CLIN 01 VA- NFS-Kitchen Hood 2121- N Ave-FAIL.pdf

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Attached to
J012--575 Fire System Inspection & Repairs - one year only
Solicitation number
36C25926Q0519
Issued by

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This is a Kitchen Hood Fire Inspection Report for the VA Medical Center located at 2121 North Avenue, Grand Junction, Colorado 81501. The inspection was performed on March 17, 2026, by Integrity Fire Safety Services (Job #42102653) under the jurisdiction of Grand Junction Fire. The facility maintains a semi-annual inspection interval for its ANSUL-R 102 alarm shunt/wet chemical cartridge system with a cartridge date of October 2021 and a 6-year hydro due date of 2030. The system is U.L. 300 compliant and features a 2-gallon capacity manufactured in 2020.

The hood system protects multiple cooking appliances including convection ovens, a flat-top burner stove, steamer, microwave, and cookpot, with nozzle coverage of 4/2W and 4/1N types positioned at 45 inches and 40 inches respectively. The inspection confirmed all safety measures were operational, including fusible link testing, manual pull station activation, exhaust and make-up air verification, electrical shutdown functionality, and proper grease accumulation management (counted at 7 with temperature of 350°F/5/450°F). One critical deficiency was identified: the kitchen Class K fire extinguisher requires 6-year hydro service. The primary site contact is Tia Clemmer, Healthcare Engineer, reachable at 970-852-7243 or TIA.CLEMMER@VA.GOV, with monitoring services provided through account #2615QB at 1-800-631-2299.

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Text version

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

D O

B

SER

V A

TIO

N

S

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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