WET_CHEMICAL_SUPPRESSION_INSPECTION_REPORT_1.pdf

WET CHEMICAL SUPPRESSION INSPECTION REPORT

LOCATION NAME

VA DOMICILIARY AND TRANSITIONAL HOUSING

LOCATION ADDRESS

3001 C ST, ANCHORAGE, AK

DATE

08/14/2024

SYSTEM STATUS

INSPECTOR

Chris King 2000486 FE 24-0029 IV

CLIENT NAME

SANFORD FEDERAL

CLIENT ADDRESS

525 Corporate Dr, Stafford, VA, 22554

CLIENT PHONE NUMBER

Keith LaFlamme @ 907-268-8804

CLIENT EMAIL ADDRESS

Keith LaFlamme @ 907-268-8804

SYSTEM INFORMATION

SYSTEM LOCATION MANUFACTURER MODEL CONTROL HEAD YEAR MANUF.

Kitchen Ansul R-102 Mechanical 2005

DISCHARGE/ACTUATION CARTRIDGE INFORMATION

CARTRIDGE TYPE CARTRIDGE DATE CARTRIDGE WEIGHT

C02 101-30 Automan II 2017 60oz

CYLINDER INFORMATION

CAPACITY (GAL) PRESSURE (PSI) HYDRO DUE NO DAMAGE/CORROSION? PROPERLY MOUNTED/SECURE?

3 N/A 2029 YES YES

ENERGY CONTROLS

CONTROL TYPE GAS VALVE SIZE LOCATION NOTES

ELECTRICAL SHUNT Reset is next to ansul box

VISUAL INSPECTION

SELECTION

FAN WARNING SIGN ON HOOD? YES

SIGNAGE IN PLACE FOR MANUAL PULL STATION? YES

IS SYSTEM UL300 COMPLIANT? YES

DO FILTERS COMPLY WITH CLEANLINESS REQUIREMENTS OF NFPA 96 YES

DO VISIBLE DUCT AND PLENUM AREAS COMPLY WITH CLEANLINESS REQUIREMENTS OF NFPA 96? YES

PIPING AND CONDUIT PROPERLY SECURED AND UNOBSTRUCTED? YES

CHECK CONDITION AND TRAVEL OF CABLE AND CONDITION OF LINK BRACKETS, NUTS, CRIMPS AND

S-HOOKS? YES

DUCT/PLENUM PROPERLY COVERED WITH CORRECT NOZZLES? YES

APPLIANCES PROPERLY COVERED WITH CORRECT NOZZLES? YES

PROPER SEPARATION BETWEEN FRYERS AND FLAME? N/A

CHECKED NOZZLES FOR FOULING, CORRECT COVERS AND CLEANED AS REQUIRED? YES

ARE NOZZLES AIMED PROPERLY? YES

SYSTEM TESTING

Column Label

YUKON FIRE PROTECTION SERVICES, INC. 5451 LAONA DR, ANCHORAGE AK 99518 MAIN: (907) 563-3608 FAX: (907) 562-2754 Page 1 of 3

CUTTING TERMINAL FUSIBLE LINK ACTIVATES SYSTEM? YES

MANUAL PULL STATION ACTIVATES SYSTEM? YES

MICROSWITCH IN CONTROL HEAD ACTIVATES BUILDING FIRE ALARM OR OCCUPANT NOTIFICATION? YES

POWER SHUNTED TO ALL ELECTRIC APPLIANCES IN THE HOOD ENVELOPE? YES

POWER SHUNTED TO LIGHTING UNDER THE HOOD? YES

POWER SHUNTED TO MAKEUP AIR? YES

EXHAUST FAN TURNS ON AUTOMATICALLY? YES

GAS APPLIANCE PILOTS EXTINGUISHED? YES

VERIFY ACTUATION AND/OR DISCHARGE CATRIDGE PUNCTURE PIN EXTENDED? YES

RESTORING SYSTEM TO SERVICE

SELECTION

GAS VALVE RESET? YES

SHUNTS RESET? YES

ALL APPLIANCE PILOTS RE-LIT? YES

VERIFY FUSIBLE LINKS CENTERED IN LINK HOLDERS? YES

FILTERS RE-INSTALLED? YES

CHECK FOR PROPER TENSION ON LINK LINE? YES

CHECK FOR PROPER SLACK ON PULL STATION LINE? YES

CARTRIDGE(S) INSTALLED AND LOCKOUT PIN (IF APPLICABLE) REMOVED? YES

COVER IN PLACE? YES

TAGS & SEALS INSTALLED? YES

SYSTEM RESTORED TO SERVICE AT THIS TIME:

09:10:15

FUSIBLE LINKS REPLACED

QUANTITY TYPE TEMP RATING (F) YEAR

3 ML 360 2024

K-CLASS EXTINGUISHER

LOCATED IN KITCHEN? CORRECTLY MOUNTED? SIGNAGE IN PLACE? PROPERLY SERVICED? NOTES

YES YES YES YES

DEFICIENCIES

COMMENTS/ADDITIONAL PARTS USED

CLIENT REPRESENTATIVE

Keith LaFlamme @ 907-268-8804

REPRESENTATIVE'S SIGNATURE

INSPECTOR

Chris King 2000486 FE 24-0029 IV

INSPECTOR'S SIGNATURE

YUKON FIRE PROTECTION SERVICES, INC. 5451 LAONA DR, ANCHORAGE AK 99518 MAIN: (907) 563-3608 FAX: (907) 562-2754 Page 2 of 3

YUKON FIRE PROTECTION SERVICES, INC. 5451 LAONA DR, ANCHORAGE AK 99518 MAIN: (907) 563-3608 FAX: (907) 562-2754 Page 3 of 3