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Home My WebLink Aboutwhite rock 79 kitchen supp sys cert 2025FIRE EQUIPMENT rrc0nP0nlrE! Kitchen Suppression System Inspection Certificate For CAMP WINGATE KIRKLAND 79 WHITE ROCK ROAD YARMOUTHPORT, MA02675 Tested to NFPA Standards This Inspection was performed in accordance with NFPA l7 or l7A Standards. The subsequent pages of this report provide performance measurements, listed ranges of acceptable results, and complete documentation of the inspection. Whenever discrepancies exist between acceptable performance standards and actual test results, notes and/or recommended solutions have been proposed or providedfor immediate review and approval. Inspection Date: 3/ t7/2025 lnspector Name:Al Cuttle - T5 Title : Servite Technician l of 6 FIRE EQUIPMENT IIGONPllNIIID Kitchen Suppression System [nspection Certificate Property: CAMP WNGATE KIRKLAND City/Slate/Zp: YARMOUTHPORT, MA 02675 Frequency: Annual Inspector Na r( Al ('uttle -T5 Date: 3l 17 12O25 lnsralled Pro<luct: !!Q@f!!!!huct Kitchen Suppression System Lquipmenl lrcation: Kitchen System in service before conducting tasks Pertinent panies notified before conducting tasks Appliances Left to Right:griddlc/l0burn Type of special agent extinguishiog system: Wet chemical Dry chemical Prior to p€rforming the required maintenance steps, verify that the system protection is designed and installed conectly for the existing appliance and ventilation system configuration. If not, note deficiencies. Wet Chemical Were building alterations/renovations made since last inspection?No Yes what is fuel source? Electricity Gas or Both Gas Nozzles Are caps in place?Yes Quantit) of Nozzle Caps Changed Quantit) of Nozzle Seals Changed Are nozzles properly oriented to protect hazard'J Are there signs of damage or clogging?No illanual Rclrases Are manual releases clear and unobstructed'l Slstem Cllinders and Mcchanical Controls Are system pressure gauges in proper operating range?Yes Tanks mounted and secured?Yes All visible piping & conduit properly supponed and in good condition?Yes N/A Flexible discharge hoses? Date: Pan#Size N1A Portablc l irc Ertinguishem Are fire extinguishers pror ided?N/A Ilechanical I)etection Linc Function tcstcd Yes Quantit) of 165" F l-inks ('h{n8cd 2of6 Strcet: 79 WHITE ROCK ROAD Yes Yes ls system connected to building fire alarm? Automa(ic shutdown Yes hoper pipe schedule and fitting weigh(s) for hazard design? MOTEL CHECKLIST 2025 CAMP WINGATE'KIRKLANO Phone: 508-362-3798Name of Business: Business Address:79 WHITE ROCK BOAD YABMOUTH PO MA 02675 Owne(s) Address 20 LINNELL LANE YARMOUTH PORI MA 02675 HEYSANDY@CAMPWK.COMOwne(s) Email Night ContacuNumber: Fire Alarm Co: sANOY RUBENSTEIN (508) 341-3799 OR WrLL BUBENSTETN (508) 341-3798 Complete only those items thal spply. Items requiring a licensed technician must be signed by the technicisn or the companies report must be attached. Sprinkler Co: As Owner/Representative, I have had all fire protection systems at my property inspected, and they are in compliance with all applicable laws, codes, rules and regulations. Description Date lnspected lnspected By Owner lnitials stem consistin gof tre Alarm Panel, S,Horn Strobes, and Tamper Switches, etc. o4/o112025 Remote Heat rise sensors in each bunk. lnspected by w'K sraft C----- )- Carbon Monoxide System, (tested with Fire Alarm System)03/30/2025 BATTEBIES REPLACED BY CAMP W'K STAFF ( \ z-"-- Fire Sprinkler System Not applicable Fire Extinguishers 03/'t7/2025 FIRE EQUIPMENT INC Y-\ ...----, Emergency Lights 03t30/2025 FIBE EOUIPMENT INC ,)- Smoke Detectors (10 Year Sealed Battery or 110 Volt Type)03/30/2025 BATTERIES REPLACED BY CAMP W-K STAFF (--]-\ _.-------l),- Cooking Hood System, (Cleaned and Fire Suppression System)03117/2025 FIRE EQUIPMENT INC \ .----.ar- Signed:Date : O4l1Ol2O2s Owne(s) Name SANDY & WILL BUBENSTEIN .C FIRE EQUIPMENT ttG0RP0ntIt0 FIRE SUPPRESSION CYI,INDER RECORI) Kitchen Manufacturer Model H-vdro Number of Tanks Location 4of5 FIRE EQUIPMENT ITCORPltRITTll Quantit) of 212" F I-inks Changcd Quanritj of 280'F Links Changed Quantit) of 360'F l-inks Changed Quanrit) of .15O' F Links Changed Quantity of 5fi)'F Links Changcd Int(rll)cks F'uel shutoft CER'I]T'ICA'I T] ()T' INSPEC'I]()N System tagged and left in senice Perlinent parties notificd after conclusion of tasks SJ'strnr returned t(, scrr ite co\t\tt.\Ts: GYear Maintenance Test Arc 6year tests recorded? 12-Year Tests Are 12 year tests recorded? 3of5 I l FIRE EQUIPMENT !tG0RP0nrrtlr tsulbs Replacemcnt Corer Gaugc FE(-- Cover Othcr Parts DOT OSHA PWM 90 Bl, Scries Vinyl 'l ype Rl' Serics Plaslic Types FIRE EXTINGUISHERS AREINCOMPLIANCE WITHNFPA IOCODE - Recommendations - Comments Signature: Date:Mar 17.2025 6of5 t I FIRE EQUIPMENT ttc0nP0nlItll TOTAL # OF EXTINGUISHERS - 32 # EXTINGUISHERS DUE SERVICE NEXT YEAR - New Equipment - DRY ( HI:M 2.-5 All('DRY CHEM IO ABC DRY CHI:M 20 ABC DRY CHEM IO BC DRY ('HI'M 20 B('DRY CHF,M IO PK DRY CHEM 20 PK co2 lolb co2 l -5.5tb co2 20tb Pressurized Water K Class Halotron 2..ilb Halotron 5lb Halotron lllb Halotron l5lh Emergenc) Lights Other Fire Extinguishers Disposed Of Ins tion/Recertification - Halotron3lKClassIPressurizsd waterDnClhcm Emergenc) I-ightco2Conductivit] Test Other lnspE\it l-ithl Re Service - I I)q Chem 20lb)Dry Chem lolbDr1 Chem 2 t/2 Ib co2 20 tbco2 l0 tb co2 r5 lbco2 5 th Haloron 2.5 lbK Class.61 I 25GPressurizcd Water Conductivity TestsHalotron I I lb Halotrcn 15.5 Lb 6 YR Maintenance Halotron Hydrotcst Dry Chem 6 YR M intcnance ( )lhcr -1 H\drctcst Other Sen ice Collar -l ORing -+Check Stcm -+Pull Pin Vchicle Bracket Hea\ \ l)ut\ Braclct Batteries Battcr\ Disposal Wall Hook Ml - 5lh M2 - lorb 20tb Parts - 5of6 I DRY CHEM 5 AB(' co2.slb Exit LiBhts Wheeled LJnit Dry Chcm -5 lb Halotron 5 lb