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HomeMy WebLinkAbout2012-08-29 Northland Kitchen Hood Fire System Inspection & Maintenance Report Kitchen Hood Fire System Inspection & Maintenance Report DATE OF SERVICE TIME A.M. P.M. oteENDAgt. . ( SEMI-ANNUAL L ` I w c° N 0 RT H L A N D ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION � �,) 5 ■ F I R E & S E C U R I T Y "'" LOCATION OF SYSTEM CYLINDERS 990 Lone Oak Road, Suite 114 Eagan, MN 55121 MANUFACTURER MODEL NUMBER WET CHEMICAL DRY CHEMICAL Phone: (651) 287 -8555 i ; Fax: (651) 287 -8540 CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE www.nfs- mn.com 4 . z MANIFOLDED PIRANHA WATERFLOW PRESSURE ❑ YES )I NO Name' t FUSE LINKS 360 °F FUSE LINKS 450 °F FUSE LINKS 500 °F OTHER Address / 39 3 to Lcry t -c:-✓€ S , - All MECHANICAL GAS VALVE(S) & SIZE(S) ELECT. GAS VALVE(S) & SIZE(S) MANUAL RESET RELAY City '._ ,. , , ❑ YES ❑ NO SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE Telephone _- Store No. Owner or Manager MANUFACTURER'S MANUAL REFERENCE NOTE: NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISH/ SUPPRESS A FIRE. COOKING APPLIANCE LOCATIONS & SIZES: LEFT TO RIGHT r - , / YES NO N/A YES NO WA 1. System interlocked with building fire alarm a ❑ ❑ 20. Proper separation between fryers & flame 0 ❑ ❑ 2. Duct and plenum covered with correct nozzles 0 ❑ 21. Proper clearance -flame to filters ❑ ❑ ❑ 3. Check positioning of all nozzles ❑ ❑ 22. Exhaust fan in operating order ❑ ❑ I 4. System installed per U.L. 300 standard & meets 23. All filters replaced Q ❑ ❑ 1 manufacturers U.L. listing & N.F.P.A. standards E3" " ❑ 24. Fuel shut -off in on position ti ❑ ❑ 5. Hood /duct penetrations sealed with weld or UL device &7 ❑ ❑ 25. Manual & remote set/seals in place El ❑ ❑ 6. Check if seals intact, evidence of tampering ❑ ® ❑ 26. Replace system covers L ❑ ❑ 7. Pressure gauge in proper range (if gauged) ❑ ❑ El 27. System operational & seals in place © ❑ ❑ 8. Check cartridge weight (if applicable) ❑ ❑ ❑ 28. Slave system operational Q ` ❑ ❑ 9. Dry system 6 year maintenance date/ wet system 29. Clean cylinder & mount D `❑ ❑ 12 year hydro -test date ❑, ❑ ❑ 30. Fan warning sign on hood ❑ ❑ ❑ 10. Inspect cylinder and mount Et ❑ ❑ 31. Proper signage and personnel instructed in 11. Operate system from terminal Zink Ca ❑ ❑ manual operation of system ,J ❑ ❑ 1 I 12. Test for proper operation from remote ❑10 ❑ .' 32. Pfoper hand portable extinguishers ❑ B'`❑ 13. Check operation of micro switch D" ❑ ❑ 33. K class fire extinguisher in cooking area f=] ❑ ❑ 14. Check operation of gas valve ID" ❑ ❑ 34. Portable extinguishers properly serviced 0 ❑ ❑ 15. Clean nozzles ,0 ❑ ❑ 35. Service & Certification tag on system PJ LI ❑ 16. Proper nozzle covers in place El ❑ ❑ 36. Safety chains on all gas appliances attached and secured 0 ❑ ❑ 17. Replaced fuse links Zi:O 17 37. Status of grease buildup in the hood and duct opening 18. Check travel of cable IC ❑ D.tlean ❑ Light ❑ Medium ❑ Heavy ❑ Excessive 19. Piping & conduit securely bracketed , D ❑ ❑ * NOTE DISCREPANCIES OR DEFICIENCIES BELOW * COMMENTS: ►∎ 10 t2C., t ¥tn Str f t2. tt k k _ < - On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of NFP.A 17, 17A, 96 and te manufacturer's manual and was operated according to these procedures with results indicated above. , v )) ( I / X �,r , SERVICE TECHNICIAN -, PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT The above service technician certifie4 that the system was personally inspected and found conditions to be as indicated on this report. WHITE - CUSTOMER • YELLOW - DISTRIBUTOR • PINK - AUTHORITY HAVING JURISDICTION - - pENDAe �.g 1141. ( NORTHLAND 7 :. S F I R E & S E C U R I T Y 990 Lone Oak Road, Suite 114 Eagan, MN 55121 October 3, 2012 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 (651) 287 -8555. Sincerely, Ian Skule [RE.¼EVED Ian Skule (Service Manager) OCT — 4 ?n'? City of Oak Park Heights --- ---'4M PM COMPLETE FIRE & SECURITY PROTECTION 24 HOUR SERVICE (651) 287 -8555 Fax: ( 651) 287 -8540 ANSUL® p k www.nfs - mn.com r��s