Easthaven 6-8-07 InspectionKNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW'
OLYMPIA, WA 98512-9188
FAX 0
AX 786-8622 RFCF
LICENSE NO. KNIGHFP044LK
i
Authority Having
Jurisdiction
TECH 1 TECH 2
SEMI-ANNUAL CONFIDENCE TESTING
RANGE HOOD SYSTEMS
FACILITY 1
t J
YES i NO N/A
INSPECTION DATE
Is system connected to building alarm or otherwise monitored?
2.
Is cylinder pressure gauge and/or weight at acceptable levels?
ADDRESS t � �
("��
Are all safety tamper seals and devices intact?
ANNUAL
SEMI -ANNUALS -
` 1 e� C
5.
Check hazards against nozzle layout?
cAMP/"
CITY
Are all nozzles positioned and angled properly?
STATE
WA
ZIP
cM-q7
PHONE
TIME
1X00
Checked action on self closing caps?
PM
OWNER/MANAGER
Tested system actuation with terminal link for proper operation?
LAST HYDRO DATE
HYDRO TEST DUE
Tested system actuation with manual pull stations for proper operation?
SIX YEAR MAINTENANCE
SYSTEM MANUFACTURER
All manual actuators are unobstructed and path of egress?
280
350
360.450
500
GAS
ELECTRIC
Raw,q0
Tested micro switch actuation and/or manual reset for proper operation?
15.
Verified all cooking appliances are operational?
✓
16.
Removed all cylinders from mounts and inspect?
MODEL J
(Note any added maintenance needed:
HOOD/DUCT
`
FRYER
BROILER
GRILL
BURNERS/
"HOT TOP
OTHER
5- 1 s A L W f
Is the hood and duct free from grease accumulation?
L.
20.
Checked exhaust fan operation and proper air flow?
�-'�
✓�
Current service tag on the system and pull station?
✓'
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
YES i NO N/A
1.
Is system connected to building alarm or otherwise monitored?
2.
Is cylinder pressure gauge and/or weight at acceptable levels?
3.
Are all safety tamper seals and devices intact?
,✓�
4.
Are there any visible signs that system has. been -fired or tampered with?
5.
Check hazards against nozzle layout?
✓
6.'
Are all nozzles positioned and angled properly?
—�
7.
All protective blow off caps or nozzle covers have been cleaned and/or replaced?
8.
Checked action on self closing caps?
9.
Tested system actuation with terminal link for proper operation?
10.
Tested system actuation with manual pull stations for proper operation?
✓
11.
All manual actuators are unobstructed and path of egress?
12.
Tested gas valve and cable actuation for proper operation?
13.
Tested gas valve and from mounts and inspect?
/
14.
Tested micro switch actuation and/or manual reset for proper operation?
15.
Verified all cooking appliances are operational?
✓
16.
Removed all cylinders from mounts and inspect?
(Note any added maintenance needed:
17.
Inspect all chemical agents for contamination?
18.
Fuse links have been cleaned and/or replaced to the current .year?
19.
Is the hood and duct free from grease accumulation?
✓
20.
Checked exhaust fan operation and proper air flow?
L
21.
Current service tag on the system and pull station?
✓'
22.
All new tamper seals and devices are intact?
✓`�
23.
Proper hand extinguishers are properly serviced and certified?
✓
Problems
portable
Found:
E a
On this date, the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA standards and the
manufacturer's O&M manual. This system was operated according to these procedures with results indicated above.
WHITE -CUSTOMER YELLOW-KNIGHTFIRE PINK- AUTHORITY HAVING JURISDICTION
r.
g
GOLD -KNIGHT FIRE
SERVICE TECHNICIAN `� CUSTOMER'SIAUTIIORIZED AGENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"