Loading...
HomeMy WebLinkAboutFAI17-0001 039-520-040 CF Hood 2022 45-1 17 -o00, o 3 ci _Tao -0.-td ,,.,:„.;.- ti,,,,,,,,,;,-,t, ifik.,,,.A-a.-.f., -'*o....,, ,..,,,,,,,,is,At."-' ,17.,,. =, ip+7441.,„4/,..7,,,i,V,,,,t,,f„.r.,-„..Jit.,,,,e11,1/41-,jr,i'ir;i t ,.; ,.. dr'f',4t,4 Inalli 1, ' 4 I =*TM.= i PIKUPDWV' tpl.12r4P,7=;•VI=7,1'=S;Ji'VgAVVII,‘,"f-: '4',,''. • ;.?,,,•'-'-' '.;,4,-----ir4tit•- i.,-..,•,444.-•••7,,, ',N./4;;,;,:.%,.:40,7% 4,,,,,Z=.1iW,7,,i•',, ,..„,';;„,,..„,: ,;,.....,,,i, 4,•,-,_..,,,,-7. -,,,,,,.7446,00,;„".==.,",„;7•!07444131,1,„'''.....'`,.7.44,..'71,,,-., , ini-,-.!,,,,,, ,,,,,4 ),;1..4;1141 ttP;On =lin ganiMialS-Rett...e1V4 I-7=';'F'''''''ll'l'*='"gIIRRYLittit' '-'' ,C...ii,t.r .l.t, Property Information 2......,"<". (D.:, Contractor or Licensed Owner Info!ria , r, ,,'\, ..'!kc.,.1{,4' •2:-. ..-rr.'... - i - — Buildrig Na{ 1// a A ) egyz., c •• -s- -,-A---7 --,J I 2 44,-. • V s ,I,„ i ', ,),-71, -; ., i ,Name lik. ..: Viet L';4J/ Witgus Fire Controi ir address Ac. -if• ',kir, ititiy. 7-'41 fifih) 47,,,,,,,‘ , ,...2),, , Address 4544 Mountain Lakes Blvd_ i ,k..„- . •-q,-F.,,,,,, - --- ------- City 4 Redding St _ . I----iII=1' fittrAsti, --- r " License 44 .162979 Phone 530-24 1-24f55 Contact Person IT, SFM Job# ....._ .Phone ce_. ____ 21 CSL.5 Mc .-_„. ... . S-4-..st..-,;.4z.ZI:tr',•,=4,•74--wv,-• • ' "' • - - -; ---i•• ' , - - 're,•41.4- 4,--i• - ---r.r •-.).•,,-; - ,,,, lir,-.3, ..,:rttr,s,err.,-- . • r 7 : ; ;ii i . . i . ,,,t4-,,,,„,.., _, .,.z.-.. Cylinder Size ''. Get! Last Hydrostatic Test Date i , Flow Points Capaciit .' psed ..,„ Model# - -7 --- - , .._......„...,, System Location 4 SysternMtr. A"ir 4.,..tv Tn- . ...... , . Fuel/Heat Shut Off"V . .. . ..... ... . .. ,I Gas# )ef Dectricz, ...-.: Integral Make Ur)Air Situ! Down 1 items f!of items Dimensions Nozzle Nozzle Nozzle Total Model it Flow Points - ' Qty Flow Points .. I _ • Plenums I 1 I 1 ')'1 I ( /I Ducts I.__ i tilk 1 ,Lti) i ;(„, I I,___ 1 .... ... Cooking Appliances . Left to Right with Sizes and Coverage Nozzles _._ ... Nozzle No2zIe I Total Appliance Name ,N Appliance Name Atiflozdzplel Flto4vQirzPzioeint... i: : i '•' -:3 Model Flow Points Flow Points ' ._„ ._. _____ _ . ... 4.2.1./"S .2- I LI i . - — -- -- . Fixed Temperature Sensing Elements (Such as Fusible Links) mit I Install Quantity 1 ' Temp 1 Mfr. Ot-orilllIe 1 Team ' Date Date Date ." i - fi i 1 2-a-- I I I I 1 i l I I I 1 i .... .... ... Item . . NFPA 17A CA Description Date ed.Reference I Comments Only , P,F,NiA . . , manual Actuators are linocstrticied i — 1 e Remote Pull Station) 1 if 1 I 2 liTarrix,r Indicators 3, Seais Illtact ',' 2 2(3: I ...a I r __...Tt;:2*2<,..4.9',06 ......____..._ .. ,, . p . 3 i 1Mi tenari,ceTagirt p_lace ....._ .. _ i .. j ,N.:,,ob,fous PtIvslal Damage Dame ,...„,......... ...... ..,....._[ Gauge Readings within Proper Limits ' 2 2i,W ie./4f Stored Pressures„, S;ow-4,,it Caps in Place 8.Undamaged 7 2 217) 1-7-------- --- . , 1._._ ._ ___ ,rort.ts Ducts,F Iters tn Pla-cii and clean CFC 904 1.1.6,3 /',,kicts„lI4 Protected C-no,in,,Appliances Have . I • ' Not ticen Replaced.Modified or Relocated 2.2(8) I /2 ; i I1_2,.1 .__. lCAuotrsoerncatItLic Detection/Manual Actuation F....i„..icione r 3 3 4 ,...., _.......,............... '5--, :,,,,..Tir .i...-...;, ,i,N.-.4,-3.,,,,zi,,,...;., „,,-.— rs..lot• a-- -14,.,,-•'',,,,...?•:',.--:t--4.g--;;::-.,-Pi,-,14-:-,..1.-..-,...c.„ . -4,1„,„;•.:,-,‘: • ....,• -v 1 • ,,---,,,-..,..-,-...s' ;',-,-;,,•.! ' '''I''''''''''' '. 'L.":+4'ts7h17,411,1;? , ' t if . '4!tt!-Iii,1.--,,`,•12.1.,ra.,.H!,/t*#1,_?..,,,,,,,t,#,,,?,,,;:-141P!`Tt'At,:41.,;:.:*.4014., ,!!„..1!!'€,P4• io-t,-.A.,'"'l, ,-Aditt 8 ,,:.,1 :-. ',4,,,,tvkA:ifi7,,,,i41 8,:', , Itrdsuntifpuunifin,,ii,opitf4sk,..?:',.-.;tic,i,-,-„,kats*.oilkitloptiff44001,c4c‘r--ip," -,--4r , ,of,,-,4444:. , operty Intonitation ..1:;"--''' •-, *,-.: Contractor or Licensed Owner Information " .. e. ,''A%v17.›,-.•'A,,•t // 4 q 'i 'f. in'sCvJ,•'1;,.i...-,tikt0 , . Vigus Fire Conro nc. „, ti / ti.wi , . i1 .,. Job ti Yl'70.'v - t s...c., ...,.. ,,,,,,,,,,, ,.‘f‘ - t*,,, . , ., , :,,,, -,-,r.,,,,. ,;,:..-t.,=4..•,,,..:,,....,.„'kw":0;,,o),',•,,;:?Ni--1, 7.,-.t., . -,tt.tePa,r,4:1,4„,.t,,-, 'c -,-;e,-...1",:;=r; I .,.: 1%7,...,1 M=!,,1wnte.cance P =Pass F=Fait N/A s Not Applicanie .,., .. ....... ,,, NFRA.17A CA 1 . Reference .. DescriPti°11 ed Date Comments Only i ..... P,FiN/A .,...._ - `,•. 'el ',.lc',•,+th.a Acceptable Lamts 7 3 3 4 / ;/ Ftz's!.loried Correctly 7 3 I: 3<1 /4k. I-- ------ — ,, t-'. )t ,srs%4iith.n Aeceptabte ti), ' 7 5 .1(ij • , .. ' • ,-,,,,,,s .._Co ___„,„ ', ,. i• • ,, , -.,l°°essure rttainerS arld/or 110Se. (3 7 5 1(2) ) i • *,.: 1...F.'.".dttilti Acceptable l-tydrostatIC Test Dates • 1 •.'";," :1Ws rpinIn Acceptable Lirrpts I 7 3 3 1*(2) I I_-1'1 I .__ • . • , , , ., Aitilln Acceptable Limits 1 7 3.3 1(2) 1....w, ,Hfe" .';`orrosten in Agent Cyander ' 3 3.1(2)'....uzeril V l _ . _ ...,... .,....„ , 1 . rg Unobstructed and Conhguous i 7 3 3.1(3) r... I .."..ottect C.,!ean& Properly Ataled 7 3 3 1(2; I 7 t)4 1 , , k,, t.15.1e1.al Alloy Type Dele7.tors Replaced 7.a tt 73 Metal Alloy Type)& - - 44 , ..,,5•- ' r, ac dl Itaed or Replaced ._ ... . • ,-: ,.ent Such as tiater valves 3 3 1(2) fin 11: y._... . --1,-ce-.7is Reitnre(t by tvlanucacturer Title 19§904 LI 411 1.... cmnrnent (ittdicate type) i 1 '...,','-'....., ,...„-; ,,.4.; .,,,,,,,-Ni, , , 1. ;li.l. :r t • .• tr,:j.,4iiii t';''''i:':'i.:. : :-, :,,,Iv ;i 6,,,..:,/......., ,,,,,, ..,....„ ,. ' Ti - ".„- 1 , ...-1 i , I I ....,..._Li i . .... [11 I atc.ksted,....•n For-1 AEs 9 NtInIter atti,,,,,1 I 1 _ --!,. ...tari c.,etioancAes r-k,utteer atittched 1 that the lire protection equipment listed above has been fully inspected, tasted, and maintained ort tills date by .' ,,• • - . indicated above. in accordance with?CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable 1 except as noted in the "Deficiencies and Comments"section of this form. ,_ _......_,...,.. ! 1 Date _.........._.___ -,...#4,7-c;,7%.2"-".• 1 , .