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HomeMy WebLinkAboutFire System Inspection Report 2014 IhMINNESOTA CONWAY FIRE Er SAFETY PRE-ENGINEERED FIRE SYSTEM 575 MINNEHAHA AVENUE WEST • ST.PAUL,MN 55103 INSPECTION and MAINTENANCE REPORT 651-288-0777 • 1-800-223-2587 ANNUAL I SEMI-ANNUAL RECHARGE INSTALLATION I RENOVATION � NAME t...a L",L(1t, 4= � t nl i9 LOCATION OF SYSTEM CYLINDERS ADDRESS • '-} .() I (Li0 St ,S C E)A(, ;AjAI i IS i `JIA)k. MANUFACTURER MODEL NUMBER WET CHEMICAL DRY CHEMICAL CYLINDER SIZE MASTER CYLINDER SIZE SLAVE I CYLINDER SIZE SLAVE I CITY ° '-• 1 b)1-- fi.1f " , MANIFOLDED PIRANHA WATERFLOW PRESSURE TELEPHONE 1�I L. LkI - 7y\ STORE NO. Li‘2 2• ❑YES VNO FUSE LINKS 360°F FUSE LINKS 450°F I FUSE LINKS 500°F I OTHER OWNER OR MANAGER r i Ark"I 1-1.21 E l i,.,„) t MECHANICAL GAS VALVE(S)&SIZE(S) ELECTRICAL GAS VALVE(S)&SIZE(S) MANUAL RESET RELAY NON-COMPLIANT SYSTEMS MAY FAIL TO f 6 V ,, YES ❑NO EXTINGUISH/SUPPRESS A FIRE. LAST HYDRO TEST DATE IELECTRIC CONNECTED ❑YES ❑NO COOKING APPLIANCE LOCATIONS and SIZES (LEFT TO RIGHT) P Y..) 'ti :,L ''L YES NO N/A YES NO N/A 1. System interlocked with building fire alarm ❑ ,I21 ❑ 20. Proper separation between fryers and flame 2. Duct and plenum covered with correct nozzles �' D ❑ 21. Proper clearance-flame to filters `� ❑ ❑ 3. Check positioning of all nozzles ❑ ❑ �4.}Systems installed per U.L.300 standards and meets ❑ ❑ 22.AllExhauer fan inoperating order - ❑ ❑ manufacturer's U.L.listing and N.F.P.A.standards 23. ll filters offin replaced J ❑ ❑ 5. Hood/duct penetrations sealed with weld or ❑ Q ❑ 24. Fuel shut-off in on position p' 0 0 U.L.device 0' ❑ ❑ 25. Manual and remote set/seals in place ❑ ❑ 6. Check if seals intact,evidence of tampering ❑ 2 g 26. Replace system covers /� ID ❑ 7. Pressure gauge in proper range(if gauged) ❑ ❑ 0. 27. System operational and seals in place (] 0 ❑ 8. Check cartridge weight(if applicable) ❑ 0 28. Slave system operational 0, ❑ ,a 9. Dry system 6-year maintenance date 29. Clean cylinder and mount a0 ❑ ❑ Wet system 12-year hydro test date " ❑ ❑ 30. Fan warning sign on hood 10. Inspect cylinder and mount k]" ❑ ❑ 31. Proper signage ® 0 ❑ and personnel instructed in 11. Operate system from terminal link 2' D CI operation of system E' ❑ ❑ 12.Test for proper operation from remote P` ❑ ❑ 32. Proper hand portable extinguishers ❑' 11:1 ❑ 13. Check operation of micro switch ❑. ❑ ❑ 33. K-Class fire extinguisher in cooking area 0 ❑ 14. Check operation of gas valve ❑ ❑ 34. Portable extinguishers properly serviced ©' C7 15. Clean nozzles El ❑ 35. Service&Certification tag on system ❑ ❑ 16. Proper nozzle covers in place ❑ CI36. Safety chains on all gas appliances attached and secured 0 ❑ 1:117. Replaced fuse links El ❑ 37. Status of grease build-up in the hood and duct opening 18. Check travel of cable ❑ ❑ ❑CLEAN ❑LIGHT ❑MEDIUM /'[#HEAVY ❑EXCESSIVE 19. Piping and conduit securely bracketed r❑ ❑ ❑ *NOTE DISCREPANCIES OR DEFICIENCIES BELOW* COMMENTS 6:1-\) :-\This )S h)o • SERVICE-TEC ICIA / "' 1 •R1 ,-' oa' 1' PERMIT NO. DA E US 0 ERS AUTHORIZED AGENT THE ABOVE SERVICE T HNICIAN 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 I