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HomeMy WebLinkAbout2011-01-13 Kitchen Hood Fire Inspection Reports - Northland Fire & Security Kitchen Hood Fire System Inspection & Maintenance Report DATE OF SERVICE TIME A.M. P.M. \ I- (s a,: 1\ v ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION Northland LOCATION OF SYSTEM CYLINDERS i Fine & Security MANUFACTURER MODEL NUMBER WET CHEMICAL DRY CHEMICAL Y 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 MANIFOLDED PIRANHA WATERFLOW PRESSURE Name 1 ` el 1 1 ' C El YES ❑ NO FUSE LINKS 360 °F FUSE LINKS 450 °F FUSE LINKS 500 °F OTHER Address •7 `' `�1- .:. A L. c- 1 V 1 MECHANICAL GAS VALVE(S) & SIZE(S) ELECT. GAS VALVE(S) & SIZE(S) MANUAL RESET RELAY v�_ Y Gl fi� - , r ' I) ❑ YES ❑ NO City � � � t�,1 - .' C ._* r SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE Telephone r -' -(3`l 17 % -, 6 Store No. l Z 1 3 e -Fr Owner or Manager M 't ^�C # MANUFACTURER'S MANUAL REFERENCE NOTE: NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISH/ SUPPRESS A FIRE. COOKING APPLIANCE LOCATIONS & SIZES: LEFT TO RIGHT YES NO WA YES NO WA 1. System interlocked with building fire alarm ❑ ❑ © 20. Proper separation between fryers & flame L7 LI ET 2. Duct and plenum covered with correct nozzles .l ❑ ❑ 21. Proper clearance -flame to filters CyJ 4 ❑ 3. Check pbsitioning otrall`nozzles ,l I ❑ 22. Exhaust fan in operating order ,4 ❑ ❑ 4. System installed per U.L. 300 standard & meets 23. All filters replaced 4 ❑ ❑ manufacturers U.L. listing & N.F.P.A. standards 4n ❑ ❑ 24. Fuel shut -off in on position A ❑ ❑ 5. Hood/duct penetrations sealed with weld or UL device Z ❑ ❑ 25. Manual & remote set/seals in place / ❑ ❑ 6. Check if seals intact, evidence of tampering ❑ 2 l ❑ 26. Replace system covers ,E ❑ ❑ 7. Pressure gauge in proper range (if gauged) ❑ ❑ K 27. System operational & seals in place , I ❑ LI 8. Check cartridge weight (if applicable) e] ❑ ❑ 28. Slave system operational ❑ ❑ 6 9. Dry system 6 year mainten O,ce date/ wet system 29. Clean cylinder & mount Z ❑ ❑ 12 year hydro -test date 1 ,e ❑ ❑ 30. Fan warning sign on hood Z LI ❑ 10. Inspect cylinder and mount 4 ❑ ❑ 31. Proper signage and personnel instructed in 11. Operate system from terminal link ,K ❑ ❑ manual operation of system 4 ❑ ❑ 12. Test for proper operation from remote / ❑ ❑ 32. Proper hand portable extinguishers ,6 ❑ ❑ 13. Check operation of micro switch ,©❑ ❑ 33. K class fire extinguisher in cooking area Z ❑ ❑ 14. Check operation of gas valve -el ❑ ❑ 34. Portable extinguishers properly serviced ,1 ❑ ❑ 15. Clean nozzles ,PJ ❑ ❑ 35. Service & Certification tag on system X❑ ❑ ❑ 16. Proper nozzle covers in place 4 ❑ ❑ 36. Safety chains on all gas appliances attached and secured E ❑ ❑ 17. Replaced fuse links 4 ❑ ❑ 37. Status of grease buildup in the hood and duct opening 18. Check travel of cable tl ❑ ❑ ❑ Clean ❑ Light 'peMedium ❑ Heavy ❑ Excessive 19. Piping & conduit securely bracketed p ❑ ❑ 7 NOTE DISCREPANCIES OR DEFICIENCIES BELOW * COMMENTS: ., \\ <^ ' � 131,0;, � _ " ; On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of NFPA 1 , 1 A,, and the manufacturer's manual and was operated according to these procedures with results indicated above. SERVICE TEC9-INICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS 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 Kitchen Hood Fire System Inspection & Maintenance Report DATE OF SERVICE TIME A.M. R.M. t - t '' }} - _ alp y ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION '91.. Northland Z LOCATION OF SYSTEM CYLINDERS Fine & Security' NU MANUFACTURER J � MA MO NUMBER WET CHEMICAL DRY CHEMICAL 1 ::) . NU 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 -;. -; eA\ MANIFOLDED PIRANHA WATERFLOW PRESSURE Name 0 tc .! t. % 5- ❑ YES ❑ NO FUSE LINKS 360 °F FUSE LINKS 450 °F FUSE LINKS 500 °F OTHER Address ' •`' N ,' °° A v,* 3 ---) { ! . ., ., MECHANICAL GAS VALVE(S) & SIZE(S) ELECT. GAS VALVE(S) & SIZE(S) MANUAL RESET RELAY City _ . < :A,.\ t-$ fciv i $,; t c -- (: A -- ❑ YES ❑ NO • G 1 R SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE Telephone � =' ' 3 4 , c Store No. , r:)‘t Owner or Manager ,,, . (i, , , a MANUFACTURER'S MANUAL REFERENCE ii NOTE: NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISH/ SUPPRESS A FIRE. COOKING APPLIANCE LOCATIONS & SIZES: LEFT TO RIGHT J ,--- I ,.--- r° . t /t+ ff rX {i (\i„,/ t � yri - t(. /.tl YES NO WA YES NO WA 1. System interlocked with building fire alarm ❑ ❑ 20. Proper separation between fryers & flame )11 ❑ ❑ 2. Duct and plenum coveted with correct nozzles .l] Q ❑ 21 Proper clearance -flame to filters A ❑ 3. Check positioning of all nozzles D y ❑ 22:` E xhaust fan n order _ "' , ; 7 0 ❑ 4. System installed per U.L. 300 standard & meets 23. All filters replaced ❑ ❑ manufacturers U.L. listing & N.F.P.A. standards / ❑ ❑ 24. Fuel shut -off in on position / ❑ ❑ 5. Hood/duct penetrations sealed with weld or UL device Z ❑ ❑ 25. Manual & remote set/seals in place .Zf ❑ ❑ 6. Check if seals intact, evidence of tampering ❑ CJ ❑ 26. Replace system covers / ❑ ❑ 7. Pressure gauge in proper range (if gauged) ❑ ❑ IA 27. System operational & seals in place 7 ❑ ❑ 8. Check cartridge weight (if applicable) tl ❑ ❑ 28. Slave system operational ❑ ❑ Z 9. Dry system 6 year maintenance date/ wet system 29. Clean cylinder & mount ZT ❑ ❑ 12 year hydro -test date ? ❑ ❑ 30. Fan warning sign on hood C'J ❑ ❑ 10. Inspect cylinder and mount vf ❑ ❑ 31. Proper signage and personnel instructed in 11. Operate system from terminal link J1J ❑ ❑ manual operation of system gr ❑ ❑ 12. Test for proper operation from remote / ❑ LI 32. Proper hand portable extinguishers e ❑ ❑ 13. Check operation of micro switch /J ❑ ❑ 33. K class fire extinguisher in cooking area ,ICJ ❑ ❑ 14. Check operation of gas valve ) ❑ ❑ 34. Portable extinguishers properly serviced •!3 ❑ ❑ 15. Clean nozzles /J ❑ ❑ 35. Service & Certification tag on system 41 ❑ ❑ 16. Proper nozzle covers in place ,,Zr ❑ ❑ 36. Safety chains on all gas appliances attached and secured V1 ❑ ❑ 17. Replaced fuse links Z ❑ ❑ 37. Status of grease buildup in the hood and duct opening 18. Check travel of cable ,6 ❑ ❑ ❑ Clean ❑ Light YMedium ❑ Heavy ❑ Excessive 19. Piping & conduit securely bracketed El ❑ ❑ * NOTE DISCREPANCIES OR DEFICIENCIES BELOW * F Y COMMENTS: r , t __ 4. = .-• 4 , On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of NFPA 17, 17A 9(d' and the manufacturer's manual and was operated according to these procedures with results indicated above. � SERVICE TECHIffCIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS 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 �i Fire &Sectelifyl Your Life Safety Specialists 4445 W. 77th Street, Suite 125 Minneapolis, MN 55435 February 24, 2011 Jim Butler City of Oak Park Heights 14168 Oak Park Blvd P.O. Box 2007 Oak Park Heights, MN 55082 -2007 Dear Jim: Enclosed is the kitchen hood fire system inspection report(s). 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 ( 1 ANSUL® 111111 (952) 893 -0905 Fax: (952) 835 -4742