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HomeMy WebLinkAboutFire Inspection Report 2014 MINNESOTA CONWAY FIRE SAISAFETYINSPECTION and MAINTENANCE REPORT 575 MINNEHAHA AVENUE WEST • ST.PAUL,MN 55103 651-288-0777 • 1-800-223-2587 PRE-ENGINEERED FIRE SYSTEM .,,,} ANNUAL SEMI-ANNUAL RECHARGE INSTALLATION RENOVATION t 1/ NAME 1 a}'I. '' 1.'t- j4.- k I PO(- LOCATION OF SYSTEM CYLINDERS i .. et- ADDRESS --/ i.-� t�riC) '34 ,..)( gal 1L t } 4( MANUFACTURER MODEL NUMBER WET CHEMICAL DRY CHEMICAL { CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE CITY `,L.t.,' .A V E _ .3 {i ' . it L MANIFOLDED PIRANHA WATERFLOW PRESSURE ((rA L } ❑YES NO TELEPHONE( - S' } -1 L'l 1 - STORE NO. L.-\\LZ- FUSE LINKS 360'F FUSE LINKS 450°F FUSE LINKS 500°F OTHER OWNER OR MANAGER )ivol v`--1-c, K`coi.J MECHANICAL GAS VALVES)&SIZE(S) ELECTRICAL GAS VALVE(S)&SIZE(S) MANUAL RESET RELAY NON-COMPLIANT SYSTEMS MAY FAIL TO OYES ❑NO LAST HYDRO TEST DATE ELECTRIC CONNECTED EXTINGUISH/SUPPRESS A FIRE. ❑YES El NO COOKING APPLIANCE LOCATIONS and SIZES (LEFT TO RIGHT) V il X YES NO N/A YES NO N/A 1. System interlocked with building fire alarm ❑ J ' ❑ 20. Proper separation between fryers and flame Zi ❑ ❑ 2. Duct and plenum covered with correct nozzles RI ❑ El 21. Proper clearance-flame to filters d ❑ El 3. Check positioning of all nozzles Er ❑ ❑ 22. Exhaust fan in operating order E" El ❑ (4 ystems installed per U.L.300 standards and meets 23.All filters replaced Q ❑ ❑ manufacturer's U.L.listing and N.F.P.A.standards El 0 ❑ 24. Fuel shut-off in on position .0 ❑ ❑ 5. Hood/duct penetrations sealed with weld or U.L.device Q CI ❑ 25. Manual and remote set/seals in place ❑ ❑ 6. Check if seals intact,evidence of tampering ❑ ❑ El26. Replace system covers © ❑ ❑ 7. Pressure in proper range(if gauged) 27. System operational and seals in place El El ❑ gauge g g P p g g g ) ❑ ❑ 28. Slave system operational ❑ ❑ £3 8. Check cartridge weight(if applicable) ,0 El El 29. Clean cylinder and mount 00 ❑ 9. Dry system 6-year maintenance date Wet system 12-year hydro test date J7j 30. Fan warning❑ ❑ signon hood 0', ❑ ❑ 10. Inspect cylinder and mount © ❑ ❑ 31. Proper signage and personnel instructed in 11. Operate system from terminal link J ❑ ❑ manual operation of system ❑ El 12.Test for proper operation from remote El ❑ 32. Proper hand portable extinguishers c2 ❑ ❑ 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 [ ❑ ❑ 15. Clean nozzles ❑ ❑ 35. Service&Certification tag on system El ❑ p 16. Proper nozzle covers in place El ❑ 36. Safety chains on all gas appliances attached and secured ❑ ❑ ❑ 17. Replaced fuse links „12' ❑ ❑ 37. Status of grease build-up in the hood and duct opening 18. Check travel of cable �❑ ❑ ❑ ❑CLEAN ptIGHT ID MEDIUM El HEAVY El EXCESSIVE . 19. Piping and conduitnsecurely bracketed 2' ❑ ❑ *NOTE DISCREPANCIES OR DEFICIENCIES BELOW* COMMENTS `-1 , S., ;i ti v IS NOT '.A .E.. • - 5( 0 SE IC`E TECH IAN PERMIT NO. DATE ICU TOMER'S ,g"t •RIZED AGENT THE ABOVE SERVIC CHNICIAN CERTIFIES THAT THE SYSTEM WAS PERSONALLY INSPECTED AND CONDITIONS WERE FOUND TO BE AS INDICATED ON THIS REPORT. i WHITE-CUSTOMER YELLOW-DISTRIBUTOR PINK-AUTHORITY HAVING JURISDICTION