HomeMy WebLinkAboutWet Chem System Report 10/2/2008
MINNESOTA CONWAY
314"VVl:.sl 86TH STREET, SUITE 101
BLOOMINGTON, MN 55420
952-345-FIRE · FAX 952-345-2499
BILL TO fj.;/41 /~I
PRE ENGINEERED SYSTEMS REPORT
~E 76051
INSPECTION CHECK LIST
1. ALL APPLIANCES PROPERLY COVERED w/CORRECT NOZZLES /' 14. CHECK OPERATION OF MICRO SWITCH
2. DUCT AND PLENUM COVERED w/CORRECT NOZZLES ~- 15. CHECK OPERATION OF GAS VALVE
3. CHECK POSITIONING OF ALL NOZZLES 16. CLEAN NOZZLES
4. SYSTEM INSTALLED IN ACCORDANCE w/MFG UL LISTING V: 17. PROPER NOZZLE COVERS IN PLACE
5. .H~OD/DUCT PENETRATIONS SEALED w/WELD OR UL DEVICE 'f 18. CHECK FUSE LINKS AND CLEAN
6. IF SYSTEM HAS BEEN DISCHARGED, REPORT SAME N'o i. 19. REPLACED FUSE LINKS
7. PRESSURE GAUGE IN PROPER RANGE (IF GAUGED) 20. PIPING AND CONDUIT SECURELY BRACKETED
8. CHECK CARTRIDGE WEIGHT (IF APPLICABLE) C&, 21. PROPER SEPARATION BETWEEN FRYERS AND FLAME
9. .HYDROSTATIC TEST DATE /Cf q 7 22. EXHAUST FAN IN OPERATING ORDER
10. 6-YEAR MAINTENANCE DATE - 23. FUEL SHUT-OFF IN ON POSITION
11. INSPECT CYLINDER AND MOUNT V 24. MANUAL AND REMOTE SET/SEALS IN PLACE
12. OPERATE SYSTEM FROM TERMINAL LINK (---' 25. SLAVE SYSTEM OPERATIONAL
13. TEST FOR PROPER OPERATION FROM REMOTE t../' 26. SERVICE AND CERTIFICATION TAG ON SYSTEM
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PHONE
PURCHASE ORDER 1/
RECHARGE
RENOVATION
DRY CHEM
OTHER
UL 1254
Y N
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AUTHORIZED BY
SLAVE CYL
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SYSTEM DEFICIENCIES
1. IMPROPER INSTALLATION/MISAPPLICATION
2. FUEL SHUT-OFF OR ELECTRICAL DISCONNECT REQUIRED
5. OTHER
3. ADDITIONAL PROTECTION REQUIRED
4. VENTILATION SYSTEM NEEDS CLEANING/REPAIR
RECHG
HYDRO
6YR
SERV
WET CHEM
LB DRY CHEM
LB DRY CHEM
LB DRY CHEM
LB DRY CHEM
LB C02
LB C02
WET CHEM SY'fl
DESCRIPTION
UNIT PRICE AMOUNT
REGD
REGD
REGD
REGD
ABCD
ABCD
ABeD
ABCD
PK/SK D
PK/SK D
PK/SK D
PK/SK D
,.fS
SERVICE TECHNICIAN
DRY CHEM SYS 0
TOTAL SERVICE
TOTAL MATERIALS
STATE SALES TAX
SHIPPING & HANDLING
GRAND TOTAL
$l()cr.~~
$ ~ .()U
$
$
$
CUSTOMER SIGNATUR
NOTICE: A COPY OF S REPO MAY BE SENT TO LOCAL FIRE
MARSHAL WHEN REO IRED BY AUTHORITY HAVING JURISDICTION
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