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Home My WebLink AboutSYSTEM inspection reports 2006 and 2008mName RALPH ]. PERRY 'NC. WORK ORDER # 96 Falmouth Rd. (Route 28) . Hyannis, MA 02601 . Phone: (508) 775-FIRE MA LtC. # 017 D.O.T. #A-850 ,LSYSTEM INSPECTION REPORT ^0L+ :-. ...!n,o trhJ Contact # ofTanks / w", o" 3'e7-0h Moder# fi10 a Anmal L-/ Semi - Fusible Links 360 -) Fuel Shut Off -''Oas Inspected by lro Mfg l-,,- Dry _ Recharge _ New _ 450 _ 500_ Other_€Elecuic Ifio Phone Cooking Appliance LocatiJns: t eft to Rig G Ralph J. Perry.lnc must b€ notified ifrhe.e is any change/movernenr in cooking cquipment l. 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 U.L. 300 6. Proper clearance flame to filters 7. Nozzle seals in place. 8. Are there seal tites in place 9. Pressure gauges in proper range 10. Check cartridge weight I l. Hydrotest due 12. 6 year maintenance due Hood necds to be cleaned Crease accumulation Excessive Hcavy Moderate Filters need to be c Refuses inspection Typ"kta/<leaned 13. lnspect cylinder liquid and mount L-- 14. Test for proper operation from terminal link , { 15. Test remote manual operation \,''' 16. Micro switch in place 4 - 17. Gas valve in olace and workins -V 18. Clean nozzl"s no. ofldr"t i pl"nu. S"ppli^r"" -t z- Parts had to be replaced 3 ual<t ' Liquid change Reason L.'/Ralph J. Perry. Inc. is not a hood/duclservice company. Any discrepancies should be addressed by a qualified hood/duct company Discrepancies or defi ciencies Type 19. Replace fusible links 20. Check cable, nut, and S-hook movement 21. All piping secured 22. All filters in place 23. Canridge/1,{2 reinstalled/Safety pin removed 24. System reset and operational 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 insuucted on required monthly inspection of system Comments u.- -t-/'-V _-1 *Non-Ccmpliance systemvor systems with discrepancies may fail to cxtinguist/suppres Next inspection due Recommendations: tun'"'lvlllro|d) a n On th date, the above syslem tested and inspected in accordancc with ures c 96, Chapter l0 2001 edition and thc anu of installation, and was operated accordin Its indicated abovc. ,(0 lcc hnician Lic. #stomer's Authorized Represen Plerse read the Customer Acknowledgement on reverse side before sig0i08. The above service technician certifies that the system was personally inspected and found conditions to be as indicated above. A copy of this report will be forwarded to the local fire depanment.\h Il)0\ /k1 / L- l-/'rZ al L- : t- L"' o-dTq NON-COMPLIANCE ISSUED ( l.i CUSTOMER ACKNOWLEDGMENT The customer understands that, unless indicated otherwase on the reverse, the service per- formed on the Customer's equipmenl by a Representative of Ralph J. Perry, lnc. will indicale that the Fire Suppression system was mechanically functioning during lhe period of time rn 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. To: Capt. Kelliher YFD From: Dean Cronin Old Town House Park Rec. Facilitiesl\\ ota ro*n House Road So. Yarmouth, MA 02664 RE: Affidavit stating use of Small Stove in Concession Stand As per our conversation on Sat. 4/7106 in regards to a small stove having to be placed under the Exhaust Hood and Ansul System OR NOT, I assure that no cookfurg of grease, fried foods or readily combustible ingredients will be cooked or prepared on this STOVE. It's sole purpose is for warming and small quantity boiling. Any questions please contact: Dean Cronin 109 Seaview Ave. So. Yarmouth, MA02664 (s08) 394-8014 Thank You for your considerations. /-r-ee # {r.(.- RALPH I. PERRY, 'NC. WORK OROER # 96 Falmouth Rd. (Route 28) . Hyannis, MA 02601 ' Phone: (508) 775-FIRE MA LtC. # 017 D.O.T. # A-850 e [ora"--hor SYS M INSPECTION REPORT KcnDate Model #furtt Mfs <J[NSr. tL\r.{\# ofTanks I Wet t-./(Annual \-/- Fusible Links Fuel Shut Off Dry Semi- Recharge - New _ 360 ? 450- 500- other-f Cas r--- ElecricCone Cooking Appliance Locations: Left to Ri h Ralph J. PcnY, lnc. must l. Are all appliances covered by nozzles 2. Are hood and duct covered by nozzles 3. Check positioning of nozzles 4. Hood and duct pencirations sealed 5. Is system U.L.300 6- Proper clearance flame to filters 7. Nozzle seals in place. 8. Are there seal tites in place 9. Pressure gauges in proper range 10. Check cartridge weight ll. Hydrotest due 12. 6 year maintenance due 13. Inspect cylinder liquid and mount 14. Test for proper operation from terminal link 15. Test remote manual operation 16. Micro switch in place 17. Gas valve in place andrworking o I 8. Clean nozzles no. of_llduct--llplenumlappliance 19. Replace fusible links 20. Check cable, nut, and S-hook movemcnt 21. All piping secured 22. All filters in place 23. Canridge^.,l2 reinsmlled/Safety pin remove 24. System reset and operational 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 automaric & manual operarion of system w/customer 30. Exhaust fan working 31. Customer insaucted on required monthly inspection of system nolrfied rf there rs any changc/movemenr rn cooking equipmenl L-"- L.'''' L-?' l--'' lr'/ Hood needs to be cleaned Grease accumulation Excessive _ Heavy _ Lfoderate _ Filters need to t " "t.un"a ryiVL(Q- T-Rcfuses inspection \--.' Parts had to be replaced _V @ ,-t'E l-,/' |la/. v-'-€ -r',/TZ \-'" -Vl,-- --}--U,-?' l-' \--' Liquid change NON.COMPLIANCE ISSUED Reason Ralph J. Perry, Inc. is not a hood/duct service company. Any discrepancres should be addressed by a qualified hood/duct company Discrepancies or deficiencies Type € lc)t'p *Non-Ccmpliance systems/or systems with discrepancies may fail d ( to extinguist/suppres Next inspection due Recommendalions s a fire c t-?? (-,,' Comments U/to[. \71 ,J rn(c this date,above was tested and inspected in accordance with lation. and NFPA 17, 17A,96, Chapter l0 2001 edition and accord the results indicated above. ice Technician Lic. #Customer's Authorized tatlve Please read thc Cuslomer Acknowl€dgemcnt on sidc bcfore signing. The above service technician cenifies that the system was personally inspected and found conditions to be as indicated above A copy of this repon will be forwarded to the local fire depanment. was oDerarcd0n Inspected by:Name r( __v r-}u 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 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.