Loading...
HomeMy WebLinkAboutFAI15-0059 CF Suppression Hood Inspection 2019 `F s# he 1, cnr e-4iitet leered I g grt(VPhigirnia Cope of Beau pns�'T�i �+ , � �Se 1 Annus y{ .A a t TiG. it*n IIS IId �Vi. : ,-.ti Vii^' " ' ' t� . (nSp4 FOri,.'e$ting.:annd MaIpt0011a1#x.141: s t:r .✓. e,=s�}Repn f3�iw r " + � ,�� l ?! t6'1:tPza.. ai.;i, i., ...-.,.. .'±i -:S._, .'.rt�" 1v t. ,f?;�iWN_4: e.l�.•�. ,.r Y=1,�.. t�x��. �*;. -07-1"1. �f`CA Lt Contractor or Licensed Owner Information Property Information �, o ?,V Building Name e .01.030_,.`>c k CL, , ', f ,{ Name Wilgus Fire Control Inc ' Address-Z.01 �1`,'` 'fib• `:XPfX Address 1703 Sonoma St ' �`k-,-, MP City Redding St Ca Zip 96001 ' City`"LV--.('v\-CAAA') License# 462979 Phone 503-241-2465 Contact Person - g.,.\ 1 ❑ SFM Job# 1 S.- - /6 Phone - --..._.__.. ,��* � CSLB Misc. 1 .* .�. 'r - � c'n4 t` `a 'fi ?`t''t�5'„ s , .-, ,,-'meg' . .1 ., ,,:,,,,-re,. -- r-: g 3-ii. , , ' {..' ''''R„ tf�r ,;< r1 .i 7 t5 tg s'4'.t dt.t-1l. .PA9— ntln9f.tf,gaita:�f,.a .se: 4�.x "'i? thL t:Vig � x Cylinder Size Cd_..q,) t1 Last Hydrostatic Test Date 'Z.of e: Flow Points Capacity Used [D System Location l?-=�a t 1 System Mfr . . 1,j<�cc L_. Model;7-7_,- 1F..�Z- 3 Fuel/Heat Shut Off: Gas# , " \ t k Electrical# 7' Integral Make Up Air Shut Down _-- ' F ,� *'-r' r i1I % :.;:en'; s,E�.EC�4.4-j :il BS,4 'd"41%;,k s ,gk'�.,.,;,`tiS aciat r �} -9Pie F i r+ '' r OZZIr3: i j 43T r T9tal `,kr ,?6,tl . : .,flA ,ig sk 7�.,Afi `uIF, tr -,, tVY� v:t rt .a, ,E 16,,jfRpit)i.§ . ;Qiy�W..r st4 ac,l Ftiiskpojnts - Hoods Yl '( r •-3 11 / t — _ Plenums ( r 1 SA / • I 1__,_._.__-__- Ducts I i c Y12- 1 LA-) I f - --I Cooking Appliances Left to Right with Sizes and Coverage Nozzles o a1 �` a p r a 6 ri..t.s . r ti�a s ( ;l�lorxie A-.�"'''' Tat ril : ..t tiq-Pig`s I% '', Nf„Qtr',, _0 ° n pow .1 f Appltagce Name: 'Model' F(oYr 1')n Ot �civr 10. 5 Fixed Temperature Sensing Elements �� l (Such as Fusible Links) �Q7F • � �• S ' Yl� �eIt XL tp _=t, 5 �� y firn4.•, a -0!r s t � XQuanity Te1 � ay ' is e - . ) 4( DJate ' '• -7----- q -,--t) _. _t 1 -7 7 7--61 gy 7%,,,: ez r v.P-F rtru g ,"F..i,:wi'"p"frwmsT I K F,7,,1N3� ```z R a 47777:7777 777: xk 1 .1 £' ;3 y ?- z`s' , _ =Inapeia ions=?e§911 antl•Maint+p ,�t ce I =Inspection T =Test M= Maintenance P=Pass F=FailN/A Not Applicable �ttem 3„ t- 4-N t ;P)« r `tr'y ..1.:';',":,. ; f4FPA1IZA CA (� '1 " Despot tion 'p',, -ate Co rri9.1 ;911ly r s'2, XtriN/A1 Manual Actuators are Unobstructed 1 1 I (i.e.Remote Pull Station) 7 2 2(2) �' ' 1 2 I Tamper Indicators& Seals Intact 7 2 2(3) \\ 7 2.2(4) 1.3 I Maintenance Tag in Place Title 19 c9O6 _ 1 4 I No Obvious Physical Damage _ 7.2.2(5) Gauge Readings within Proper Limits 1.5 I ,(Stored Pressure) . .2(61 , - 1.6 I Blow-Off Caps in Place& Undamaged 7.2.2(7) 1.7 I Hoods,Ducts, Filters in Place and Clean CFC 904 11.6.3 tj Hood,Ducts&Protected Cooking Appliances Have 1.13 I ts1 2 2 P Not Been Replaced.Modified or Relocated _ 2 1 T Automatic Detection/Manual Actuation Functioned 7 3 3 4 7-' Correctly _ l Form AES 20 Sept 3 2013 n„l.IPOTiiiiirecifiditiiforifia�, Cade of 4 tEt • ' 1 .i 9-1i Rep ct'a ?'s.ll,vg *2A yl .i•�ct�phl . 1� 4, c Q�- esttng•a�t Mai iiance;:��.:.i...:�.,.,'flr. ,n:.,4.,. ` QA SrJ i �' yj�]r`���n,Mci}�I���� � I•-µ1 u.{ _ Nf_i.vt.V..��,..�It. � wn� JM���S��,l�'.afINATIS.�I' t %s�' Y.^ D CSA ! Property Information t Contractor or Licensed Owner Information '�� ` X11 ffi Name Wilgus Fire Control Inc. Building Name i _ ,\C.' r'�t � � Q Job# Address w' fa Qt2 ' ' -�.., i,' f�^ eiRE MP } C L '�Q. Cr10.�1 'i �, u rty -Y ivy• R ~ kip .K Yk'S+r � - -i 'il —. 4 � }LY 3" �, ,`w,-.i.r ; E ,, ,fie ,- :, ' .M.4 ler;M ti kt . _ .. _. � �.�� tati a .te iTf ..a _ Herz. an:e P=Pass F=Fad N/A Not Applicable I Inspection T Test M Maintenance ua x '47ACA , Date G,oriltf .f ° "- • 411, ., ri.rli i;F =Descrtptton t 4 drettce �,I ..;Item' t�x� _�; , f �+. ' � Fuel Shut-Off Operated Correctly 1.11111111 .1110 .1 ® Regulator Tested&is within Acceptable Limits —j Manual Reset Relay Functioned Correctly 2.4 {If A••licabie ®©a 1111M1111 i AH Test AgentDates Containers within Acceptable Hydrostatic --�� j. II Auxiliary Pressure Containers and/or Hose IOWII within Acceptable H drostatic Test Dates ‘•-•.\ iT�- Cartridge Weights within Acceptable Limits Liquid Level within Acceptable Limits Mall — r —imi NidNo Signs of Corrosion in Agent Cylinder 1311 (Non-pressurized) 7 3.3 113) .■ . l t , .."_Distribution Piping Unobstructed and Contiguous® 7.3.3.1(2) ■Nozzles are Correct.Clean 8 Properly Aimed --- ----- 3 0 ©Fixed Temp Fusible Metal Alloy Type Detectors Replaced 7.3.4 I Fixed-Temp(Other Than Fusible Metal Alloy Type)& 111.1M1111111 A 3.9 ©Heat Detectors Maintained or Re•laced Ill Auxiliary Equipment Such as Water valves 7 3.3 1(2) .. 3.10 Functioned Correct! Ak 3.11 Internal Maintenance as Required by Manufacturer Title 19§904 7 n i D=Deficiency C=Comment (Indicate type) " * tpg lgji+. jr„f 4::,"i 4, t'" 4l' . 4.,:y� r1YY�~� f5 4, 9.4.11 :1 k^ x. Ef Le , ''S411417Vy . .r4 .. y!vi-,} !!.r _,d -;111iidrfil: T_4k?r ro - � y tif ' i I ii:' ❑Check here it additional Deficiencies and Comments are listed on Form AES 9- Number attached 0 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 -----, ioN 0 (A- .. ! ( e-t"- ki Date r J..-z.3- f' Signature I .i�1ft`! ! Sept.3.2013