HomeMy WebLinkAboutsystem inspection 2010\Td
mouth Rd. (Houte 28) .MA 02601
RALPH I. PERRV INC.
. Phone: (508) 775-F|RE . MA. LtC. #01 7 D.O.r. # A-SYSTE S PECTION REPORT
Date -92->ext Insp
Model #U(a-r Mfg.I C
850
1004ij5
.tcL'It"-lbl ,,1
tl" r'L 1 t (;
Bi
Cortact
Hood needs to be cleaned
Greaseaccun:ulation:Excessive Heavy
Fihers need to be cleaned:
Drv
Annual
-
Semi l-, Recharge
Fusiblert-ini:s: 360_J_ 450_ other
Fuel Shut Off:_li Gas]:al Etectric
CO2 Crutridge -....- Nozzle Seals
Pafis replaced:
NewLl -35;4
'??'/ '
Refises inspection
r"VC -/(
-
--Moderare
TYP.. !/$t tt''' t Ll-
Cooking appliance location: Lefl to right
Are all appliances covered by nozzles
Arc hood ard duct covered by nozzles
Check positioning of nozles
Hood and duct penetrations sealed
Is system U.L. 300
Proper clearance flame to filters
Nozzle seals in place
Are there seal tites in place
Pressure gauges in proper ranee
Check cartridge weighi
Hydrotest due
Inspect cylinder liquid and mount
Test for proper operation from terminal link
Test remote marual op€ration
Micro switch in place
Gas valve in place and working
Ralph J. Perry. Inc. m be notitied if there is any changa/movement iD cooking equiphent.
I
2
3
4
5
6
7
8.
9.
t0.
11.
12.
13.
14.
15.
16.
v-
\-z'
l--\/--L---\-,.-
L.
Ll
L-<:
17
l8
l9
20.
21.
22.
23.
24.
25.
26.
27.
28.
29
30
I
Clean nozles no. of duct
R"place firsible links /datc (-!
Check cable, nut, and S-hook movement
appliance l4'-
\,.-
t-C-./ L
All piping secured
All l'i lters in place
CanridgeN2 re instal led,/Safery pin removed
System reset and operational
All yellow seals h place
Sen ice and cenification rag on svstem
Ponable extinguishen uo to code
Cla.ss K extinguisher ani placard insralled
R€v:ewed automatic & manual operalion
ol sJ,stem customer
Exlnust fan working
Customer instructed on required monthly
rnSpechon ofsvstem
Customer performing monthly inspection
t-
L--
L--
Recommendation:
Non-compliance issued: yes / No ReasonrNon-Compliance systemgor
Discrepancies or defi cie.icies
Ralph J. Perry, Inc. is not a h
systems with disoepancies may fail to extiDguish/suppress a file.
ood,/duct sericc corDpany_ Atry discrepancies should be
Extinguisher Inspectiorls: _.........-=-
RXCHARGES / SERVICE
Drychem
PW
Halotron 2.5tb._
co2 stb.-- I
Parts: Service Coll
olb. l5lb._201b _Hydro
2.51b- 5lb. i l0lb- 20tb- 6ye.r_ ,( uya.o_
K Class_6L_ 2.5c_ Hydro
addrcssed by a qualified hood/duct company
Total # of Exl:_---- Ext. due seryice:
NEW EXTINGUISITERSDrychem 2.51b. _ 5lb. _ l0lb. _ 20lbPW.- K Class_6L_ 2.5c
Halotron 2.51b. _51b. _ l b. _ l5.5lb.co2 slb.-. 10 lb._ tslb._ 201b.
Misc
Light Inspections
5lb._l I lb.-. I 5.51b._ 6 year_Hydro_
Orins ]Pull Pin Batteries;-................--_ Bulbs
OMPLIANCE WITH NFPA I O CODE YES I-,,'- NO
Fru EXTIN
Corirments
GUISHERS ARE IN C/'
\*..
y''^
Service Tdchnician Lic. #Customer's
Plea.:e rcad rhe
Authorized ntativeCustomert on revcrse side before signing.On this date, the above system was tested ed inspected in accordance with procedures ofthe current NFPA I 7A AND 96 cdition and the manufactureE manual at time of installalionand was operating according to tbese procedurcs with the results indicated aboveUD lhis date. rhe above fire extingurshirs and fire equipment were inspected or serviced iD accordance with procedurcs of the NFPA l0 and &e manufacturers manual, with the resuksindicated abovc
I
The above service technicia[ certifies that the.systerD,/exti[guishels were personally iDspecled and found condilions to be as indicated above.A copy ofthis repon will be for*arded to tbe local fire depanrnent.
# ofTanks i