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Home My WebLink AboutFire Sprinkler Inspection Report 5.6.2014 PRE-ENGINEERED FIRE SYSTEM MINNESOTA CONWAY FIRE Er SAFETY INSPECTION and MAINTENANCE REPORT 575 MINNEHAHA AVENUE WEST • ST.PAUL,MN 55103 651-288-0777 • 1-800-223-2587 ANNUAL SEMI-ANNUAL RECHARGE INSTALLATION RENOVATION NAME '-1- :-- ' ' -s- , LOCATION OF SYSTEM CYLINDERS � t ADDRESS '1-'c-#6'',3 -),:s .\- o , c t,3c- i \N_c..\ MANUFACTURER MODEL NUMBER WET CHEMICAL DRY CHEMICAL CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE e i CITY ` ; ' - '- ..,,,, ‘, S?..? 1 MANIFOLDED PIRANHA WATERFLOW PRESSURE 'ta.i` t ❑YES P°NO TELEPHONE f 3 '£� STORE NO. -� FUSE LINKS 360°F FUSE LINKS 450°F FUSE LINKS 500°F OTHER OWNER OR MANAGER -\ 'r- _ } MECHANICAL GAS VALAIS)&SIZE(S) ELECTRICAL GAS VALVE(S)&SIZE(S) MANUAL RESET RELAY :i 7 ❑YES -El NO NON-COMPLIANT SYSTEMS MAY FAIL TO LAST I-)YDRO TEST DATE ELECTRIC CONNECTED EXTINGUISH/SUPPRESS A FIRE. y, ( 2YEs ❑No COOKING APPLIANCE LOCATIONS and SIZES (LEFT TO RIGHT) c.,,, L, Ai , .. YES NO N/A YES NO N/A 1. System interlocked with building fire alarm ❑ ❑ 20. Proper separation between fryers and flame ❑ ❑ -Q 2. Duct and plenum covered with correct nozzles ❑ 0 21. Proper clearance-flame to filters ❑ ❑ l• 3. Check positioning of all nozzles ix El El 22. Exhaust fan in operating order „E]' ❑ p 4. Systems installed per U.L.300 standards and meets 23. All filters replaced ❑ 21' ❑ manufacturer's U.L. listing and N.F.P.A.standards a ❑ ❑ 24. Fuel shut-off in on position ❑ ❑ 5. Hood/duct penetrations sealed with weld or 25. Manual and remote set/seals in place ,0 ❑ ❑ U.L.device 2' ❑ El 6. Check if seals intact,evidence of tampering CI ,J7 ❑ 26. Replace system covers El El ❑ 27. System operational and seals in place .E] ❑ ❑ 7. Pressure gauge in proper range(if gauged) ❑ ❑ 028. Slave system operational ❑ El 8. Check cartridge weight(if applicable) .0-- ❑ El 29. Clean cylinder and mount ❑ ❑ ❑ 9. Dry system 6-year maintenance date Wet system 12-year hydro test date 2 ❑ ❑ 30. Fan warning sign on hood . j- El ❑ 10. Inspect cylinder and mount p ❑ ❑ 31. Proper signage and personnel instructed in 11. Operate system from terminal link 0 El manual operation of system ,E] ❑ El 12.Test for proper operation from remote El ❑ 32. Proper hand portable extinguishers ❑ ❑ ❑ El 13. Check operation of micro switch ❑ ❑ El33. K-Class fire extinguisher in cooking area 0 ❑ 14. Check operation of gas valve i , ,. ❑ 1=1 34. Portable extinguishers properly serviced :[]`, , ❑ ❑ ! I 35. Service&;Certification tag on system ❑ ❑ ' 15.1c ean nozzles'' .l J ❑ ❑ p 16. Proper nozzle covers in place Cl El36. Safety chains on all gas appliances attached and secured ,.- I=10 17. Replaced fuse links 4:1- ❑ El37. Status of grease build-up in the hood and duct opening 18. Check travel of cable ,©" ❑ El ❑CLEAN LIGHT EI MEDIUM 1=1 HEAVY III EXCESSIVE 19. Piping and conduit securely bracketed ❑ ❑ *NOTE DISCREPANCIES OR DEFICIENCIES BELOW* COMMENTS .7 -_ 1' .! i '1 X1 ` 1 ,' , ,I ,, if; SERVICE TECHNICIAN PERMIT NO. DATE CUSTO lER'S�4UTHORJZED AG1 ENTF J THE ABOVE SERVICE TECHNICIAN CERTIFIES THAT THE SYSTEM WAS PERSONALLY INSPECTED AND CONDITIONKWERE FOUND Tb'BE AS INDICATED ON THIS REPORT. WHITE-CUSTOMER YELLOW-DISTRIBUTOR PINK-AUTHORITY HAVING JURISDICTION