BLDG 1143 Youth Center.pdf

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Kitchen Fire Suppression Inspection & Maintenance
Solicitation number
FA488725Q0006
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About this file

This is a Hood Fire Suppression System inspection report for Building 1143 Youth Center at Luke Air Force Base, completed on April 11, 2024, by A P Fire Protection. The inspection covered an Ansul R-102 wet system with a 3-gallon cylinder installed in 2010, servicing a 4-burner stove setup. The system passed all major inspection points including fusible links, nozzle positioning, remote pull stations, gas valve operation, and fire alarm panel connectivity.

The report indicates the system is compliant with NFPA standards 17, 17A, and 96, with key maintenance dates including a January 2022 recharge and future hydro testing due in 2034. One deficiency was noted regarding a ground fault on the fire alarm panel and a missing tamper bar holder requiring replacement. The system is monitored by the Emergency Communication Center (623-856-6641), with Darryel Abraham listed as the location contact.

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Text version

Results

Pass

Pass

Pass

Pass

Pass

Pass

Pass

Pass

Pass

Pass

Pass

Pass

N/A

Pass

Pass

Pass

Pass

Pass

Pass

N/A

Pass

Light

Pass

Portable Fire Extinguisher(s) Properly Serviced

Certification Tag Place On System & Remote

System Equipped With Water Mist/Water Wash

Check Operation of Gas Valve(s) Pass

Proper Nozzle Covers/Caps/Seals In Place Pass

Puff Test Completed Pass Is Suppression System Compliant

Clean Cylinders/Wall Mount Brackets

Grease Filters Aluminum/Stainless Steel (N.F.P.A. 96) Pass

Replaced Fusible Link(s)

Check Travel of Cable Nut/S-Hooks

All Piping Conduit Securely Bracketed

Proper Separation/Fryer & Flames (N.F.P.A. 90A)

Proper Clearance of Flames To Filter

Exhaust Fan in Operating Order

When System Activated Did Make-Up Air Shutdown

Fuel Shut Off In Position

Wipe Grease Off Nozzles (Surface Cleaning Only) Pass

Visually Check All Fusible Links Pass

Did System Report to Fire Alarm Panel/Monitoring Pass

Check Operation of Micro-Switch(s) Pass

Date of The Last Hood/Duct/Plenum Cleaning

Accumulation of Grease In Hood

Exhaust Fan Warning Sign On Hood

Personnel Instructed In Operation Of System

K-Class Extinguisher(s) Properly Serviced

Operated System From Terminal Link Pass

Test for Proper Operation From Remote Pull Station Pass

12 Year Hydro Cylinder Test Date 2034

12 Year Regulator Test Date (Ansul) 2034

1/4' Gas Valve Hose Assembly Test Date 2034

Remote Pull 42"-48" From Floor (N.F.P.A. 17A)

All Appliances Properly Covered With Correct Nozzles Pass

Duct and Plenum Covered With Correct Nozzles Pass

Check Positioning/Condition of All Nozzles Pass

Results

Inspect Cylinder/Wall Mount Bracket(s) Pass

Remote Station(s) Have Signage (N.F.P.A. 17A)

Replace System Cover(s)

System Operational & Seals In Place

Slave Cylinder Operational

If System Has Been Discharged, Report Same Pass

Is Pressure Gauge In Proper Range (If Gauged) N/A

Check Cartridge Weight (If Applicable) Pass

Is System Installed Accordance With Manufacturer UL Listing Pass

Hood & Duct Penetrations Sealed With Weld or UL Device Pass

Check If Seals Intact, Evidence of Tampering Pass

Item(s) CheckedItem(s) Checked

Duct and Plenum Nozzle Protection (List Model/Type/Position)

Appliance Line Up Left To Right (Size of Hazards/Nozzle Coverage Description)

4 Burner Stove (1F, 2F)

Last Recharge Date 2022 Number of Fusible Links 3 Best Time to Service 11:00 Type of Fusible Links 450ml

Original System Install Date 2010 Date of Activation Cartridge Jan-22 Cylinder 12 Year Hydro Test Date 2034 Location of Shut Off/Valves Behind appliances

Manufacturer Ansul #3 Cylinder Slave Size

Serial Number R100258 Size of Activation Cartridge LT-30-R

System Type Wet #1 Cylinder Size 3 Gallon Model Number R-102 #2 Cylinder Slave Size

Account Number Password

Location of System/Cylinder(s) Kitchen Left of Hood Inspection Type 6-Month

Location Contact Darryel Abraham Location Phone Number 916-893-8045 Monitoring Company Emergency Communication Center Monitoring Company Number 623-856-6641

Date 4/11/20248

C-16 ROC 251919 CR-67 ROC 251920

Hood Fire Suppression System Report

(Tested Per N.F.P.A. 17, 17A, 96 Standards & Manufacturer Requirements)

Location Names BLDG 1143 Youth Center LUKE AIR FORCE BASE

Address BLDG 1143

City, State, Zip Litchfield Park, AZ

Technician Cody Buckmaster

A P Fire Protection www.apfireprotection.com

7612 N 71st Ave, Glendale, AZ 85303

Phone: (623) 772-5344 Fax: (623) 772-5384

Page 1 of 2 REV 04-2020

Hood Fire Suppression System Report

(Tested Per N.F.P.A. 17, 17A, 96 Standards & Manufacturer Requirements)

Location Names BLDG 1143 Youth Center LUKE AIR FORCE BASE

Address BLDG 1143

City, State, Zip Litchfield Park, AZ

Technician Cody Buckmaster

Date 4/11/2024

C-16 ROC 251919 CR-67 ROC 251920

Location Contact Darryel Abraham Location Phone Number 916-893-8045

** Notify Emergency Communication Center at 623-856-6641 prior to test of the system and after test has been accomplished. **

Note: There was a ground fault on the FA panel upon arrival.

There is a missing tamper bar holder that needs to be replaced.

Notes/Deficiencies

Monitoring Company Emergency Communication Center Monitoring Company Number 623-856-6641 Account Number Password

A P Fire Protection www.apfireprotection.com

7612 N 71st Ave, Glendale, AZ 85303

Phone: (623) 772-5344 Fax: (623) 772-5384

Page 2 of 2 REV 04-2020

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