HomeMy WebLinkAboutsystem inspection 2008^{
Falmouth
RALPH ]. PERRY
Rd.(Route 28) . Hyannis, MA02601
MA LrC. # 017 D.O.T. # A-8
SYS
,NC.WORK ORDER #
50
Phone: (508) 775-FIRE
Inspected by
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TEM INSPECTION REPORT
,tJt k Date d7
Model #t/ ozc Mfg
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Address .- )< Uhr€f.b{t/^(va.l- JMA # ofTanks / w"t tr-' Drv
Contacl
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Phone 2-cr1-35t4
Annual- Seni y' Recharge
-
New
-
Fusible Links 3@ I 450
-
500- other-
Fuel Shut Off rz-- Cas r--- Electric _-l
Cooking Appliance Locations: Left to Ri
l. Are all appliances covered by nozzles
2. Are hood and duct covered by nozzles
3. Check posttiqniog.of nozzles L r
4. Hood and duct penetrations sealed
5. Is system U.L.300
6. Proper clearance flame to fihers
7. Nozzle seals in place.
8. Are there seal tites in place
9. Pressure gauges in proper range
10. Check canridge weight
11. Hydrotest due
12. 6 year maintenance due
13. Inspect cylinder liquid and mount
14. Test for proper operation from terminal |ink
15. Test remote manual operatioo
16. Micro switch in place
17. Gas valve in olace and working
is. i[",1.,.r"i,. .tli*, Z prc"" 3
19. Replace fusible links
20. Check cable, nut, and S-book movement
21. All piping secured
22. All filters in place
23. CanridgeA.I2 reinstalled/Safety pin removed
24. System reset and operational
25. All yellow seals in place
26. Service and cenification tag on system
2?. Portable extinguishers up to code
28. Class K extinguisher and placard installed
29. Reviewed automatic & manual operation
of system w/customer
30. Exhaust fan working
31. Customer instructed on required monthly
inspection of system
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Ralph J. Perry, lnc musr be notificd if there is any change/movcmenr rn cooking equipm€nr__<
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Hood needs to be cleaned
, Grease accumrllation
E\ces\ive _ Heav\ M te_
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Filters need to be cleaned Type /r
Refuses inspection
Parts had to be repr *"a I !4 (c\ Sf,O tj
NON.COMPLIANCE ISSUED -Reason
Ralph J. Perry, Inc. is not a hood/duct service company-
Any discrepancies should be addressed by a qualified hood./ducr company
Discrepancies or defi ciencies
Type
*Non-Ccmpliance systems/or systems with discrepancies may fail
Lr-'
appliance ,2"
to extinguish/suppre
Next inspection due
Recommendations
ss a fire I
Comments 0larn Tcsv ')L,'
17, Idate,
al
On and inspected in accordance with procedu
installation, and was operated according to
ervlce nlcltn Lic. #
The above service technician certifies that the system was personally inspec
A copy of this report will be forwarded to the local fire department
, 96, Chapter l0 2001 edition and
su indicated
s tatlve
Please lhe Custofircr Ac]nowledg€mcnt on rcversa sidc bcfore signing.
and found conditions to be as indicated above
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Liquid change
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CUSTOMER ACKNOWLEDGMENT
The customer understands that, unless indicated otherwise on the reverse, the service per-
formed on the Customer's equipment by a Representative of Ralph J. Perry, lnc. will indicate that
the Fire Suppression system was mechanically functioning during the period of time in which
Ralph J. Perry, lnc. Representative was performing said service. The Customer acknowledges
that Ralph J. Perry, lnc. does not guarantee, imply or suggest that the Customer's Fire Suppres-
sion System will extinguish all fires regardless of origin. The Customer further acknowledges
that Ralph J. Perry, lnc. shall have no responsibility whatsoever to the Customer or to any other
person for personal injury or death or damage to or loss of property or value, resulting from any
causes beyond reasonable control, including, without limitation, if the Fire Suppression System
is outdated, has been tampered with, altered or has been improperly used, repaired or main-
tained, or if the hazard areas protected by the Fire Suppression System has been altered or
changed.