HomeMy WebLinkAboutACFrOgA49N0NW4Arac_zs4VIP6ngBq2skEtwA1U...-edqMmAEuJZb8TrIzqrPDzjKNg8uooVPOhkRA= Reportof Inspection/Test
NFPA 96 17/17A jr
06/14/2019 1 MPA�G 'r
Property Conducted bfy-Tyler Ferron F"IRE
NORTH ANDOVER COUNTRY CLUB Salem, NH 1752 26 Kampshire Ddve,Hudson,NH 03051
385081 MA CC-005772 (M)293-7531
Building#1:711756 261 Brooks fteeL Abrcestef,MA 0 1606
(60)852-7227
5010 GREAT POND ROAD MW.GETFIREPROTECTIORCOM
NORTH ANDOVER MA 018,45
Jefflsbell
978687-7414
Reference Number: 16140382,
Report, of Inspect'lon/Test for Asset, KIDDE WHDR 400S X2 KITCHEN
Kitchen Hood Informatllon
Manufacturer DIODE Model WHDR 400S
Cylinder,Size Master 400S, Cylinder Size Slave 400S
Last,Hydro 2013 X2 Number of L,inks 51
Appliance Protected" GRIDDLE, Location of Shut Off as co 1 1\2"
FRYER behind
CHAR6RILLJ appliances
SALAMANDE
R, RANGE
Location of Pull Station back door Fuse Link 500 F
Fuel Shut Off Electric True Fuel Shut Off Gas True
Type wet
Protected Applicarices from Left to Right
Appliance 1 Griddle Appliance 2 Fryer
Appliance 3 Oven Appliance 4 Range
Appliance 5 Salamander
QUESTIONS,
All appliances properly covered:w/Gorrect niozzle? Yes Duct and plenum covered w/correct nozzles? Yes,
Check positioning of all nozzles. Yes System installed in,accordance w/MFG UL listing? Yes
Hood'/duct penetrations sealed w1weld or UL device? Yes Check if seals intact,evidence of tampering Yes
Pressure gauge in,proper range(If gauged)? Yes Check cartridge weight If applicable) Yes
Inspect cylinder and mount Yes Operate system from terminal link Yes
Test for proper operation from remote Yes, Check operation of gas,valve Yes
Are the proper nozzle covers In place? Yes Replaced fuse links with new ciale rod ar year links? Ye s
Check travel of cable nuts/S-hooks Yes Piping&conduit securely bracketed? Yes,
Exhaust fan in operating order? Ye s Fuel shut-off In on position? Ye s,
Manual&remote set/seals in place? Yes Replace systems covers bus
System operational&seals in place? Yes Slave:system,operatillonal? N/A
Personnel instructed in manual operation of system? ye,s Service&Certification tag on:systern? "bus
Copyright,2019 Inspect Point Page 1 of'6
Meport of Inspection/Test
NFPA 96 17/17A
06/14/2019 IMP,ACT
Property Conducted by:Tyler F'erron
NORTH ANDOVER COUNTRY CLUB Salern, NH 1752 FIRE
26 Hanvshtm Dive,HU40n.NH 03051
385081 MA.CC-005772 (603)293-7531
Building#: 711756 26 1 Brooks Stre st Worcester.MA 0 1 W
(W)852-7227
6�00 GREAT POND ROAD YWOW. EGTFIREPROTECT104COM
NORTH ANDOVER MA 01845
Jeff Isbell
978-687-7414
Reference Number: 1614038,2
Is this system U.L.300 compliant? Yes up air shut down? Ye s
System interlocked with building fire alarm"? Yes Manual Release,Unobstructed? Yes
Proper separation Ib tween,fryers and flame? N/A Fan warning sign on hood? "des
K cl'a,ss fire extinguisher in cooking area? Yes Proper Qty and type of fire extinguishers,at location? Yes
Fire extinguishers properly inspected and serviced? Yes Fire extinguishers last serviced By and date. is 11/18
Suppression sys,tlem is cornpliant? Yes Hood grease!buildup?' Heavy
Hood last cleaned date. 2/19
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