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Home My WebLink About2005-07-06 Kitchen Hood Fire Inspection Reports - Northland Fire & Security Iplia . .machen Hood Fe � In� ion r-\ laintenance Report DATE OF SERVICE TIME A.M. P.M. ANNUAL SE ANNUAL RECHARGE INSTALLATION RENOVATION LOCATION OF SYSTEM CYLINDERS Northland = 1-.:-/eDpi r k-- LA-.)‹tI( A -• MAN ACTURER MODEL NUMBER DRY CHEMICAL e dik LEW r R-/I,-z_ 514 Your Life Safety Specialists CYLINDER SIZE,MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE 4445 W.77th St.,Suite 125, Minneapolis,MN 55435. (952)893.0905 Gs C; ( FUSE LINKS 360°F FUSE LINKS 450°F FUSE LINKS 500°F OTHER Z?Name Urpe r /-1--. '•'‘. .. FUEL SHUT-OFF AE�ECTRIC ,. ACAS SIZE Address.�.. %G 1 e i I «IA V /11C1-0 FI t r; /1 } 4 SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE City L }9G f/�,{gr'l" i‹- 4 el tf hT-.p l"-1 ? g MANUFACTURER'S MANUAL REFERENCE hone p �.�f ,s-,�- I�.-. CJ Tele StoreNfo t2.t3'i? NOTE:NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISH/SUPPRESS A FIRE. Owner or Manager /QCt Xi)/ v'^fl6 L° COOKING APPLIANCE LOCATIONS&SIZES:LEFT TO RIGHT rr� e� if-re � Iryet /'r ' r YES NO N/A ANON/A 1. System interlocked with building fire alarm 0 M El 20. Check travel of cable nuts/S-hooks el O 0 2. Duct and plenum covered with correct nozzles ID, Q 0 21. Piping&conduit securely bracketed 11 O 0 3. Check positioning of all nozzles ' CIl El 0 22. Proper separation between fryers&flame M to 0 4. System installed per U.L.300 standard&meets 23. Proper clearance-flame to fitters a to 0 manufacturers U.L listing&N.F.P.A standards k Q to 24. Exhaust fan in operating order ill Q 0 5. Hood/duct penetrations sealed with weld or UL device gl 0 O 25. All fitters replaced 12 to ID I 6. Check if seals intact,evidence of tampering Q 0 X 26. Fuel shut-off in on position GI 0 0 7. If system has been discharged,report same Q 0 @ 27. Manual&remote set/seals in place ID 10 to 8. Pressure gauge in proper range Of gauged) 0 a ft 28. Replace systems covers CIJ to E 9. Check cartridge weight Of applicable) M to to 29. System operational&seals in place 2 0 O 10. Dry system 6 year maintenance date/wet system 12 30. Slave system operational to to IX year hydro-test date IH Q to 31. Clean cylinder&mount e4 Q 0 11. Inspect cylinder and mount 0 O 0 32. Fan warning sign on hood n to Q 12. Operate system from terminal link gl 0 El 33. Proper signage and personnel instructed in manual I 13. Test for properremote from 4 07- 0 operation of system 14. Check operation of micro switch it 0 ED 34. Proper hand portable extinguishers II. to C I 15. Check operation of gas valve la to 0 35. K class fire extinguisher in cooking area Clk 0 El 16. Clean nozzles ill 0 E 36. Portable extinguishers properly serviced 171 0 0 17. Proper nozzle covers in place ttl to 0 37. Service&Certification tag on system X ID Q 18. Check fuse links and clean 0 0 is 38. Safety chains on all gas appliances attached and secured 0 Q 2 19. Replaced fuse links ,14.. 0 0 NOTE DISCREPANCIES OR DEFICINCIES BELOW to 0 0 COMMENTS: On this date,the t.ve ystem as tested and inspected in accordance with procedures of the presently adopted editions of i NFPA 17, •, A, •• an he anu cturer manual and was operated according to these procedures with results indicated above. x V 7'4-c " ,ff RI AGENT TECHNICIAN PERMIT NO. �--DATE: TIME: AM PM `CUS OMERS►AUTHO ZED i The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report. WHITE - CUSTOMER • YELLOW- DISTRIBUTOR • PINK-AUTHORITY HAVING JURISDICTION . ,--, , Kitchen Hood Fire )stem Inspection & Maintenance Report DATE OF SERVICE TIME M. P.M. --7,1,,c ,x, ANNUAL SE7NUAL RECHARGE INSTALLATION RENOVATION LOCA OF SYSTE CYLINDERS r^^s hll nd = E--e /Ie r - c es: k-- i( Hort a re �, ; unty MAN IIfAATUEOD NUMBER DRY CHEMICAL Your Life Safety Specialists CYLINDER J R`"�SIZE MAST R CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE 4445 W.77th St.,Suite 125, Minneapolis,MN 55435 (952)893.0905 1 Z s"1 FUSE LINKS 360°F FUSE LINKS 450°F FUSE LINKS 500°F OTHER Name urn 'e r �`. '^ l �( t FUEL SHUT-OFF ELECTRIC GAS / SIZE Address .S'9[ /v e "'i i Av- ? ;e 4 t e r t //� ,c C �t V5ei /"}7 f f ;',k--1,-, k SERIAL NUMBER LAST HYDROTEST DATE LAST RECHARGE DATE City O-/ fk �J'7/ 7/J� MANUFACTURER'S MANUAL REFERENCE Telephone 6.51 4_77.- 1 Z Jc- Store No. NOTE:NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISH/SUPPRESS A FIRE. Owner or Manager /h`I / -t COOKING APPLIANCE LOCATIONS&SIZES:LEFT TO RIGHT YI N NIA YES NO NLA 1. System interlocked with building fire alarm Q fl 0 20. Check travel of cable nuts/S-hooks fia 0 0 2. Duct and plenum covered with correct nozzleg VI 1 D 21. Piping&conduit securely bracketed fl 0 0 3. Check positioning of all nozzles ' 0 C] 1 22. Proper separation between fryers&flame la CI Q 4. System installed per U.L.300 standard&meets 23. Proper clearance-flame to filters 0 El 0 manufacturers U.L.listing&N.F.P.A standards 17 0 0 24. Exhaust fan in operating order lel 0 0 5. Hood/duct;penetrations sealed with weld or UL device 0 O 0 25. All filters replaced @ 0 El 6. Check if seals intact,evidence of tampering 0 CI MI 26. Fuel shut-off in on position poo 7. If system has been discharged,report same 0 El 0 27. Manual&remote set/seals in place 0 1 0 8. Pressure gauge in proper range(if gauged) El 0 11 28. Replace systems covers 0 El E 9. Check cartridge weight(if applicable) In Q O 29. System operational&seals in place in El CI 10. Dry system 6 year maintenance date/wet system 12 30. Slave system operational 0 a gJ year hydro-test date el Q El 31. Clean cylinder&mount 0 CP n1 11. Inspect cylinder and mount 0 17 0 32. Fan warning sign on hood 0 Q O • 12. Operate system from terminal link 0 CI El 33. Proper signage and personnel instructed in manual 13. Test for-properoperation-fom-remote JJ Gt a operation-of system 7 in 0 14. Check operation of micro switch it 1 El 34. Proper hand portable extinguishers 0 0 0 15. Check operation of gas valve Q 0 C 35. K class fire extinguisher in cooking area pion' 16. Clean nozzles 0 El CI 36. Portable extinguishers properly serviced 0 Q El 17. Proper nozzle covers in place 21 0 CI 37. Service&Certification tag on system in 0 El 18. Check fuse links and clean El Q in 38. Safety chains on all gas appliances attached and secured Q 0 )13 19. Replaced fuse links 0 CI 1 NOTE DISCREPANCIES OR DEFICINCIES BELOW Q 0 It COMMENTS: On this date,the abo stem as test d and inspected in accordance with procedures of the presently adopted editions of NFPA 17, 1 A, 96 a man ctur s manual and was operated according to these procedures with results indicated above. , •1 ( 1 ,L, X 1 _.-1 7 c.� - " C7:6 E- , _. t.( RVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM bUSTOMERStY f AUTHORIZED AGENT The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report. WHITE - CUSTOMER • YELLOW DISTRIBUTOR • PINK-AUTHORITY HAVING JURISDICTION Northland C C� G O M C Fine & Secuniy f iI Your Life Safety Specialists �J�7 A�1S — 3 ZS 4445 W. 77th Street, Suite 125 Minneapolis, MN 55435 1 August 2, 2005 400624 w I Jim Butler City of Oak Park Heights P.O. Box 2007, 14168 Oak Park Blvd Oak Park Heights, MN 55082-2007 Dear Jim: Enclosed is the kitchen hood fire system inspection report. Thank you for your time. If you have any comments or questions please call me at(952) 893-0905. Sincerely, Yasmine Benz Yasmine Benz (Accounting Executive) COMPLETE FIRE & SECURITY PROTECTION 24 HOUR SERVICE ANSUL® OSAFETECN- (952) 893-0905 Fax: (952) 835-4742