HomeMy WebLinkAboutANSUL System Inspection Report - Correspondence - 757 TURNPIKE STREET 8/1/2019 Report of Inspection/Test
Semiannual NFPA 9617117A IMPACT
08101/2019
Property Conducted by: Robert Senesi FIRE
STOP&SHOP#92 RI JFE-221 26 Hampshfre Drive.Hudson,NH 0051
110073 MA CC-005662 (603)29a-7531
281 Books Street,Norcesler,MA 018436
Building#:312311 (503)852-7227
767 TURNPIKE STREET +A"NN.GETFIREPROTECTION COM
NORTH ANDOVER MA 01845
STORE MANAGER
978-683-9666
Reference Number: 16883590
Report of Inspection/Test for Asset.=ANSU L R102 6G
Kitchen Hood Information
Manufacturer ANSUL Model R102
Cylinder Size Master 3 GAL Cylinder Size Slave 3 GAL
Serial Number dt 2010 Last Hydro 2001X2
Number of Links 4 Appliance Protected ROTISSERIE,
FRYER
Location of Shut Off 2"ansul Location of Pull Station entrance door
above ceiling
Fuse Link 360 F Fuel Shut Off Electric True
Fuel Shut Off Gas True Type Wet
Protected Applicances from Left to Right
Appliance 1 Fryer Appliance 2 Rotisserie
QUESTIONS
All appliances properly covered wlcorrect nozzle? Yes Duct and plenum covered wlcorrect nozzles? Yes
Check positioning of all nozzles. Yes System installed in accordance w1MFG UL listing? Yes
is Haodlduck penetrations sealed wlweld or UL device? Yes Check if seals intact,evidence of tampering Yes
Pressure gauge In proper range(If gauged)? NIA Check cartridge weight(If applicable) Yes
k
Inspect cylinder and mount Yes Operate system from terminal link Yes
Test for proper operation from remote Yes Check operation of gas valve Yes
i
Are the proper nozzle covers in place? Yes Replaced fuse links with new calendar year links? Yes
Check travel of cable nutslS-hooks Yes Piping&conduit securely bracketed? Yes
Exhaust fan in operating order? Yes Fuel shut-off in on position? Yes
Manual&remote set/seals in place? Yes Replace systems covers Yes
System operatlanai&seals in place? Yes Slave system operational? Yes
Personnel instructed in manual operation of system? Yes Service&Certification tag on system? Yes
Is this system U.L.300 compliant? Yes Does the makeup air shut down? Yes
System interlocked with building fire alarm? Yes Manual Release Unobstructed? Yes
Proper separation between fryers and flame? Yes Fan warning sign on hood? Yes
Copyright 2019 Inspect Point Pagel of 6
Report of Inspection/Test
Sernlannual NFPA 9617117A - IMPACT
08l0112019
Property Conducted by: Robert SenesiFIRE
STOP&SHOP#92 RI JFE-221 26 Hampshire Odve,Hudson.HH 03051
110073 MA CC-005662 (603)2937531
tot brooks SL—t,W.a"Ster,IJA01606
Building#:312311 h'MN.GETF I(T5PR ROT
� 1R F R E0TE E CT i 0 N.COFA
767 TURNPIKE STREET
NORTH ANDOVER MA 01845
STORE MANAGER
978-683-9666
Reference Number: 16883590
K class fire extinguisher in rocking area? Yes Proper Qly and type of fire extinguishers at location? Yes
Fire extinguishers properly inspected and serviced? Yes Fire extinguishers last serviced By and date. impact3119
Suppression system is compliant?
Yes Hood grease buildup? Normal
Flood last cleaned date. 1118
I.
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