HomeMy WebLinkAboutSystems Report 4/22/2009
MINNESOTA CONWAY
314 WEST 86TH STREET, SUITE 101
BLOOMINGTON, MN 55420
952-345-FIRE · FAX 952-345-2499
No. PE 76371
PRE ENGINEERED SYSTEMS REPORT
..
INSPECTION CHECK LIST
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PHONE
PURCHASE ORDER #
RECHARGE
RENOVATION
WET C~
C02
DRY CHEM
OTHER
Y N
1. ALL APPLIANCES PROPERLY COVERED w/CORRECT NOZZLES
2. DUCT AND PLENUM COVERED w/CORRECT NOZZLES
3. CHECK POSITIONING OF ALL NOZZLES
4. SYSTEM INSTALLED IN ACCORDANCE w/MFG UL LISTING
5. HOOD/DUCT PENETRATIONS SEALED w/WELD OR UL DEVICE
6. IF SYSTEM HAS BEEN DISCHARGED, REPORT SAME
7. PRESSURE GAUGE IN PROPER RANGE (IF GAUGED)
8. CHECK CARTRIDGE WEIGHT (IF APPLICABLE)
9. HYDROSTATIC TEST DATE
10. 6- YEAR MAINTENANCE DATE
11. INSPECT CYLINDER AND MOUNT
12. OPERATE SYSTEM FROM TERMINAL LINK
13. TEST FOR PROPER OPERATION FROM REMOTE
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SERVICE
ADDRESS
CONTACT
SITE #
AUTHORIZED BY
FUEL SH~
SERIAL #
MASTER CY?;. ro
360 LINK
SLAVE CYl.--
'3. ~.~
450 LINK 500 LINK
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14. CHECK OPERATION OF MICRO SWITCH 5
15. CHECK OPERATION OF GAS VALVE
16. CLEAN NOZZLES l ./
17. PROPER NOZZLE COVERS IN PLACE ....,..--
18. CHECK FUSE LINKS AND CLEAN ...,/
19. REPLACED FUSE LINKS ../"
20. PIPING AND CONDUIT SECURELY BRACKETED \../""
21. PROPER SEPARATION BETWEEN FRYERS AND FLAMEUf- ~~AJ(2li'A
22. EXHAUST FAN IN OPERATING ORDER ./
23. FUEL SHUT-OFF IN ON POSITION J
24. MANUAL AND REMOTE SET/SEALS IN PLACE ~
25. SLAVE SYSTEM OPERATIONAL ../'"
26. SERVICE AND CERTIFICATION TAG ON SYSTEM l /
1. IMPROPER INSTALLATION/MISAPPLICATION
2. FUEL SHUT-OFF OR ELECTRICAL DISCONNECT REQUI D
5. OTHER
SYSTEM DEFICIENCIES
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3. ADDITIONAL PROTECTION REQUIRED
,4. VENTILATION SY TEM EEDS 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 SYS k:(
DESCRIPTION
UNIT PRICE AMOUNT
REGD
REGD
REGD
REGD
ABCD
ABCD
ABCD
ABCD
PK/SK D
PK/SK D
PK/SK D
PK/SK D
DRY CHEM SYS D
.s,'C
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CUSTOMER SIGNATURE
NOTICE: A COpy OF THIS EPORT AY BE SENT TO LOCAL FIRE
MARSHAL WHEN REQUIRED BY AUTHORITY HAVING JURISDICTION
SERVICE TECHNICI
.~"1'._,
TOTAL SERVICE
TOTAL MATERIALS
STATE SALES TAX
SHIPPING & HANDLING
GRAND TOTAL
;~I' ;
$ (,\ -
$ 1\(
$
$
$
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