Puerta Vallarta 0908KNIGHT FIRE PROTECTION, 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
TRANSMITTAL
DATE: October 27, 2008
1 JOB NO.
ATTENTION: Building Official
REFERENCE:
Semi- Annual Suppression System Testing
7130
COPIES
DATE
NO.
DESCRIPTION
1
7130
1
Chinese Wok
1
7/30
1
Bar Cinco
1
7130
1
Yelm Senior Center
1
9116
1
Puerta Vallarta
THESE ARE TRANSMITTED FOR YOUR USE.
REMARKS:
COPY TO FILES
SIGNED Amy
IF ENCLOSURES ARE NOT AS DESCRIBED, PLEASE NOTIFY US AT ONCE,
RECO LVED
F9 z IN
2 8 2006
a�A JOU
KNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
(360) 786--8606
FAX 786-8722
"ON GUARD LICENSE NO. KNIGRFP044LK
24 HOURS A DAY"
\ C` L V,j
Authority Having
Jurisdiction
-4-
TECH 1 TECH 2
SEMI-ANNUAL CONFIDENCE TESTING
RANGE HOOD SYSTEMS
FACILITY PLA _INSPECT
112 t, ALC,"1,e
ON DATE
'-It,-�6 1;�
ADDR,,ESS
r
0 E-- w
ANNUAL
SEM ANNUAL
X
CITY
STATE 1.ZIP
PHONE
TIME
AM
PM
OWNER/MANAGER
-r) /�F
LAST HYDRO DATE
HYDRO TEST DUE
SIX YEAR MAINTENANCE
i 4'T IC
IC
SYSTEM MANUFACTURER
280
350
360t
450
500
GAS
ELECTRIC
1
1
2
MODEL
1 Z
_ /
�k �. �i
HoODIDUCT
FRYER
X
BROILER
GRILL
BURNERS
HOT TOP
OTHER
U% L
�`C
>C
,
1_
YES NO NIA
1. Is system connected to building alarm or otherwise monitored?
2. Is cylinder pressure gauge and/or weight at acceptable Ievels?
3. Are all safety tamper seals and devices intact?
4. Are there any visible signs that system has been fired or tampered with? 1�
5. Check hazards against nozzle layout? f
6. Are all nozzles positioned and angled properly? Z__'-
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? �C
14. Tested micro switch actuation and/or manual reset for proper operation? _ �}-
--15. Verified—dfKmaking7applia4cel; 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? X,
19. Is the hood and duct free from grease accumulation? >e
20. Checked exhaust fan operation and proper air flow? _'
21. Current service tag on the system and pull station.? x,
22. All new tamper seals and devices are intact? >C
23. Proper hand portable extinguishers are properly serviced and certified? .5
Problems Found: C -Ttr"7Li f-)
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 tIRISDICr10N GOLD -KNIGHT FIRE
/ S5RVICE-TECHNICIAN CUSTOMER'S AUTHORIZED AC4,ENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
OCT 2 8 200