Semi-annual Ansul Testing Canteen 05-15-24.pdf
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- Solicitation number
- 36C26126Q0018
About this file
This document is a Pre-Engineered Fire Suppression Systems Report from Delta Fire Systems, Inc., completed for the VA Sierra Nevada Health Care-Canteen located in Sparks, Nevada. The semi-annual inspection was conducted on 05/15/2024 at 0400 PM by service technician C. Gardner, with permit number NV-2207. The system utilizes an ANSUL R102-6 model fire suppression system with a master cylinder size of 3, installed in an end cabinet, and uses 360°F fuse links. The inspection covered multiple cooking appliances including a griddle, broaster, fryer, oven, and 6BR, with comprehensive checks on system interfaces, nozzle positioning, equipment coverage, and operational readiness. No deficiencies were noted during the inspection, and the system was deemed compliant with NFPA 17, 96 standards and the manufacturer's manual.
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Text version
Cooking Appliance Locations: Left to Right
1 System interface with building fire alarm 21 Replace fuse links
2 All appliances properly covered with correct nozzles 22 Check travel of cable nuts / S hooks
3 Duct and plenum covered with correct nozzles 23 Piping and conduit securely bracketed
4 Check position of all nozzles 24 Proper separation between fryers and flame
5 System installed in accordance with manufacturer/UL listing 25 Proper clearance from flame to filters
6 Hood/duct penetrations sealed with weld or UL device 26 Exhaust fan in operating order
7 Check if seals are intact, evidence of tampering 27 All filters in place
8 If system had been discharged, report same 28 Fuel shutoff in on position
9 Pressure gauge in proper range (if gauged) 29 Manual and remote set/seals in place
10 Check cartridge weight (if applicable) 30 Replace system covers
11 Hydrostatic test date 31 System operational and seals in place
12 6 year maintenance date 32 Slave system operational
13 Inspect cylinder and mount 33 Clean cylinder and mount
14 Operate system from terminal link 34 Fan warning sign on hood
15 Test for proper operation of remote 35 Personnel instructed in manual operation of system
16 Check operation of micro switch 36 Proper hand held portable extinguishers
17 Check operation of gas valve 37 Portable extinguishers properly serviced
18 Clean Nozzles 38 Service and Certifications tag on system
19 Proper nozzle covers in place 39 Were system monthly inspections performed
20 Check fuse links and clean NOTE DISCREPANCIES OR DEFICIENCIES BELOW
Comments:
On this date, this pre-engineered fire suppression system was inspected and operationally tested in a accordance with the fire suppression system requirements of NFPA 17, 96 and the manufacturer's manual with the results indicated above.
Permit #: Date: Time:
Technician Signature: Customer Signature:
Pre-Engineered Fire Suppression Systems Report
Location of System Cylinders: UL 300
Model #
Cylinder Size Slave: Cylinder Size Slave:
Manufacturer:
Fuse Links 360 F Fuse Links 450 F Fuse Links 500 F Other:
Fuel Shut Off Size
Serial #: Last Hydro Test Date: Last Recharge Date:
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