ,Cartridge Weights within Acceptable Limits 7 3 3.1(2) I I J I-C""�C�
l 3.4 M Liquid Level within Acceptable Limits 7 3.3.1(2) I
! (Non-pressurized) I
I
3.5 M IN((Non-pressurized)
of Corrosion in Agent Cylinder 7.3.3 1(2) I 1 I
Non ressurized 1
I3.6 M 'Distribution Piping Unobstructed and Contiguous 7 3 3.1(3) I
3.7 M (Nozzles are Correct.Clean&Properly Aimed 7.3.3.1(2) I
I3.8 I M (Fixed Temp Fusible Metal Alloy Type Detectors Replaced 7.3.4 I \ ! e i
Fixed-Temp(Other Than Fusible Metal Alloy Type)& ,
13 9 M !Heat Detectors Maintained or Replaced 7 3 5 ' `` / I�i'�
(Auxiliary Equipment Such as Water valves ! ! �I/ !��
3 10 M (Functioned Correctly 7 3 3 1i2)
, -- .
1 3 11 I M !internal Maintenance as Required by Manufacturer Trtie 19 004 7 I y ! l,..'
I D=Deficiency C=Comment (Indicate type)
fS fTa f
11,�r : .. ,,r4,. • 1. 1' ,F.k: r :t '1.. —!=�. _: :t. ..-i.' " ,4ce= t"i
I
L_
JIL1 L
i I i__ 1__1
i 1 I 1
1 1 i II
Check here if additional Deficiencies and Comments are listed on Form AES 9. Number attached
0 See Correction Form AES 10 for corrected deficiencies. Number attached
1 I hereby certify that the fire protection equipment fisted above has been fully inspected, tested,end maintained on this date by 11
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 f !) �/ I_�j____
1 Signature f�i- trY- Y -t. -,., .......,. . Date "7 '2-z
•
c.,r.., crc 7n Sept.3.2013