HomeMy WebLinkAbout2003 Apr - System Inspection ReportRALPH]. PERRY, INC.
88 Falmouth Rd (Route 28) • H annis MA 02601 Phone• (508) 775-FIRE
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MA. LIC. # 017 D.O.T. # A-850
SYST ICI NSPECTION
Name -
Model V► ,�,`� Date
Model #
t,' rt"" 1
Address tL �4
Contact tf-s�, XE �n Phone
Cooking Appliance Locations: Left to Right
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1. Are all appliances covered by nozzles
2. Are hood and duct covered by nozzles
3. Check positioning of nozzles
4. Hood and duct penetrations sealed
5. Is system NFPA 96
6. Is system U.L. 300
7. Proper clearance flame to filters
8. Nozzle seals in place, intact
9. Are there seal tites in place
10. Pressure gauges in proper range
11. Check cartridge weight .
12. Hydrotest due `
13. 6 year maintenance due
14. Inspect cylinder liquid and mount
15. Test for proper operation from terminal link
16. Test remote manual operation
17. Micro switch in place
18. Gas valve in place and working
19. Clean nozzles covers in place
20. Replace fusible links
21. Check cable, nut, and S-hook movement
22. All piping secured
23. All filters in place
24. Cartridge/N2 reinstalled/Safety pin removed
25. System reset and operational
26. All yellow seals in place
27. Service and certification tag on system
28. Portable extinguishers up to code
29. Class K extinguisher and placard installed
30. Reviewed automatic & manual operation
of system w/customer
31. Exhaust fan working
32. Customer instructed on required monthly
inspection of system
Comments
# of Tanks
13 " nspect
(0�� t- Mfg
_ . Dry
Annual Semi A Recharrae New
Fusible Links 360 ._._ 450 ._§ 500 Other_
Fuel Shut Off Gas Electric
a r ,;
Hood needs to b cleaned n_�
-�` Grease accumulation
Excessive Heavy Moderates R
L ! .. r
J Filters need to be cleaned Type
Refuses inspection
Parts had to be replaced
Liquid change
NON-COMPLIANCE ISSUED
Reason
Discrepancies grdeficiencies
Type _A,
fit''
*Non -Compliance systems/or systems with discrepancies may fail
to extinguish/suppress a fire.
Next inspection due 11 •_
Recommendations:
A
On this date, the above system was tested and inspected in accordance with procedures of the NFPA 17, 17A, 96, Chapter 7 and the manufacturer's
manual at time of installation, and was operated according to these procedures with the results indicated above.
Service Technician -��' Lic. # Customer
The above service technician certifies that the system was personally inspected and -found conditions to be as indicated above.