HomeMy WebLinkAboutAnsul Inspection Report - Inspection - 757 TURNPIKE STREET 2/2/2021 IMPACT FIFE PRE-ENGINEERED SYSTEM INSPECTION REPORT
IMPACT FIRE SERVICES
44 GARDEN STREET, SUITE 1 Date of service: 02f0212021 01:00 m EST
DANVERS, MA 01923
978.304.1506 Annual / Semi-Annual / Recharge / Installation / Renovation/Test
® 21
Customer/Location System Information:DT 2011
Name: STOP & SHOP # 92 Make:ANSUL
Address: 767 TURNPIKE STREET Model:R102DT
City,ST,zlp: NORTH ANDOVER MA 01845 Size:6 dal SS 2011x2
Owner/Manager STORE MANAGER Control Head Type / Location: UL300 on wall
Phone: (978) 683-9666 Location of Gas Valve:Behind line
Email;
Yes No N/A Yes No N/A
1 System interlocked with building fire alarm ✓ 13 Checked operation of manual release ✓
2 All tamper seals intact.No evidence of tampering ✓ 14 Checked operation of micro-switch ✓
3 All appliances properly covered w/correct nozzles ✓ 1S Checked operation of gas valve (QMECH/❑ELEC) ✓
4 Duct(s)&plenum properly covered w/correct nozzles ✓ 16 Piping/conduit securely braced ✓
5 Filters in place at time of inspection ✓ 17 Nozzles cleaned ✓
6 Pressure gauge in acceptable range Ell ✓ 18 Proper nozzle caps/covers in place Qty 8 ✓
7 Checked cartridge weight ✓ 19 System operational&armed ✓
8 Cylinder within hydrotest date Due 2022x2 ✓ 20 Fan warning sign on hood ✓
9 Inspected cylinder&mount ✓ 21 K-Class fire extinguisher in cooking area ✓
10 Checked operation of detection line ✓ 221mpact Fire sticker on Automan ✓
119 of fusible links 360 450 500` other o 23 Service&certification tag on system ✓
12 Replaced fusible links 1711[]1[724 System meets U.L.300 Standards ✓
Cooking Appliances(left to right)
2 fryer, Rotisserie
Safety Notice:Non-compliant systems may fail to extinguishisuppress a fire.Below are non-compliant conditions which require immediate attention.Impact
Fire Services assumes no responsibility for system performance if these conditions are not corrected and/or verified by an authorized agent of Impact Fire
Services.
Comments/Non-Compliance:
Impact Fire Services Agent: Date: 02/02/2021 01:00 M EST
Anthony LaFauci
Customer's Authorized Agent: Date: 02/02/2021 01:00 m EST
If testing for Authority Having Jurisdiction:
AHJ Print: Testing Date:
AHJ Signature: Jurisdiction:
MACR 4612