HomeMy WebLinkAboutFAI15-0052 041-130-044 Butte College Welding Paint Booth 6.13.25 Dry Chemical Pre-Engineered California Code of Regulations -Title 19 Semi-Annual 2 of 2
Fire Extinguishing System Inspection,Testing,and Maintenance Report
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Property Information :�� 'gyp of Contractor or Licensed Owner Information
'Building Name Butte College Welding )z'r Name Voltage Specialists
'Address 3536 Butte Campus Drive ��, Job#
City Oroville ;ti,4 E wiRt-
Inspection, Testing, and Maintenance
I = Inspection T =Test M=Maintenance P=Pass F=Fail N/A =Not Applicable
Item Description NFPA 17 CA ed. Date Comments Only P,F,N/A
Reference
3.8 M Dry Chemical is Not Caked 11.3.1.1(4) N/A
(Non-Pressurized)
3.9 I M INo Signs of Corrosion or Damage to the Agent Cylinders I 11.3.1.3 Y Y I P
3.10 I M Fixed-Temperature Sensing Elements Maintained or I Replaced 11 3 2 2025 P
3.11 I M 'Dry Chemical is Not Caked I 11.3.1.2 I P
(Stored Pressure Tank Every 6 Years)
D=Deficiency C=Comment (Indicate type)
Item Date Rise Deficiencies and Comments
Item Date RisM
Indicate all equipment,devices and parts that were repaired or replaced
Lill I System tested and passed.
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LiILi
LiILi
LiILi
Lieu
LiILi
LiILi
fI I
❑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:
1 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 I Wyatt C.
Signature I Date 06/13/25
Form AES 21 Sept.3,2013
Specialty Pre-Engineered
&Engineered Fire California Code of Regulations -Title 19 Semi-Annual 1 of 1
Extinguishing System Inspection,Testing,and Maintenance Report
_ _
Property Information %��.�F �p�� Contractor or Licensed Owner Information
Building Name Butte College Welding ; { }a' (Name Voltage Specialists
Address 3536 Butte Campus Drive }j �1 (Address 370 Apple Lane
(City Paradise St. CA Zip 9699
(City Oroville (License# 880860 (Phone 530-624-4514
(Contact Person Jake Gonzales I ❑ SFM (Job#
(Phone (530)961-3016 I ❑� CSLB 'Misc.
S stem Information
System Location Outside paint booth System Mfr. Pyrochem Model# MCH 3
(Protected Area Type Paint booth Protected Hazard Powder coating boos Cylinder Size(s) 70#x2
D=Deficiency C=Comment (Indicate type)
Date Deficiencies and Comments
Indicate all equipment,devices and parts that were repaired or replaced
L
n Ell
II II
Fin
IIII I
I
Lil
H
I❑
❑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:
1 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 I Wyatt C.
Signature I Date 06/13/25
Form AES 22 Sept.3,2013