East Haven Villa 10212011KNIGHT FIRE PROT'ECT'ION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
360-786-8606
Fax 360-786-8722
CONTRACTOR'S LICENSE NO. # KNIGHFP044LK
"ON GUARD
24 HOURS A DAY"
TO: City of Yelm
P.O. Box 479
Yelm, WA 98597
1
N 0 V 0 9 2.01'
DATE: October 21, 2011 1 JOB NO.
ATTENTION: Building Official
REFERENCE:
Semi- Annual Suppression System Testing
COPIES DATE NO, DESCRIPTION
1 8/25 1 Easthaven Villa
1 9/26 1 Yelm Senior Center
1 9/26 1 Yelm Community Services
THESE ARE TRANSMITTED FOR YOUR USE,
REMARKS:
COPY TO FILES
SIGNED COurtne
IF ENCLOSURES ARE NOT AS DESCRIBED, PLEASE NOTIFY US AT ONCE.
KNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
(360) 786-8606
FAX 786-8722
"ON GUARD LICENSE NO. KNIG14FP044LK
24 HOURS A DAY"
Authority Having
Jurisdiction
TECH 1 TECH 2
SEMI-ANNUAL CONFIDENCE TESTING
RANGE HOOD SYSTEMS
FACILITY
INSPECTION DATE
ADDRESS
ANNUAL
SEMI-ANNUAL
CITY
STATE
ZIP
PHONE
TIME
AM
7M
OWNER/MANAGER
LAST HYDRO DATE
HYDRO TEST DUE
SIX YEAR MAINTENANCE
SYSTEM MANUFACTURER
280
350
360
450
500
GAS
ELECTRIC
MODEL
HOOD/DUCT
FRYER
BROILER
GRILL
BURNERS
HOT TOP
OTHER
YES 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?
21. Current service tag on the system and pull station?
22. All new tamper seals and devices are intact?
23. Proper hand portable extinguishers are properly serviced and certified?
Problems Found:
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 - KNIGHT FIRE PINK - AUTHORITY HAVING JURISDICTION GOLD -KNIGHT FIRE
SERVICE TECHNICIAN CUSTOMER'S AUTHORIZED AGENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"