HomeMy WebLinkAboutPre Engineered System Inspection Report - Inspection - 435 ANDOVER STREET 10/5/2020 I PAC
M T FIRE
I EERED SYSTEM INSPECTION REPORT
IMPACT FIRE SERVICES
44 GARDEN STREET,
SUITE 1 Dat � Service: � � � r EST
DACE S� CIA 0 1923
. AnnualSemi-Annual Recharge InstallationRenovation Test
978304.1506 El D El 1:1 0 1:1
Customer/Location System in ormation:DT 0 4/18 1 Su P P 1
Name-, rt s N,An o r 127Il ya
s l
Address. 4Qw Andover � . Model. R1 02DT
cis 1-,zip. North Andover MA 01845 Si
. STX2
Owner Manager Control lead Type 1 Location: 3 n wall
Phone: Location of Gas Valve:Behind i i ne
Email:
Yes No l` Yes No N/A
1 System interlocked with building fire alarm H 13 Checked operation of manual release Lid I
All tamper seals intact. No evidence of tampering 4 Checked ed operation of micro-switch
3 All appliances properly covered v/correct nozzles 15 Checked operation ofgas valve (R] E H [:]ELE )
4 Duct(s)& plenum properly covered w correct nozzles Piping/conduit securely braced
5 Filters in place at time of inspection � Nozzles le gleanedI L
6 Pressure gauge in acceptable range 1 Proper nozzle.caps/covers in place tLLLL
7 ho led cartridge weight
gl t System operational armed �
Cylinder within h drotest date Due 2 3/2 31 V I L 20 Fan warning sign on hood
Inspected cylinder&mount 1 K-Class fire extinguisher in cooking area
.. ........
10 Checked operation of detection line 2 2 Allstate Fire Equipment sticker on Auto man �
11##of fusible iinks_!.3 4 .500# ther 23 Service&certification tag on system
12 Replaced fusible lints 24 system meets U.L.300 Standards Iry I 1711 rl
Cooking Appliances(left to right)
Oven, Gas Grill, 41 Stove w/Sal, 36" Store, PC
F
Notice:i on-compliant systerns may fail to exting i h/suppress a#ire.Below are non-co r�pliant conditions which require immediate attention.All State
uipment-A Impact Fire ompany assumes n responsibility+for s rstem perfor ance it these conditions are net corrected and/or verified n
ed agent of All State Fire Equipment-An Impact Fire Company.
Comments Nora-Compliance:
All State Fire Equipment Agent: Date: 2 2 10:00am EDT
Thomas Murphy
Customer's Authors ze d Agent: Date: 1 2 20 10:00am EDT
It testing for Authority Having Jurisdiction:
AHJ Print: Testing Date:
AHD Signature: -- ..:- . Jurisdiction:
MACR 41