CLIN 01 VA- NFS-Kitchen Hood 2121- N Ave-FAIL.pdf
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- 36C25926Q0408
About this file
This is a Kitchen Hood Fire Inspection Report for the VA Medical Center in Grand Junction, Colorado, dated March 17, 2026, performed by Integrity Fire Safety Services.
The inspection covers an ANSUL-R 102 wet chemical cartridge fire suppression system protecting the non-food service (NFS) kitchen hood. The system includes an alarm shunt configuration with a 2-gallon cartridge manufactured in 2020, cartridge weight of 5/8 ounce, and a 6-year hydrostatic test due date of 2030. The hood dimensions are 20 feet by 5 feet 6 inches with a 4/12 by 15-inch duct size. The system covers multiple appliances including a flat top stove (36x36 inches), steamer, cookpot, turbo chef microwave, and convection equipment, protected by nozzles designated as 4/2W and 41N. All inspection checklist items passed, including fusible link testing and system activation, manual pull station operation, electrical shutdown verification, exhaust and make-up air functionality, nozzle coverage verification, and proper blown down procedures. The inspection interval is semi-annual. One critical deficiency was identified: the Kitchen Class K fire extinguisher requires 6-year hydrostatic service and is currently non-compliant. General notes indicate the ANSUL hood system is fully functional. The primary contact is Tia Clemmer, Healthcare Engineer, at 970-852-7243.
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JURISDICTION GRAND JUNCTION FIRE
BUILDING/PROPERTY NAME VA MEDICAL CENTER (NFS KITCHEN HOOD)
STREET, CITY,STATE, ZIP CODE 2121 NORTH AVE GRAND JUNCTION CO 81501
KITCHEN HOOD FIRE INSPECTION REPORT
JOB NUMBER
PO NUMBER (IF ANY) NA
DATE PERFORMED 3/17/2026
INSPECTOR(S) INITIALS JJ/CR
42102653
TITLE HEALTHCARE ENGINEER TITLE
PHONE NUMBER 970-852-7243 PHONE NUMBER
TIA CLEMMER NAME NANAME
NFPA REFERENCES AND PROCEDURE
YOUR KITCHEN HOOD EXTINGUISHING SYSTEM(S) ARE REQUIRED TO BE THOROUGHLY INSPECTED, TESTED AND MAINTAINED EVERY 6 MONTHS BY AN APPROVED SERVICING
COMPANY IN ACCORDANCE WITH THE FOLLOWING NFPA CHAPTER REFERENCES:
NFPA 96 2017 EDITION
TESTING MUST INCLUDE CONTROL EQUIPMENT, INITIATING DEVICES, HVAC/ ELECTRICAL/GAS SHUTDOWN, LINKAGE REPLACEMENT (ANNUALLY) AND ALARM NOTIFICATION
APPLIANCES. SEE THE BELOW LIST OF VARIOUS TESTING DEVICES:
✓ VISUAL AND FUNCTIONAL TESTING OF THE INITIATING COMPONENTS.
✓ VISUAL INSPECTION TO VERIFY PROPER SUPPRESSION APPLICATION.
✓ VISUAL INSPECTION & VERIFICATION OF CYLINDER SERVICE DATES.
✓ REPLACEMENT OF COMPONENTS PER CODE REQUIREMENTS (SEMI-ANNUALLY).
✓ VISUAL AND FUNCTIONAL TESTING OF ALL SHUNT OPERATIONS AND SHUTDOWN.
✓ ALARM SIGNAL TRANSMISSION TO CENTRAL STATION VERIFICATION (IF APPLICABLE)
✓ VISUAL AND FUCNTIONAL VERIFICATION OF ALARM SIGNALS SENT TO THE FIRE ALARM PANEL.
✓ VISUAL INSPECTION OF PORTABLE EXTINGUISHER UNITS AND VERIFICATION OF PROPER CLASS RATING FOR APPLICATION.
MONITORING
PHONE NUMBER 1.800.631.2299
MONITORING
ACCOUNT NUMBER #2615QB
SITE CONTACT INFORMATION
PRIMARY CONTACT SECONDARY CONTACT
EMAIL TIA.CLEMMER@VA.GOV EMAIL
X
YES X NO
Y N N/A
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
YES YES YES
7 AP-C
NOTE #:GREASE ACCUMULATION
TEMPCOUNT
VERIFIED OPERATIONS NOTE #:
LOW MODERATE EXCESSIVE
45"INCH 40"INCH
2/45 1/1N
BURNER STOVE
36X36
DUCT SIZE NOZZLE TYPE 4/2W AND 41N
36X36
4/12 X15
DIMESIONS
NOZZLE #
NOZZLE HEIGHT
CONVECTION CONVECTION
20FT/BY5FT 6"
PROPER HAND HELD PORTABLE EXTINGUISHER(S)
PROPERLY SERVICED? (CLASS K IN KITCHEN?)
2W/1N
TURBO CHEF MICROWAVE
SYSTEM DIMENSIONS
PLENUM SIZE
ALARM ELEC./LIGHTS APPLIANCES
350°
APPLIANCE FLAT TOP STEAMER COOKPOT
5/450F
NOZZLE #
NOTE #
EACH HAZARD PROPERLY COVERED WITH CORRECT NOZZLES
K
ITC
H
EN
H O
O D
FIR
E IN
SP
EC
TIO
N
R
EP
O R
T
INTERNAL INSPECTION & CHEMICAL WEIGHT VERIFIED (ANSUL)
ACTUATION HOSE INSPECTED FOR DAMAGE
VERIFIED EXHAUST FAN IS OPERATIONAL
VERIFIED MAKE-UP AIR IS OPERATION (PAINT BOOTH)
ELECTRIC SHUTDOWN OPERATIONAL
INSPECTION & SERVICE TAG ON SYSTEM CYLINDER/MANUAL PULL
SYSTEM RESET TO NORMAL OPERATION
NO DEFICIENCES WITH OPERATION OR COVERAGE
PROPER OPERATION OF WORKING GAS VALVE(S)
FAN WARNING SIGN ON HOOD
ALL FILTERS ARE REPLACED
ALL NOZZLE CAPS/SEALS ARE REPLACED & CLEAR OF BLOCKAGE
CHECKED PRESSURE GAUGE INDICATOR FOR OPERABLE RANCE
MANUAL PULL STATION OPERATION & SUCESSFULLY ACTIVATED SYSTEM
CONFIRMED ALL CONDUIT & PIPING IS SECURED
PROPER BLOWN DOWN PERFORMED
INSPECTION INTERVAL
ANNUAL SEMI-ANNUAL
SYSTEM INFORMATION
SYSTEM TYPE ALARM SHUNT /WET CHEMICAL CARTRIDGE DATE 10/2021
H O
O D
C H
EC
K
LIST A
N
D
IN
FO
R
M A
TIO
N
BUILDING NAME VA MEDICAL CENTER (NFS KITCHEN HOOD) DATE 3/17/2026 TECH(S) JJ/CR JOB #
SYSTEM SHOWS NO VISIBLE SIGNS THAT IT HAS FIRED OR BEEN TAMPERED WITH
SYSTEM DESIGN HAS NOT BEEN CHANGED
FUSIBLE LINK TESTED & SYSTEM ACTIVATED UPON TEST
TEST DATE/LAST HYDRO
SYSTEM IS COMPLIANT
42102653
MANUFACTURER
ELECTRICAL SHUNT LOCATION MAIN ELECTRICAL PANEL 3RD FLOOR
REPLACE FUSIBLE LINKS ( SEMI-ANNUAL INSPECTION)
DATE:LINEAR ACTUATOR MANUFACTURER DATE:
DATE:DATES ON MODULAR BATTERY
ANSUL CARTRIDGE WEIGHT 5/8 OZ
MODEL ANSUL -R 102 6 YR/HYDRO DUE DATE 2030
2020 2 GAL/MANUFACTURE DATE U.L. 300 COMPLIANT
HOOD INSPECTION CHECKLIST
QUESTION
Integral to your Safety. Because it Matters.
303.557.1820 www.integrityfiresafetyservices.com
1.
1.
D
EFIC
IEN
C
IES A
N
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SER
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SEVERITY
JJ/CR JOB # 42102653
Critical
DEFICIENCY LIST & PROPOSED SOLUTIONS MAKE/MODEL
KITCHEN K CLASS FIRE EXTINGUISHER WAS NOT COMPLAINT (6 YR. HYDRO SERVICE NEEDED)
BUILDING NAME VA MEDICAL CENTER (NFS KITCHEN HOOD) DATE 3/17/2026 TECH(S)
K
ITC
H
EN
H O
O D
FIR
E IN
SP
EC
TIO
N
R
EP
O R
T
GENERAL NOTES & SITE OBSERVATIONS SEVERITY
HOOD ANSUL SYSTEM IS FULLY FUNCTIONAL BLANK
Listed above are any General Notes to report. This section also contains any issues that were found during inspections and either require a substantial investment to correct
(permits, engineering, etc.) than the above-listed deficiencies, or may have been previously approved in its as-is condition by the Authority Having Jurisdiction. Please contact our office if you would like information, consultation, or services for any items contained therein.
Integral to your Safety. Because it Matters.
303.557.1820 www.integrityfiresafetyservices.com
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