Yelm Senior Center 060807KNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
(360) 786-8606
FAX 786-8722
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ve (^-A f).
Authority Having
Jurisdiction
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LICENSE NO. KNIOHFP044LK TECH 1
SEMI-ANNUAL CONFIDENCE TESTING
RANGE HOOD SYSTEMS
TECH 2
FACILITYINSPE/CTIOtQN�
YES NO N/A
1.
DATTEE
t%
2.
Is cylinder pressure gauge and/or weight at acceptable:levels?
3.
Are all safety tamper seals and devices intact?
ADDRESS
4.
Are there any visible signs that system has been fired or tampered with?
ANNUAL
SEMI-ANNUAL _-
6.
Are all nozzles positioned and angled properly?
7.
All protective blow off caps or nozzle covers have been cleaned and/or replaced?
CITY,
y%E
Checked action on self closing caps?
S TAT
RZIfP,Qc�{_..7PHO
NE -TI.-_5
--'
10.
Tested system actuation with manual pull stations for proper operation?
✓'
11.
All manual actuators are unobstructed and path of egress?
12.
!/.
5
`
Tested gas valve and from mounts and inspect?
OWNER/MANAGER
Tested. micro -switch actuationand/or..manual -reset for_,proper operation?
LAST HYDRO DATE
HYDRO TEST DUE
SIX YEAR MAINTENANCE
-I--
r-- t C
16.
Removed all cylinders from mounts and inspect?
(Note any added maintenance needed:
) ✓
SYSTEM MANUFACTURER
Inspect all chemical agents for contamination?
280
350
Fuse links have been cleaned and/or replaced to the current year?
360
450
500
GAS
ELECTRIC
f� "-k n. 4P l -r.t ,t
r.
'HOT
MODEL
HOODIDUCT �'
FRYER
BROILER
GRILL �
' BURNER
TOP
OTHER
19. Is the hood and duct free from grease accumulation? ,r /
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 d _ YELLOW -/ KNIGHT FIRE PINK -AUTHORITY HAVING JURISDICTION GOLD
-KNIGHTFIRE
SERVICE TECHNICIAN` a CUSTOMER'S` AUTHORIZED AG�E-Nr-
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!
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?
1.4.. -_
Tested. micro -switch actuationand/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? ,r /
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 d _ YELLOW -/ KNIGHT FIRE PINK -AUTHORITY HAVING JURISDICTION GOLD
-KNIGHTFIRE
SERVICE TECHNICIAN` a CUSTOMER'S` AUTHORIZED AG�E-Nr-
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!