HomeMy WebLinkAboutFire Sprinkler Report. Lunds 2014 Il MINNESOTA CONWAY __ 8- SAFETY PRE ENGINEERED FIRE SYSTEM
575 MINNEHAHA AVENUE WEST ST. PAUL M N 55103 INSPECTION and MAINTENANCE REPORT
651- 288 -0777 • 1 -800- 223 -2587
�j ANNUAL SEMI- ANNUAL RECHARGE INSTALLATION RENOVATION
NAME L . t Pr/be Lq�Q
� / �' 13 S L CYLIN RS
ADDRESS I f7 7, r e.J [ t5 or � t 1 }�
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MANUFACTURER MODEL NUMBER
P , ate. pa CHEMICAL DRY CHEMICAL
Pa Asa 2
CY DER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
CITY r;or La JP
MANIFOLDED PIRANHA WATERFLOW PRESSURE
TELEPHONE ❑YES ❑ NO
STORE NO.
FUSE LINKS 360° F FUSE LINKS 450° F FUSE LINKS 500° F OTHER
OWNER OR MANAGER
3
MECHANICAL GAS VALVE(S) & SIZE(S) ELECTRICAL GAS VALVE(S) & SIZE(S) MANUAL RESET RELAY
NON - COMPLIANT SYSTEMS MAY FAIL TO &V ❑ YES ❑ NO
EXTINGUISH /SUPPRESS A FIRE. LAST HYDRO TEST DATE
ELECTRIC CONNECTED
RYES ❑ NO
COOKING APPLIANCE LOCATIONS and SIZES (LEFT To RIGHT)
P ass t4e RGng e all
YES NO N/A
1. System interlocked with building fire alarm
❑ 21 ❑ 20. Proper separation between fryers and flame YES NO N/A
2. Duct and plenum covered with correct nozzles 7 ❑ ❑
3. Check positioning of all nozzles � ❑ ❑ 21. Proper clearance - flame to filters / ❑ ❑
4. Systems installed per U.L. 300 standards and meets m ❑ ❑ 22. A xhausr fan operating order
manufacturer's U.L. listing and N.F.P.A. standards 23. All filters replaced ❑ ❑
5. Hood /duct penetrations sealed with weld or ❑ ❑ 24. Fuel shut -off in on position ❑ ❑
U.L. device 25. Manual and remote set /seals in place ❑ ❑
6. Check if seals intact, evidence of tampering .P ❑ 26. Replace system covers ❑ ❑
7. Pressure gauge in proper range (if gauged) El ❑ 27. System operational and seals in place VI ❑ ❑
IZ
❑ 8 El 8, Check cartridge weight (if applicable) / 28. Slave system operational ❑ _ ❑
9. Dry system 6 -year maintenance date ❑ ❑ 29. Clean cylinder and mount ❑ ❑ .Ill
Wet system 12 -year hydro test date ❑ ❑
10. Inspect cylinder and mount ❑ ❑ 30. Fan warning sign on hood
v ❑ 31. Proper signage and personnel instructed in V ❑ ❑
11. Operate system from terminal link
12. Test for proper operation from remote ❑ ❑ manual operation of system
❑ {:1 32. Proper hand portable extinguishers ❑ ❑
13. Check operation of micro switch 33. K -Class fire extinguisher in cooking area ❑ ❑
14. Check operation of gas valve ❑ ❑ 34. Portable extinguishers properly serviced ❑ ❑
15. Clean nozzles ❑ ❑ 35. Service & Certification tag on system V ❑ ❑
16. Proper nozzle covers in place ❑ ❑ 36. Safety chains on all gas appliances attached and secured / ❑ ❑
17. Replaced fuse links ❑ ❑ 37. Status of grease build -up in the hood and duct opening ❑ ❑
18. Check travel of cable ❑ ❑
19. Piping and conduit securely bracketed ❑ LIGHT / MEDIUM ❑ HEAVY ❑ EXCESSIVE
❑ ❑ * NOTE DISCREPANCIES OR DEFICIENCIES BELOW *
COMMENTS 69ad .oea T iS kehAi o op it,i P I a!ssvie fryc , ,Nee"s ?La Be_ se.ied
SERVICE TECHN CIAN '-2 Y
PERMIT NO. DATE CUSTOMER'S AUTHORIZED AGENT
THE ABOVE SERVICE TECHNICIAN CERTIFIES THAT THE SYSTEM WAS PERSONALLY INSPECTED AND CONDITIONS WERE FOUND TO BE AS INDICATED ON THIS REPORT.
WHITE - CUSTOMER YELLOW - DISTRIBUTOR
PINK - AUTHORITY HAVING JURISDICTION