HomeMy WebLinkAboutFAI15-0006 CF Suppression Hood Inspection 05-15-2025 pt.1Property Information
wilding Name I cr�S�'1�t�r�1 � II
ddress J �j$ 1•� (;.�C
City r c��¢8't K, �i
Contact Person
Phone JjCz r
�ylinder Size
5yste� ton
=uel/He�ut L
Gas #
.------
Plenums
Ducts
Appliance Name
Quantity
.�
# of Items
Temp
c
��
icense #�
❑ SFM
� CSLB
Last Hydrosi
System Mfr'
Electrical #
Dime ----
Test Date
Nozzle
Model #
Contractor or Licensed Owner Information
Name HAYDr"I F=1�C �onT�QN _
si. r.A zip
Job
Flow Points Capacity Used `�
� Model # l�-�
Integral Make Up Air Shut Down
Nozzle Total
Nozzle Qty Flow Points
Flow Points
rn t v
Cooking Appliances
Left to Right with Sizes and Coverage Nozzles Nozzle Nozzle Total
Nozzle Nozzle Total Appliance Name Model Flow Points Ffow Po
Model Flow Points Flow Points
r Fixed Temperature Sensing Elements
(such as Fusible Links) Mfr Install
Mfr Install Quantity Temp Date Date
Date Date .,a"S»a � , 4.__
n w G--iC-.�5�
I =Inspection T =Test M =Maintenance NFPA 17A CA
Item Description ed. Reference
Manual Actuators are Unobstructed 7.2.2(2)
1.1 I i.e. remote ull station
1.2 I Tamper Indicators &Seals Intact
7.2.2(3)
7.2.2(4)
1.3 I Maintenance Tag in Place Title 19 �906
1.4 I No Obvious Physical Damage
7.2.2(5)
1 5 I Gauge Readings within Proper Limits 7.2.2(6)
(Stored pressure)
1.6 I Blow -off Caps m Place &Undamaged
7.2.2(7)
1,7 I Hoods, Ducts, Filters in Place and Clean
CFC 91J4.11.6.3
Hood, Ducts &Protected Cooking Appliances Have 7 2 2(8)
1.8 I Not Been Re laced, Modified or Relocated
2.1 T ^utomatic Detection/Manual Actuation Functioned 7.3.3.4
Form AES 20
P =Pass F =Fail N/A =Not ,
Date Comments Only
t•'S-a.�
P,F,N/A
\n"
1
Sept 3 2013
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