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Home My WebLink About2010-07-08 Kitchen Hood Fire Inspection Reports - Northland Fire & Security Kitchen Hood Fire /stem Inspection & &intenance Report DATE OF SERVICE I TIME A.M. P.M. 1 +� : k - 4;b ANNUAL SEMI-ANNUAL I RECHARGE INSTALLATION I RENOVATION t No rthland : I LOCATION OF SYSTEM CYLINDERS Fine & Sec NUMBER � MANUFACTURER MODEL NUMBER WET CHEMICAL DRY CHEMICAL Your Life Safety Specialists ' t ' `- l t 'Z x CY NDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE 4445 W. 77th St., Suite 125, Minneapolis, MN 55435 (952) 893.0905 MANIFOLDED PIRANHA WATERFLOW PRESSURE ❑ YES X NO Name FUSE LINKS 360 °F FUSE LINKS 450 °F FUSE LINKS 500 -F I OTHER Address ,.: rt ;.:. +t✓- , , ✓ MECHANICAL GAS VALVE(S) & SIZE(S) ELECT. GAS VALVE(S) & SIZE(S) I MANUAL RESET RELAY City'" # ��' Z( V ❑ YES ❑ NO SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE Telephone . «" `+ - Store No. �< , {; ya r MANUFACTURER'S MANUAL REFERENCE Owner or Mana �_. � � t- , �• -- r NOTE: NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISH/ SUPPRESS A FIRE. COOKING APPLIANCE LOCATIONS & SIZES. LEFT TO RIGHT YES WA YES NO WA 1. System interlocked with building fire alarm El 20. Proper separation between fryers & flame ,�❑ El 2. Duct and plenum covered with correct nozzles � ❑ ❑ 21. Proper clearance -flame to filters �❑ El 3. Check positioning of all nozzles �❑ ❑ 22. Exhaust fan in operating order XEI ❑ 4. System installed per U.L. 300 standard & meets 23. All filters replaced ❑ manufacturers U.L. listing & N.F.P.A. standards '1S❑ ❑ 24. Fuel shut -off in on position ❑ ❑ 5. Hood/duct penetrations sealed with weld or UL device Q ❑ 25. Manual & remote set/seals in place O❑ ❑ 6. Check if seals intact, evidence of tampering ❑ 0' ❑ 26. Replace system covers ,0" ❑ ❑ 7. Pressure gauge in proper range (if gauged) ❑ ❑ 0` 27. System operational & seals in place f5 ❑ ❑ 8. Check cartridge weight (if applicable) r� ❑ ❑ 28. Slave system operational ❑ ❑ - 9. Dry system 6 year maintenance date/ wet system 29. Clean cylinder & mount e ❑ ❑ 12 year hydro -test date /175 ❑ ❑ 30. Fan warning sign on hood 0 ❑ 10. Inspect cylinder and mount �J ❑ ❑ 31. Proper signage and personnel instructed in 114.Operate system from terminal link fl ❑ ❑ manual operation of system Z E] ❑ 2 est for proper operation from remote ,E�❑ El 32. Proper hand portable extinguishers 'O Ll ❑ 13. Check operation of micro switch 7 ❑ ❑ 33. K class fire extinguisher in cooking area Z El ❑ 14. Check operation of gas valve E�'❑ ❑ 34. Portable extinguishers properly serviced ;❑ ❑ 15. Clean nozzles ❑ 35. Service & Certification tag on system Zr[] ❑ 16. Proper nozzle covers in place ❑ 36. Safety chains on all gas appliances attached and secured 2"❑ ❑ 17. Replaced fuse links ❑ ❑ 37. Status of grease In a hood and duct opening 18. Check travel of cable 1 L1 El Clean Light ,Medium El Heavy El Excessive 19. Piping & conduit securely bracketed ❑ ❑ NOTE DISCREPANCIES OR DEFICIENCIES BELOW COMMENTS: ir'' ✓ c- ' `� t- t- f r r -, C . ' t 1 f c. s eC �~ ttr /{ On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of NFA.k 17, 17A, 96 and th manufacturer's manual and was operated according to these procedures with r ults indicated above. X SERVICE TECH NI � PERMIT NO. DATE: TIME: AM PM CUSTOti ERS AUTHORIZ _NT �ie above service tech ' 'an certifiel,,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 & Slintenance Report DATE OF SERVICE TIME I A.M. I P.M. r., ./ ice.: ANNUAL SEMI - ANNUAL RECHARGE I INSTALLATION I RENOVATION No rthland = LOCATION OF SYSTEM CYLINDERS F ire MANUFACTURER MODEL NUMBER WET CHEMICAL DRY CHEMICAL Your Life Safety Specialists I CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE 1. 4445 W. 77th St., Suite 125, Minneapolis, MN 55435 (952) 893.0905 MANIFOLDED PIRANHA WATERFLOW PRESSURE El YES ® NO Name i : �.. , r :_ ; ��:. , - , � ..- FUSE LINKS 360 - F FUSE LINKS 450 °F FUSE LINKS 500 °F I OTHER Address � ' ;�:` 7 k t MECHANICAL GAS VALVE(S) & SIZE(S) I ELECT. GAS VALVE(S) & SIZE(S) MANUAL RESET RELAY City ❑ YES ❑ NO SERIAL NUMBER I LAST HYDRO TEST DATE LAST RECHARGE DATE.. Telephone-: , r Store No. i, `` i 1 MANUFACTURER'S MANUAL REFERENCE Owner or Manager NOTE: NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISW SUPPRESS A FIRE. COOKING APPLIANCE LOCATIONS & SIZES. LEFT TO RIGHT YES-NO WA YES NO WA 1. System interlocked with building fire alarm '41 ❑ ❑ 20. Proper separation between fryers & flame ❑ ❑ 7 2. Duct and plenum covered with correct nozzles ,K ❑ ❑ 21. Proper clearance -flame to filters Z ❑ ❑ 3. Check positioning of all nozzles ,Z ❑ ❑ 22. Exhaust fan in operating order 1 ❑ ❑ 4. System installed per U.L. 300 standard & meets 23. All filters replaced 21' ❑ ❑ manufacturers U.L. listing & N.F.P.A. standards ❑ ❑ ❑ 24. Fuel shut -off in on position 2' ❑ ❑ 5. Hood/duct penetrations sealed with weld or UL device -2' ❑ ❑ 25. Manual & remote set/seals in place Z ❑ ❑ 6. Check if seals intact, evidence of tampering ❑ La ❑ 26. Replace system covers K] ❑ ❑ 7. Pressure gauge in proper range (if gauged) ❑ ❑ ❑` 27. System operational & seals in place .El ❑ ❑ 8. Check cartridge weight (if applicable) 0 ❑ ❑ 28. Slave system operational ❑ ❑ 9. Dry system 6 year maintenance date/ wet system 29. Clean cylinder & mount 2�❑ ❑ 12 year hydro -test date .P7" ❑ ❑ 30. Fan warning sign on hood 2r ❑ ❑ 10. Inspect cylinder and mount ,8 ❑ ❑ 31. Proper signage and personnel instructed in 11. Operate system from terminal link 1 ❑ ❑ manual operation of system .0` ❑ ❑ E12 for proper operation from remote ,Z ❑ ❑ 32. Proper hand portable extinguishers eO ❑ 13. Check operation of micro switch Zl'❑ ❑ 33. K class fire extinguisher in cooking area Z ❑ 14. Check operation of gas valve Z ❑ ❑ 34. Portable extinguishers properly serviced e' ❑ ❑ 15. Clean nozzles C<7 ❑ ❑ 35. Service & Certification tag on system eEl ❑ 16. Proper nozzle covers in place L7 ❑ ❑ 36. Safety chains on all gas appliances attached and secured 8' ❑ ❑ 17. Replaced fuse links ❑ ❑ 37. Status of greas p buildup in the hood and duct opening 18. Check travel of cable El ❑ Clean .Light "ediurn ❑ Heavy ❑ Excessive 19. Piping & conduit securely bracketed ❑ ❑ NOTE DISCREPANCIES OR DEFICIENCIES BELOW? COMMENTS' _ ' i .- On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of 0RQ 17, 17A, 96 and t e manufacturer's manual and was operated according to these procedures with restAs indicated above. SERVICE TECHNICIAN - PERMIT NO. DATE: TIME: AM PM CUSTOMf_RS AUTHORIZED AGENT ( The above service chnician certifies at the system was personally inspected and found conditions to be as indicated on this report. WHITE - CUSTOMER___ • YELLOW - DISTRIBUTOR PINK - AUTHORITY HAVING JURISDICTION North gV uZ Fire & Your Life Safety Specialists 4445 W. 77th Street, Suite 125 Minneapolis, MN 55435 Wednesday, August 11, 2010 Jim Butler (li Cie � City of Oak Park Heights 14168 Oak Park Blvd P.O. Box 2007 Oak Park Heights, MN 55082 -2007 Dear Jim: Enclosed are the kitchen hood fire system inspection reports. Thank you for your time. If you have any comments or questions please call me at (952) 893 -0905. Sincerely, Ian Skule Ian Skule (Service Manager) COMPLETE FIRE & SECURITY PROTECTION 24 HOUR SERVICE ANSUL® � nraFEO (952) 893 -0905 Fax: (952) 835 -4742 ,��.