HomeMy WebLinkAboutsystem inspection 2007Name
Address
RALPH J. PERRY
'NC.
WORK ORDER #
96 Falmouth Rd. (Route 28) . Hyannis, MA 02601 . Phone: (508) 775-FIRE
MA LtC. # 017 D.O.T. # A-850
INSPECT!ON REPORT
Date lnspected by:
Model #4r/6/*-/Mfg
wet \.-> po
,/ z-
--L/4. O-
# of Tanks
Annual_ Semi { Recharge _ New _
Fusible Links 360 / 450
-
500
-
other-Contact Phone Fuel Shut Off la Cas ,,4 Electric
Cooking Appliance Locations: Left to Ri
Ralph J. Perry,Inc must bc notified if there isany change/movement in cooking equipment
t. Are all appliances covpred by nozzles
2. Are hood and duct covered by nozzles
3. Check positioning of nozzles
4. Hood and duct prenenations sealed
5. Is system U.L. 300
6. Proper clearance flame to filters
?. Nozzle seals in place.
8. Are there seal tites io place
9. hessure gauges in proper range
10. Check canridge weight
ll. Hydrotest due
12. 6 year maintenance due
13. Inspect cylinder liquid and mount
14. Test for propcr operation from terminal link
15. Test remote manual operatioo
16. Micro switch in place
17. Gas valve in place and /orkiqg.
i t. i[""i",.iJ "". "]y'a,"-&r"* * $ootia,,e19. Replace fusible links/
20. Check cable, nut, and S-hook movement
21. All piping secured
22. All filters in place
23. Canridge/tl2 reinstalled/Safety pin removed
24. System reset and operadona.l
25. All yellow seals in place
26. Service and certification tag on system
27. Ponable 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 systcm
Excessive _ Heavy _ Moderate _
Type
Refuses inspection
Parts had to be replaced
Liquid change
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Hood needs to be cleaned
Grease accumulation
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NON.COMPLIANCE ISSUED
Reason
1// c)
Ralph J. Perry, lnc. is not a hood/duct service company.
Any discrepancies should be addressed by a qualified hood/duct company
Discrepancies or defi ciencies
TyPe
v'/0tl
*Non-CcmpliaDce systemVor systems with discrepancies may fail
to extinguish/suppre
Next inspection due
Recommendations:I
,-t'
Comments
On this date, the above
the
was tested and inspected in accordance with procedures the NFPA '7 , t7A,96,l0 2001 edition and
al at ofi ation, and was operated according to thes€res icated above
Authorized Represe
Please the Custom€rAcknow
The above scrvice technician cenifies that the system was personally inspected and found conditions to
tce Technician
A copy of this report will be forwarded to the local fire department.
Its i
I
c.
'/
Filters need to be cleaned ,4 A
man u factu rer's
Lic. #
CUSTOMER ACKNOWLEDGMENT
The customer understands that, unless indicated otheMise 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 whalsoever 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.
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