HomeMy WebLinkAbout2019-02-11 Nardini Wet Fire Protection Inspecton & Testing Report F4) Nardini
FIRL LOUIPMENT
www.nardinifire.com/sales@nardinifire.com Saint Paul,MN
WET AGENT FIRE SUPPRESSION SYSTEM INSPECTION AND TESTING REPORT
Work Site#: 15462 Service Ticket#:ST00111498
Name of Facility: ARBY'S-#6848 OAK PARK HGTS Installation/Service Report Date:02/11/2019
Street Address: 5990 NEAL AVE N Time In: 09:02am Time Out: 09:35am
Last Maintenance Date: 2018-08-11
City:OAK PARK HEIGHTS State: MN Zip:55082 last Maintained By:GH
Auth.Contact: Geppert,Glen Phone: 6513510901 System 1 of 1 System location:Left of hood
Suppression System Type Panel Type(electrical only)
Manufacturer:Ansel Model:R102 Manufacturer: Serial#: Rev#:
Type of Agent:Wet Agent Serial#:R458071 Model:
Water flow connection: Waterline union above system tank: Lockable valve accessible?
Water flow pressure_PSI Tamper Switch Functions:Gas shutdown_Electrical appliance shutdown_Alarm_Forced exhaust_Makeup air_Other_
CONTROLIRELEASE DATA
Last
Mfg Internal #of Actuator Damage/
Manufacturer Mech/Elec Model Year Test Actuators Location Model Conosion
Mechanical PDA
EXPELLANT GAS LINE
Distance
Leak Damage/ within Inspected/
Expellant Line Material Test Hose Dates Corrosion Limit Cartridge Type Date Weight Replaced
Rubber Pass 2010 No Pass 101-20 6/2010 41 7/8 oz Inspected
TANK/CYLINDER DATA
Pressure
Gauge in
Proper
Last Range/
Mfg Internal Cylinder Valve #of #of Coverage Damage/
Manufacturer Model Date Test Full Model Manifold?Nozzles IPI Flows Area Corrosion Serial#
Ansel R102 2010 2010 Pass No 5 Fail 9 Entire Hazard No
NOZ7I.PS
Plenum Duct Range Griddle Fryer Broiler Up.Broiler_ Chain Broiler_
Salamander Wok Tilt Skillet Kettle Pizza Oven Other
DETECTION DATA
Mechanical/ Temp of Type of Links/Tubing
Electric/Pneumatic #of Detectors Detector Detector #Replaced Operates Release Detector Housing Model Damage/Corrosion
Mechanical 1 500 Link Yes Pass Series No
Nardini
FARE E UI MiE I
www.nardinifire.com / sales@nardinifire.com
REMOTE RELEASE DATA
Mechanical/ Height from Floor Distance from Hood Damage/
Electric/Pneumatic Manufacturer Operable? (Inches) At Pt. of Egress (Feet) Corrosion
Mechanical Ansul Fail 42 Pass 6 No
GAS VALVE DATA
Manual
Mechanical/ Size Reset Damage/
Electric/Pneumatic Manufacturer (Inches) Location Relay Operable If no, why? Corrosion
Mechanical Ansul 1 1/4 Ceiling top the table Yes Yes No
ELECTRICAL FUNCTIONS
Micro/ Switch Breaker/ Damage/
Function Pressure Operates Relay Breaker/Relay Location Corrosion
Appliances Micro Yes Relay No
NOTIFICATION/ANNUNCIATION
Dials
Out or Signals Building Monitor Co. System
Alarmed Local Received Fire Panel Location Monitoring Company Phone# Account#and password Normal
System/Hazard Inspection Yes/No/NA Comments
1. Blow off caps replaced/Nozzle seals? Yes
2. Filters installed and in good condition? Yes
3. System installed utilizing good construction practices? Yes
4. Hood penetrations sealed with UL listed device? Yes
5. Hazard changes? No
6. System installed per manufacturer specifications? Yes
7. System complies with all local codes and standards? Yes
8. System meets UL300 listing? Yes
9. System red tagged? No
10. Proper hand portable extinguisher near hood & serviced? Yes
Comments:
Lead Hernandez, G
2nd
Nardini Fire Technician Customer/ Authorized Agent—Printed Name Customer/ Authorized Agent - Signature
2