HomeMy WebLinkAboutFAI16-0002 CF Suppression Hood Inspection •
From:City Of Chico Fire 08/23/2018 13:51 #472 P.003/003
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"Vet Cbemical'Pre-Engineered !, . California Code of Regulations-Title 1,9 Semi-Annual 2 of 2
Fire Extinguishing System, I Inspection,Testing,and Maintenance Report
jProperty Information ((V....72N,,,— � t1 �,pp* Contractor or Licensed Owner Information
yy � �'^ �,,�:,Z'Building Name CiI'c /�'I.L'",/. c . ✓e-
C�' )p Name Wilgus Fire Control Inc.
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1/Address /l•�t�t;7 �.V ii�-ri/ :4i�,(, (r4(
yl;w y� P Job#
(City (i`fICrl� F/REMPS I
Enspection,Testing,an d�talntenartce -
F ~I =Inspection T =Test M=Maintenance •
P Pass F=Fail N/A=Not Applicable
Item I I Description `r' r:,• ','1;TA CA , i Data 1"
, I:tad Reference :I I. . _ ,Commeht:s�inl,, ,, ..1,. ,i-:1 A^
2.2 I T !Fuel Shut-Off Operated Correctly 7.3.3.4 I I I
23 I T !Regulator Tested&is within Acceptable Limits 7.3.3.4 I I +a//p'
2 4 ! T !Manual Reset Relay Functioned Correctly Yy
(If Applicable) 7.3.3.4 ( I f
3 t I M All Agent Containers within Acceptable Hydrostatic ^/
(Test Dates 7.5.1(1) I I G '
I M (AII Auxiliary Pressure Containers and/or Hose i I I
ssemblies within Acceptable Hydrostatic Test Dales 7.5.1(2)(3)
3 3 I M !Cartridge Weights within Acceptable Limits 7.3.3.1(2) I I •
3.4 I M !Liquid Level within Acceptable Limits r�J
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(Non-pressurized) 7.3.3.1(2) I - I, __.__
No Signs of Corrosion in Agent Cylinder
' ( M ! (Non-pressurized) 7.3.3.1(2) ! i ie
3.6 I M 'Dis►ribution Piping Unobstructed and Contiguous 7.3.3.1(3) I I 1 J
3.7 I M !Nozzles are Correct,Clean&Properly Aimed 3 3,1 7 2
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3.8 i NI !Fixed Temp Frls AiyTy•ne-ielerinis �8pface i s j •j x a"e " 3 f 34 I
3 o M Fixed-Temp(Other Than Fusible Metal Alloy Type)& I
,Heat Detectors Maintained of Replaced I 7.3,5 i •
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3.10 M Auxiliary Equipment Such as Water valves I pv�r�
I (Functioned Correctly i 7.3.3.1(2) I
3.11 I M ilnternal Maintenance as Required by Manufacturer i Title 19§904.7 11 I f/1 7,A. I
I D=Deficiency C=Comment (Indicate type) �
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.S i •1. . K+�f�:i T RI5@f i d �'. . .<: i,r•a I i n n n i• t
a t, ,- J.....;_,, . : :, _, Inchcate all equipment,Adevices'and arts that ti7 • M--I ! I
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�� !Check here if additional Deficiencies and Comments are listed on Form AES 9. Number attached:
I I ' See Correction Form AES 10 for corrected deficiencies. Number attached.
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I hereby certify thar 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 "Deficiie/ncies and Comments"section of this form.
g Name
irt Nae i �� d W(.`✓Y�l�y
`- _ I
signature Date f -1 I
Orin AES 20
Sept.3,2013
08/23/2018 13:80 #472 P.002/003
From:City Of C hico Fire
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Wet Chemical Pre7F.ngineered j ! i Califurnia Cotio,of,Reguleutions,•-Title 19 ,. Semi-Annual 1 of 2
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,.,-...i. Fire-Extinguishing System 1 : ii.,,.- ' -,,,'14spec6titt,Testing,and ait Report
Property :I.
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of CAk,
Property Information
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,c,- \0..pi,
1i /)1 Contractor or Licensed Owner Information
iBuilding NameCi:co gfixe..›..e"..1„v„. (.,''.4d-4-..- c')1 (.... - — 1 Name Wilgus Fire Control Inc. 1 •
'Address ilt 0 A,*t iftie, l'i•\:(--.St..,,z,INI• Address 1703 Sonoma St. 1
I lii$E—Mr`.1° City Redding St. Ca Zip 96001 i
'City (.."(f/C- / • License# 462979 'Phone ,,, ..„„,. . ,., 530-241-2465
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!Contact Person s,t„ ...,, ',,,:,,...T.-..t.v.:: -....::- ID SFM ' 1Job# -:—',-- -
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!Phone '3 1/2_ 7 p-i-5 I PI CSLB IMisc.
':''7-" X.. *-T' - - '- . ' - ‘: -''' • - ,System Information ' :.i . :' '.-'•.': --' '•-,- i- :-;,-. :-. .-.' .1r, .', ',,,-.' ..i.T:,.„:._: ..4 .
Cylinder Size "5 tizi. Last Hydrostatic Test Date 6 f Flow Points Capacity Used ii I
'System Location g 67,, it-t-'. ' System Mtr. 4. Lir 16t... Modal# A /6 7,- I
iFuel/Heat Shut Off jeN .'Gas 4 0( Electrical# Integra:Make Up Air Shut Down
Items #of,Items .1, •:', i,At.i.,,; l1id,1r;,•Xit Nozzle1* , ,•,,41' .'-•:::.•;;:'',, cZzl=•ef..,.'Wt '.h•-'';'''''-'-,.,.•--:,'T'O',tal
iderr Flow Points :Qty -Flow,Po i.nts
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'Hoods I i :I LI X I, I . I I I i
Plenums I i I I f iv I' I I Ducts I I I /W K A. ' I 2Jil I I I
Cooking Appliances I
Left to Right with Sizes and Coverage Nozzles _ . ..s '''''-';: NO?1144A *fIfilfajP5 - 11. 1rW‘. A"odeilatiliame, .,• il4.i"•.v'-,.4,9 0_"44:.. .,.4,f,;1,,4 4,a," ,..,..„,,,T,,
otalAppliance t maiii4Fitiipifftilvovroii 4f voce64 Ftu,iReinh
Flow:Points 1 i
C lltaliAcif I I I I I --+ I I I
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;. p,•;4,..--. I . ;;:,,,i4,..,....1,,•..' ,. I . H.I,I-- • -- :... ...,---;}-,v.4...-1-..:!...,-,,,-!.,,...:c.-:.4:-:...:.. 1
:-••'":'.) l '- . •—."..1. ''' I II
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• Fixed Temperature Sensing Elements
(Such as Fusible Links) olf ,,,.c...,,,.,„,,, „...,......,,,...t, staii:.;,.:.;::::.:.,,.
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:.-quanti ty. -! .:,:'.-: 7'....;P!'....111•:?:11111.:) --',64'-1747,11PA„,,,Iist•IA,A,-1014,1*-- • ..--41.44-T. .,4;4*rlifC:•/-A-i,.-..*- .-7.1,emb;,-4441,-0-,.v,!--..,—-FO-,L,,,,,:At I vat..,;,,,.-,-,,r..1.• -..,,.,..„.;:.......: I
'',i ',I744it,:Date 4 .? "Late..-. , :, •:, ., ,,. ..,.1.,ate
I -3 6 0: •• I ) K I T L/Y I I I .
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• 1 lifistmadolifroilmof : _ . . . .; 1
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1 =Inspection T =Test M=Maintenance P=Pass F=Fail N/A=Not Applicable I
I Item I , ,.::,: .;:.;•,:::.:,:..'4'-, ,..; At:444141:710714**'itritt 1 67.-Aii?tiall Date Comments :.,:,. .1:is;Fm/A
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I 1.1 I I Manual Acivators are Unobstructed
2) I I r
0 e Remote Pull Station) 7.2.2(
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I 1 2 I I 'Tamper Indicators&Seals intact 7.2.2(3) I I ,/.7
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1 3 I I 'Maintenance Tag in Place 7.2.2(4)
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Title 19 006 L1
1 1.4 I 1 IN°ObvIous.physical DamAgp • ••• • • • - . ..7.2.2(5), .•,.. I I 1 , 1G a u g e Radings within Proper Limits I
A 1)..4, -I
(Stored Pressure) 7.2.2(6) 1 I
1.6 I IBlow-Off Caps in Place&Undamaged 7.2.2(7) I l' I i
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i.7 I I Hoods,Ducts,Filters in Place and Clean CFC 04 11,6.3 I I
/1 1
1 ,I
1.8 I 'Hood.Ducts&Protected Cooking Appliances Have
INot Been Replaced,Modified or Relocated 7.2.2(8) I I f 1 1
r uomac Detection/Manual Functioned 7 3 3 4
'7 1 T t ti Dtti /M l A . I I 7 1 t
Correctly i
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Form ALES 20 Sept.3,2013
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