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Home My WebLink AboutFAI21-0019 078-170-063 CF Hood 2023 ralZI —cro1l 07& 170 a 3 Wet Chemical Pre-Engineered California Code Regulations-Title 19 Semi-Annual e. Fire Extinguishing System inspection,Testing,and Maintenance Report ,, w. . .. -``p � t Property Information I /yrF IP t Contractor or Licensed Owner Information E`r (Building Name (�(Ly , (' �' Name Wilgus Fire Control Inc. i (Address °2 2 -g-' �mt I'i 1't' . I -9,,,,� Address 4544 Mountain Lakes Blvd.• RE P¢ City Redding St. CA Zip 96003 ' yI License# P 'City - � 462979 �— hone 530-241-2465 I Contact Person I ❑ SFM 'Job# (fi,a -3 Phone t;_ ,!� _ _I ' } 3' .1 1 T134 167J CSLB !Misc. i System information , 'System Cylirl ta 5t D Location Jo, f 1 System 1.)', SIAtf, _..e 0 2t Points Capacity s ed �Mode # (L (0 2 � eat Shut Oft Gas# Electrical# ..r'' Integral Make Up Air Shut Down v r t d a k • ;, t Flow Points 'Hoods I i I !4 ke l t V 'Plenums i`C" I I I.L.} I l I t. I I. (Ducts I i I i K' v t 2 I t ti...J I 1 I (- I ( Cooking Appliances Left to Right with Sizes and Coverage Nozzles , f , zi $ - ` ,Nozzle Total ! ;, . '� 9 A.„). o M , �i, $� . .$k Nto,,.e tAiflow'Points Flow Points' .6 is el l i t ice. I I 1 i I I I 21:t-►k.e: e, I ► P I i °", , I I I I 1 I I I I II I I I 4 Fixed Temperature Sensing Elements (Such as Fusible Links) i 1 ". r I Install r r �,t I- ,,c .,�� b. a 14. Date I I I I `2o 2-Q I z 4 1 -" I I I I I I I I I I I I I I ,l inspection,Testing,and Niai[ttenagce � ,, = =Inspection T Test M=Maintenance Applicable �P=Pass F=Fail NIA=Not i iltt tt ^' r r ,4n7 o VW Qttty P,F,N/A . .- r .: . • ere -. Q ... 1.1 I (i.e.Remote Pull Stafontbstructed 7-2.2(2) �- 7-Z31 P Manual Actuators are 1.2 I I (Tamper Indicators&Seals Intact 7.2.2(3) ILL 1. I 1.3 1 I Maintenance Tag in Place 7.2.2{4) I J Title 19$906 / 1.4 I I INo Obvious Physical Damage I 7.2.2(5) I I P 1.5 I Gauge Readings within Proper Limits I +(Stored Pressure) 7.2.2(6) I 1.6 I I IBiow-Off Caps in Place&Undamaged 7.2.2(7) I \ I 1.7 I I 'Hoods,Ducts,Filters in Place and Clean CFC 904.11.6.3 I I I e 1.8 I I 'Hood,Ducts&Protected Cooking Appliances Have 7.2.2(8) ( I Not Been Replaced,Modifiedor Relocated 2.1 T (Auttomaltic Detection/Manual Actuation Functioned 7 3 3 4 �� ? • _ _ _ •• om .;, iy�.!,•t• : .j . • • • ) .. .. .I 1 F.. .. -f,_`�t�.'c°; - ' • • • r . *: • n .. y. • • ''t .. .. , Wet Chemical Pre-Engineered California Code of Regulations-Title 19 Semi-Annual2 of • Fire Extinguishing System inspection,Testing,and Maintenance Report ©; �t Property Information rc -r Contractor or Licensed Owner Information 'Building Name �){� ,'2. �,,.Q �Gtk„�,�,c,,� � � C 5; Name Wilgus Fire Control Inc. k.(Address 2,, t u-3 it- WI ot'tr}+t*L. i�%5-4-C,.. Zi „ U`",. Q Job# -3 3 s City +D tQ.Bt9 i (4-&._ 1\1 MP Inspection,Testing,and Maintenance 1 =Inspection T =Test M=11 " Maintenance P=Pass F=Fail N/A=Not Applicable CNN W t1.` t '4 t 1 ?1 ' '� a , #�� !; , °aniy x. IPFNla ' ,.�: & ��dz f 2.2 I T (Fuel Shut-Off Operated Correctly 7.3.3.4 '3*27.23 I P {1 2.3 I 7 'Regulator Tested&is within Acceptable Limits 7.3.3.4 t I P 2.4 I T !Manual Reset Relay Functioned Correctly 7.3.3,4 t'7' 1 3.1 M All Agent Containers within Acceptable Hydrostatic 7.5.1(1) C 'Test Dates 1 I {Alt Auxiliary Pressure Containers andlor Hose 3.2 M !Assemblies 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 P 3 4 M Liquid Level within Acceptable Limits 7.3.3.1(2) I I P I (Non-pressurized) 3.5 I M No Signs of Corrosion in Agent Cylinder 7.3.3.1(2) (Non-pressurized) 3.6 I M (Distribution Piping Unobstructed and Contiguous 7.3.3.1(3) I I P 3.7 I M 'Nozzles are Correct,Clean&Properly Aimed 7.3.3.1(2) 1 I 3.8 I M 'Fixed Temp Fusible Metal Alloy Type Detectors Replaced 7.3.4 I I .i Fixed-Temp(Other Than Fusible Metal Alloy Type)& I 3.9 I M (Heat Detectors Maintained or Replaced 7.3.5 I K)/A 3.10 M (Auxiliary Equipment Such as Water valves 7.3.3.1(2) ` I !WA. Functioned Correctly 3.11 ' M 'Internal Maintenance as Required by Manufacturer I Title 19*904.7 ( ' I I Q D=Deficienc C=Comment Indicate •a Deficiencies and Corttrnents "'y a .. +3 f Riser D C p ed .; �tertt l7a# ..._a , i wr . ._,_ . . IFt�#r�afn�,tedx/iprltsitt,tlet�rc�s�ttcthatis that ts�arttr�pplrer7orte lac_ I......... I II. II I 1 (J 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: 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 CC!?,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, I Print Name I , ' V. tniU. £_I f LI2 - Signature 1 t,ir't.u.-(1'� Date' 3- Z - • • • ' <M1 'i ..t .. nI S • . . .r 7 fir. • 1t', : , • • r ,• . _ - ,+ • , . . - # ... e i - _ i _ - - • it \ ., • • ... - - .• , j .. .. - ''t • - v.�. t •.