HomeMy WebLinkAboutFAI15-0014 CF Suppression Hood System 2018 (I°I �,(o_t-17U-�o 33
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Semi-Annual 1 of 2
California Code of Regulations-Title 19 Report
+"� 'Chemical Pre-Engineered System Inspection,Testing,and Maintenance
Fire,Extinguishing xv,,`z
a ..CA(.Lc)+, Contractor or Licensed Owner Information
Property Information ;.� -, 1
1 "i. p 1- Name Wilgus Fire Control Inc. I
\0.' c`i " il\�3��-�= ` \ ij 1703 Sonoma St.
Building Name et 1 y , v Address
{Address t � -I CC? iG�i `"� 1 tiiPQ' IC it Redding St. Ca Zip 96001
II
(Phone 530-241-2465
(License# 462979
{City N�k.c,t a 1 t C' SFM (Job#
(Phone
(Contact Person t (v\ ❑
aI �1— I 0CSLB LMisc
' -7 '
. .r. System Information
Last Hydrostatic Test Date ( Flow Points Capacity Used '2,"Z.-
Cylinder Size j c;ti La v� x `' system Mfr. � � Model# i
System Location (ri':a_�l y
'Fuel/Heat 10I•(( Z Electrical# ,/
Gas# Nozzle Intl ow ,,data
Integral Make Up it Shut n
1 NozzleNo to
items ##•of.ItemS;; Dtmentions , ;Modei#f I": . Flow Points 1-• -Qtv Icy , loyu ?efets '
I . Hy y Lk % I I t I �--1 1
'Hoods I _ -
IPlenums I �- II�� I I t"rt {
'Z- I " ,Z) ,I 1
{Ducts I Cooking Appliances
Left to Right with Sizes and Coverage Nozzles Nozzle f�OZZ(2 ,."total
llozzte �' Idtile >`` Tdtal Appliance,Name •Model I Flow;P,6aat4I b-tolioints
Appitance-N-ame„ , <`Ntcdei F,IoW Points iOw Points
i_�,v tx‘ - o. I k t,3 I l I t 112.0•wc1 t�-)1 21 l I
I 'A .0--A.,-(' 2.— I ( e- I 1 I k 11wi9.x:i tz� 2� x 24 \ L) 1 k I {
1 v e u 0_0 a t 2' 1 Z-v, C 1 Z- I -Z, 1 1 1 I
„z-r? Ile 12 O I I ?- 1 1
',, 4 '�& 0 1 2- I �4 H- I I i�
�r � 1� �t�' �I
\...' Fixed Temperature Sensing Elements
(Such as Fusible Links)
Mfr . ins
talt" Mfr' Install;
4uanti Temp Quantity Temp ( Date sate '
h' �, Date '-I Date i
I ---6G2 ) I -,. , (--1 I`+ - tl- tW II I I I 1
I ( I L-tce 17.r) (- 1 11-II - IT( I I I 1 I •
Inspection,Testing,and Maintenance
I =Inspection T =Test M=Maintenance P=Pass F=Fail N/A Not Applicable
'Description NFPA 17A CA` bate Gommeritis Only'', P;F;NIA I
item;; , F? I edrReference ��
1.1 I Manual Actuators are Unobstructed 7 2 2(2) I�—Il I I 1
(i.e. Remote Pull Station)
1.2 I I (Tamper Indicators&Seals Intact I 7.2.2(3) h -\l-‘95 I e
1.3 I Maintenance Tag in Place 7.2.2(4) It (
I Title 19§906 [1' I I `
I1.4 I I INo Obvious Physical Damage I 7 2.2(5) I'-1-il'\1s I T
1.5
I (G Saugetored RPressueadingsre)within Proper Limits
I 7 2 ( ) 1 2 6 Ik il.I L
Q
I
( ._...._.. ____..__...__. ...
1.6 I I (Blow-Off Caps in Place&Undamaged I 7.2.2(7) 1' t(-\4S I
1.7 I I (Hoods,Ducts, Filters in Place and Clean I CFC 904.11.6.3 h-I\ ‘55- I
1 8 I I (Hood,Ducts&Protected Cooking Appliances Have I 7 2 2(8) I Not Been Replaced, Modified or Relocated -1-it-( I 1
I�utomatic Detection/Manual Actuation Functioned 7.3.3.4 n
2.1 ( T 1Correctly I I? I t l` ' I f"
Form AES 20 Sept.3,2013
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NiUL.Y J;m;Iaoiiii, ...,V1 i In ii-.Ii pry�,II iil hi", �, 1 I. le III i.i it Ile li -I i• •- I-I•II I^IL. I, _j Ill'''/ i i� � ,�
1 Fire Extinguishing System Inspection,Testing,and.Maintenance Report
L/, ,i
Property Information �' o i Contractor or Licensed Owner Information
rnf( %i
I; Name Wilgus Fire Control Inc.
`building Name ty�L�t1 t L �4 -4\ cy\ ) 1,tomvimsir Job#
(Address t1 F1U ,S l.� HRE nil
'City y`1r1C..Ct 4�i 4k_ 1Zt„, I
t ',r'.: Inspection,Testing,and Maintenance
I =Inspection T =Test M Maintenance P Pass F Fail N/A Not Applicable
Item I : 'W�i i 41 1 tip11 i � e 41`Et[i R�ZrNe G`=e>� H pt�Xe omritexlts D;4c'il . . ` 1 a,e 3 a..
2,2 I T (Fuel Shut-Off Operated Correctly 7.3.3.4 11-t(t-\'I I c
2.3 , T (Regulator Tested&is within Acceptable Limits 7.3.3.4 11-`'-IT' I P
2 4 T Manual Reset Relay Functioned Correctly 7.3.3.4 11.i\ j
I 'Manual
Applicable)
31 I M IAII Agent Containers within Acceptable Hydrostatic 75.1(1) I7-i'-( I c
Test Dates
3,2 ( M All Auxiliary Pressure Containers and/or Hose 75.1(2)(3) { -'t
Assemblies within Acceptable Hydrostatic Test Dates !ilk-
3.3 I M (Cartridge Weights within Acceptable Limits 7.3.3.1(2) 1111.ic I P
3.4 1 M (Liquid Level within Acceptable Limits 7.33.1(2) I7-(L,c-1 1 A
(Non-pressurized)
3.5 1 M INo Signs of Corrosion in Agent Cylinder ( 7.3.31(2) 1"/�1A- IB-1 I e
(Non-pressurized) ('��
3.6 I M (Distribution Piping Unobstructed and Contiguous ( 7.3.3.1(3) (-�-"•1 I ( Y"'"
3.7 ( M (Nozzles are Correct,Clean&Properly Aimed ( 7.3.3.1(2) h-,t.,yI . . 11-
38 ( M (Fixed Temp Fusible Metal Alloy Type Detectors Replaced( 7.3,4 (I(1,�1"IS
iIS I I i Q
3.9 I M (Fixed-Temp(Other Than Fusible Metal Alloy Type)& ( 7 3 5 (�-� ti ( I �
Heat Detectors Maintained or Replaced
3.10 I M /Auxiliary Equipment Such as Water valves I 7 3 3 1(2) l/-II-(�!I I�t
n I
Functioned CoFctiv
3.11 I M (Internal Maintenance as Required by Manufacturer ( Title 19§904.7 (1-1(- l‘TI I
D=Deficiency C=Comment (Indicate type)
i 's :• indicate_all- ur ,Deficiencies art, Comments
' �( lute q �. .
f�15eP A fl � pt deuces and arts that we1e t2 etr or replaced
ft�rrt q p.
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I 1 .. _1 I
1 I 1 1 I
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❑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-
/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.
rint Name Y`r f` \l• , \IL,t2
Signature �( ��� -,_I.ti Date 1 _ c 1 - `
Form AES 20 Sept.3,2013