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Home My WebLink Aboutsystem inspection reports 2008 and 2009RALPH ! 96 Fatmbuth Rd. (Route 28) .l. PERRY TNC. WORK ORDER # Hyannis, MA 02601 Phone: (508) 775-FIRE Name Address teti -c ,+\r( Contact Phone Cooking Appliance Locations: Left to Righ( MA LtC. # 017 D.O.T. # A-850 SYSTEM INSPECTION REPORTGoir,rr f,t tlarit,*rrf^Date -'l - tY -.rr Modet # t{J P. ..'-Inspected by Mfg 450 l,l - other Y lbt # ofTanks Annual 'Recharge _ New _ Fusible Links Fuel Shut Off )d Gas Elcctric emr Ralph J. Perry, Inc must b€ nolrficd if re is any chang€/moterncnr !n cooking equipmenl I 2 3 4 5 6 ,7 8 9 Are all appliances covercd by nozzlts Are hood and duct covered by nozzles Check positioning of nozzles Hood and duct peneuations sealed ls system U.L. 300 Proper clearance flame to fil Nozzle seals in place. Are there seal tites in place Pressure gauges in 8e 10. Check cartridge weig ll. Hvdrotest due 12. 6 year mainten e due 13. Inspect cylin liquid and mount 14. Test for operation from terminal link 15. Test remote manual operation 16. Micro switch in place 17. Cas valre in place and workrng I8. Clean nozzles no. of- ,lduct*Lplenumlappliance 19. Replace fusible links 20. Check cable, nut. and S-hook movement 21. All piping secured 22. All filters in place 23. Canridge/N2 reinstalled/Safety pin removed 24. System reset and operational 25. All yellow seals in place 26. Service and certification mg on system 27. Portable extinguishe{s up to code 28. Class K extinguisher and placard installed 29. Reviewed automatrc & manual operation of system w/customer 30. Exhaust fan working 3l . Customer instructed on required monthly inspection of system Comments ters Hbod'nbeds'to be cleanecl Grease accumulation 7 Excessive _ Heavy _ Moderarc _ Filters need to be cleaned Type Refuses inspection Parts had to be replaced Liquid change NON-COMPLIANCE ISSUED Reason Ralph l. Pe lnc. is not a hood./duct service company Any discre ncies should be addressed by a qualified hood/duct company Di cles or deficiencies Type *Non-Ccmpliance systems/or systems witb discrepancies may fail to extinguish/suppre Next inspection due ss a firc' 51a. o On this date, the above system was test€d and inspected in accordance with procedures of the NFPA 17, l7A, 96, Chapter l0 2001 edition and the manufacturer's manual at time of i was operated according to these procedures with the results indicated above. \^ Service Technician CM.", \ Autho.i""d R"p."."ntatir" Plcase read lhc Customer Acknowledgemcnt oo Gvarsc sidc bcforc signiDg- 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 department. "itli:H Lic.# n t wet - ) Recommendations: CUSTOMER ACKNOWLEDGMENT The customer understands that, unless indicated otherwise on the reverJe, 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. 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 SYSTEM INSPECTION REPORT a.Date JI Inspected by Mfg B+Jg. il/Name Address Contact # of Tanks Annual Fusible Links Fuel Shut Off Semi 360 )o A wer Gas Other Recharge - New _ Dry .150 Phone lectri x Cooking Appliance Locations: Left to Ri Ralph J. Perry. lnc must be notlfied ifrhere is any cha.ge/movcrnenr rn cooking equrpment 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 9 l0 ll. t2 t3 1,1 l5 16. Micro switch in place 19. Replace fusible links 20. Check cable, nut, and S-hook movement 21. All piping secured 22. All filters in place 23. CanridgeA.{2 reinstalled/Safety pin removd 24. System reset and operational 25. AII yellow seals in place 26. Service and certification tag on 27. Portable extinguishers up to 28. Class K extinguisher 29. Reviewed automatic acard installed oPerauon of system w/cust 30. Exhaust fan w Hood needs to be cleaned Grease accumulation 1.: rr Filters need to be cleaned Type Refuses inspection Parts had to be replaced Liquid change NON.CONIPLIANCE ISSU Reason Ralph l. Pcrry. Inc. is no hood./duct service company 17. Gas valve in place and working _ 18. Clean nozzles no. of--.lduct--/-plenumlappliance -Any discrepancies sh d be addressed by a qualified hood./duct company Discrepancies or tencles Type *Non-Ccmpliance systems/or systems with discrepancies may fail to extinguist/suppre Next inspection due ss a fire ,( Recrrnrnrcndalions: E 31. Customer i on required monthly lnspectr of system Commen On this date, the above system was tested and inspected in accordance with proced ofthe NF?A 17, l7A,96, Chapter l0 2001 edition and the manufacturer's manual at lation, and was qerated according res with the results indicated aboveof inspl L^ Service Technician Lic.# q t 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. cpordir..-t ertno.ir"a n"pr.t.-ntuii u" Pllase read the Customcr Acknowlcdgement on reversr sidc bcforE stgding. ?r 1416.1 g Oe I rr /zlt rJ, - p.L Excessive _ Heavy _ Moderate_ 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.