HomeMy WebLinkAbout2003 - Cooking Appliance System Inspection Report �
� RALPH . PERRY 1NC. �� ��
I . �a�
88 Falmouth Rd. (Route 28) • Hyannis, MA 02601 • Phone: (508) 775-FIRE
MA LIC. # 017 D.O.T. #A-850
/� SYSTEM INSPECTION R�PORT
�l -�' � ,,l „��'
�� Name ,� f"F /� � l�Gt NS Date �"'�_ ���= Inspected by_ �+�` �J`''
Model# � � I.,,, { Mf� +�`� C7•
ci �.�-�
Address ���f- ( � d #of Tanks f Wet �*.. Dry
r .
�+ Gt '„/✓'.���-1��--�. � Annua] Semi� Recharge New
Contact � 1„r,,,�'c Phone FusibleLinks 360� 450_ 500_ Other_
Fuel Shu[Off Gas Electric_ .
Cooking AppliPnce/Lo1rcations: Left to Right �
Q Y'j-� �/�� -cv ����...-.,.� r , y,. � �. ,,,,. � ..
I. Are all appliances covered by nozzles �� hiood needs to be cleaned L��' D
2. Are hood and duct covered by nozzles
3. Check positioning of nozzles Grease acwmulation /
� Excessive Heavy_ Modera[e�
4. Hood and duct penetrations sealed � Filters need[o be cleaned 4'l G� Type �t.��ti���t��:'
5. Is system NFPA 96 (n,l:�
6. Is sys[em U.L. 300 4'�b: Refuses inspection -
7. Proper cleazance flame[o fil[ers =� par[s had to be replaced `i I v1. {�:�
8. Nozzle seals in place, intact _,L
9. Are there seal ti[es in place �
10. Pressure gauges in proper range �
l l. Check cartridge weight � � �
12. Hydrotest due '' U� `"t" Liquid change '�"�"�
13. 6 year maintenance due ,^ ��'-M1?
14. Inspect cylinder liquid and mount `�
15. Test for proper opera[ion from[erminal link ' � `NON-COMPLIANCE ISSUED �n1 L
16. Test remo[e manual operation � '
17. Micro swi[ch in place � Reason
I8. Gas valve in place and working
19. Clean nozzles covers in place _3
20. Replace fusible links
21. Check cable, nu[,and S-hook movemen[ �� � /• J �
>'"- - r
22. All piping secured '� Discrepancies or deficiencies ✓ii:�<�-`•"" � Y't J��.a
23. All filters in place `� Type I"�d �7� r�' r?�F ��o ��
24. Cartridge/N2 reins[alled/Safety pin removed � _
! .
W ��1: ✓ � i�i., l - It„ ,ss: 1., ���s
25. Sys[em rese[and operational � _� �,�-� - � ,� ' i •
26. All yellow seals in place � ��l-'�n :=�/� (7 �tr.�� ° ��
27. Service and cer[ification tag on sys[em "
28. Portable extinguishers up to code '� *NomCompliance systems/or systems with discrepancies may fail
29. Class K ex[inguisher and placard installed `l to ex[inguish/suppress a fire.
30. Reviewed au[oma[ic&manual operation �
of sys[em w/customer ✓
31. Exhaust fan working Next inspec[ion due ��� � ��� �
32. Cus[omer instruc[ed on required monthly , 1 _
inspection of system "' Recommendations:
r�
Comments �r r-E�G.t� L�i f'S_'� ���t �f r ��-- 5
� - fap�.✓ � t?s"< ,���� � �� f== .-�= I,: (�G-�,--�_
� r �-
On this date,the above system was tested and inspected in accordance with procedures of the NFPA 17, 17A,96,Chapter 7 ardthe manufacmrer's
manual at time of installation,/and was operatefla wrding[o these proced/eswiththe results i�dicated above , �
,/'�s�i�J� rl ��� __-t --,-^"�'„ ,�� ��� ', ,/;'/;'l��/ 'r'_
Service Technician �Lic.# Cus[omer� `�
The above setvice[echnician certifies tha[Ihe sys[em was personally inspec[ed and found condi[ions[o be as indica[ed above. �