Attach_1-PWS_13_Aug_15.pdf

Attachment 1 To

Solicitation No. FA5209-15-T-0041 Amendment 0001

PERFORMANCE-BASED WORK STATEMENT

FOR

CLEANING AND INSPECTION OF KITCHEN HOODS

AND

EXHAUST SYSTEMS

AT

YOKOTA AIR BASE AND TAMA SERVICE ANNEX, JAPAN

13 Aug 15

PERFORMANCE BASED WORK STATEMENT

FOR

CLEANING AND INSPECTION OF KITCHEN HOODS

AND

EXHAUST SYSTEMS AT YOKOTA AB AND TAMA SERVICE ANNEX, JAPAN

1. DESCRIPTION OF SERVICES/GENERAL INFORMATION: The Contractor shall provide all personnel, equipment, tools, materials, supervision, and other items and services necessary to perform cleaning and inspection/operational test of kitchen hoods and exhaust systems at Yokota AB and Tama

Service Annex Japan as listed in Appendix A with the estimated workload data, of this Performance

Work Statement (PWS), in accordance with commercial practice and in compliance with the following regulations.

A. Building Environmental Sanitation Law (建築物における衛生的環境確保に関する

法律)

B. Fire Service Act (消防法); and Ordinance for Enforcement of the Fire Service Act (施

行規則)

C. National Fire Protection Association (NFPA) 96 entitled “Standard for Ventilation

Control and Fire Protection of Commercial Cooking Operations 2014 Edition”

D. AIR FORCE INSTRUCTION (AFI) 91-203

1.1. CLEANING WORK: The kitchen hoods and exhaust systems include, but are not limited to hoods, grease removal devices, ducts, and other appurtenances exampled as lighting, filters, fans, belts, fan housings, and screens. The kitchen hoods and exhaust systems shall be cleaned to be free from all marks, grease, dirt, smudges, and other foreign matter, in a manner that is consistent with commercial/industrial practice for which the Contractor may cross-reference to NFPA 96, Chapter 11, paragraphs 11.6.1 through 11.6.15 entitled “Cleaning of Exhaust Systems”. The Contractor shall pass inspections by the Base Fire Emergency Services for the cleaning services completed. The Contractor shall provide appropriate protection in the working area to prevent kitchen equipment from being smeared with grease, dirt, and/or other foreign matter. The fire-extinguishing systems located in and adjacent to the hood shall be rendered inoperable during the cleaning process by properly trained and qualified individuals. The Contractor shall not apply cleaning chemicals on fusible links or other detection devices of the automatic extinguishing system. When the ducts and/or exhaust systems are inaccessible and require modification to facilitate cleaning, the Contractor shall notify the Contracting

Officer Representative (COR) and the Contracting Officer for immediate resolution. When cleaning is complete, the Contractor shall return all electrical controls, detection devices, and system components to an operable state.

The Contractor shall report any repairs as deemed required to the kitchen hoods and exhaust systems to the COR immediately upon discovery and report in writing to the Contracting Officer not later than two (2) working days. The scope of subject contract covers the extent of the cleaning work solely, and repairs are not intended for this contract. Minor repair such as exchange of electrical-light-bulb or fan belt installed to the exhaust system are within the Government in-house capability, and any repairs beyond the Government in-house capability is not within the scope of this contract nor the cleaning Contractor’s responsibility, but will totally rest with the Contracting Officer’s discretion through the customer coordination if this goes under a separate purchase.

1.2. OPERATIONAL TEST: After accomplishment of the cleaning services, the Contractor shall conduct the operational test of kitchen hoods and exhaust systems to ensure all installed features are in good operable conditions in a manner that is consistent with commercial/industrial practice for which the Contractor may cross-reference to NFPA 96, Chapter 11, paragraphs 11.1.1 through 11.1.8 entitled

“Operating Procedures”. When the Contractor identified during the test the serious defects in the kitchen hoods, exhaust systems, fire-extinguishing equipment and other associated equipment that cannot be resolved during the normal operation time of the facility due to safety issues involved, the

Contractor shall immediately report to 374 CES Customer Service at DSN 225-5790/5791 and the COR as quickly as possible. If follow up action is required, the Contractor shall submit a written report to the Contracting Officer within two (2) working days.

1.3. GENERAL INFORMATION:

1.3.1. QUALITY ASSURANCE: The Government may inspect each task as completed or increase the number of quality control inspections if deemed appropriate because of repeated failures discovered during quality control inspections. Likewise, the Government may decrease the number of quality control inspection if performance is dictated.

1.3.1.1 MATERIAL APPROVAL SUBMITTAL. The contractor shall furnish 4 copies of the Air

Force Form AF3000, Material Approval Submittal, itemizing all cleaning supplies utilized during the contract period, to the COR at least 10 calendar days in advance, and not later than the pre-performance conference, for approval by the Contracting Officer. After approval, any new cleaning supplies added to the contract will need approval before being used on the installation. The cleaning inventory supply list shall contain the following information and be posted easily viewable on the janitorial closet door

(when available):

Product name

Manufacturer

Item use

Disposal procedures if material remains after usage

Storage of item

The contractor shall be responsible for the proper disposal of all their cleaning supplies.

Four (4) copies of the material safety data sheet (MSDS) shall also be provided for each cleaning supply item and employees will be trained, by the contractor, on the proper use and disposal of each item. All cleaning supplies shall be non-flammable.

1.3.2. GOVERNMENT REMEDIES: The Contracting Officer shall follow the requirements of FAR

52.212-4, Contract Terms and Conditions for Commercial Items, for the Contractor’s failure to perform satisfactory services or failure to correct nonconforming services.

1.3.3. HOURS OF OPERATION:

1.3.3.1. NORMAL HOURS OF OPERATION: The Contractor shall perform the service required under contract in accordance with the hours as set in Appendix A of the PWS. In the event of any changes made in the scheduled hours, the Contractor shall coordinate with COR and adjust the time as agreed with the individual customers of the buildings.

1.3.3.2. RECOGNIZED HOLIDAYS: The Contractor is required to provide the service on the following days:

U.S. Holidays

1st January New Year’s Day

3rd Monday of January Martin Luther King, Jr.’s Birthday

3rd Monday of February Washington’s Birthday

Last Monday of May Memorial Day

4th of July Independence Day

1st Monday of September Labor day

2nd Monday of October Columbus Day

11th of November Veterans Day

4th Thursday of November Thanksgiving Day

25th of December Christmas Day

Note: Normally, holidays that fall on Saturday will be observed the preceding Friday.

Holidays falling on a Sunday will be observed the following Monday. The Contractor will be required to provide services on these days.

1.3.4. SECURITY REQUIREMENT: The Contractor shall obtain the following pass and identification items:

1.3.4.1. BASE PASSES: All the Contractor employees will be issued base passes (identification cards) which shall be carried by the individual bearers at all times while on United States Government premises. The Contractor shall submit written requests for issuance of base passes to the Contracting

Officer. The Contractor shall be responsible for all base passes issued to their employees by the

Japanese Pass Section at Yokota Air Base. Upon termination of employment or completion of the contract, the Contractor shall turn in all issued passes to the Japanese Pass Section at Yokota Air Base.

1.3.4.2. VEHICLE PASSES: All Contractor vehicles used in the performance of work under this contract shall be registered and maintained in accordance with applicable paragraphs of 374 AWI 31-

204, Yokota Air Base Motor Vehicle Traffic Supervision (PA). All Contractor personnel operating a motor vehicle on this installation shall be aware of and abide by current driving policies. All

Contractor personnel occupying a vehicle, while the vehicle is inside the confines of this installation, shall wear seat belts. There will be no exceptions to this policy. Any contractor traffic violations may result in the denial of further installation driving.

1.3.4.3. All Contractor employees shall be instructed on accident prevention and safety. Special emphasis shall be placed on safe and proper working conditions. The Contractor shall conduct training for all employees on appropriate safety measures and on the employee’s obligation to obey all existing safety regulations.

1.3.4.4. Prior to the performance of work at the facility, the Contractor shall hold a safety briefing that applies to the requirements of this contract. The Contractor shall be responsible for ensuring all work performed under the contract is accomplished in a safe and proper manner. The Contractor will maintain a record of these safety briefings and make this record available, at any time, to the

Government.

1.3.5. KEY CONTROL: The Contractor shall establish and implement methods of making sure all keys issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. The Contractor shall not duplicate any keys issued by the Government.

1.3.5.1. The Contractor shall immediately report to the COR or Contracting Officer any occurrences of lost or duplicated keys.

1.3.5.2. In the event keys, other than master keys, are lost, the Contractor may be required, upon written direction of the Contracting Officer, to re-key or replace the affected lock or locks without cost to the

Government. The Government may, however, at its option, replace the affected lock or locks or perform re-keying and deduct the cost of such from the monthly payment due the Contractor. In the event a master key is lost or duplicated, the Government shall replace all locks and keys for that affected system and the total cost incurred will be deducted from the Contractor’s monthly payment.

1.3.5.3. The Contractor shall prohibit the use of keys issued by the Government by any persons other than the Contractor’s employees and the opening of locked areas by Contractor’s employees to permit entrance of persons other than Contractor’s employees engaged in performance of contract work requirements in those areas.

1.3.5.4. LOCK COMBINATIONS: The Contractor shall control access to all Government provided lock combinations to preclude unauthorized entry.

1.3.6. SPECIAL QUALIFICATIONS FOR CONTRACTOR PERSONNEL:

1.3.6.1. CONTRACT MANAGER: The Contractor shall provide a Contract Manager (CM) who shall be responsible for the performance of the work. The Contract Manger shall have at least two (2) years’ experience in cleaning of kitchen hoods, exhaust systems and supervision of the entire cleaning work in accordance with commercial/industrial practice. The Contract Manager shall complete a training course provided by Japan Air Duct Cleaning Association (JADCA) for duct cleaning and maintenance services. A copy of the training certificate shall be submitted to the Contracting Officer with the Contractor’s proposal for technical evaluation. The name of this person, and an Alternate(s)

(ACM), who shall act for the Contractor when the manager is absent, shall be designated in writing to the Contracting Officer. ACM is required to possess the same level of certification and training (proof of registration and training is required) as the CM. The Contractor shall provide telephone numbers and cell phones numbers where the Contract Manager and Alternate(s) can be contacted for emergency services.

1.3.6.2. The Contract Manager or Alternate shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract on the installation.

1.3.6.3. The Contract Manager or Alternate shall be available within two (2) hours to meet on the installation with the COR and/or the Government personnel/customer to discuss problem areas.

1.3.6.4. The Contract Manager and Alternate(s) must be able to read, write, speak and understand

English or provide a translator.

1.3.7. CONTRACTOR EMPLOYEES:

1.3.7.1. The Contractor shall not employ any persons for work on this contract, if such employee is identified to the Contractor by the Contracting Officer as a potential threat to the health, safety, security, general well being or operational mission of the installation and its population.

1.3.7.2. All Contractor personnel shall present a neat appearance and be easily recognized as

Contractor employees by wearing distinctive clothing bearing the name of the company or by wearing appropriate badges with the Contractor’s name and employee’s name and what services is being contract for.

1.3.8. INSPECTION SYSTEM: The Contractor shall inspect all Kitchen Hoods/Ducts and Exhaust

Systems prior to cleaning. The Contractor shall specify the hood and duct systems, exhaust system, equipment to be inspected, the schedule frequency of inspections and titles of the individuals and organizational placement.

1.3.8.1. INSPECTION VALIDATION: The Contractor shall call the Fire Emergency Service (225-

7290) after they complete the cleaning for qualified personnel from the Yokota Air Base Fire

Emergency Service to perform a complete inspection of the cleaned hood and duct system. The Fire

Emergency Service will notify COR of any deficiency. If the Contractor shall not get approval of the inspection conducted by Fire Emergency Service, the Contractor is to be required reperformance.

1.3.8.2. DEFICIENCY PREVENTION: The Contractor shall provide description of the methods for identifying and preventing defects in the quality of service performed before the level becomes unacceptable.

1.3.8.3. WORK SCHEDULE: The Contractor shall establish both annual and monthly plans for the cleaning and inspection schedule of kitchen hoods and exhaust systems as listed in Appendix A. The work schedule shall meet the frequency, designated cleaning hours of the kitchen hoods and exhaust systems located at each facility building for the work required as listed in Appendix A. The Contractor shall submit annual work schedule not later than the pre-performance conference to the COR and the

Contracting Officer. As to the monthly schedule, the Contractor shall coordinate with the Building

Manager at each site before submission of the work schedule. The Contractor shall submit a monthly work schedule to the COR for approval not later than ten (10) working days prior to commencement of the contract and of the preceding month for the following month and a copy of the approved work schedule shall be submitted to the Contracting Officer for the purpose of the administration of this contract. If for any changes being made in the approved schedule, the Contractor shall re-submit the new planned work for approval by the COR with the reason incorporated in the schedule.

1.3.8.4. WORK COMPLETION REPORT: Upon completion of the cleaning and operational inspection test, the Contractor shall submit a written completion report to the COR and Contracting

Officer with the Contractor’s monthly invoice in the Contractor’s reporting format. The report shall include the date and time of the work completed with the information of facility number and the location, and a brief summary of cleaning and test completed that includes the result of operational test, the conditions of the kitchen hoods and exhaust systems. The report shall also cover, if any discrepancies noted during the test, system impairments and recommendations from the Contractor’s technical knowledge with relevant pictures and the name of the personnel performed the cleaning and operational test. The Contractor shall take pictures all time before and after the cleaning on this contract. The Contractor shall submit the pictures upon request by the COR and the Government’s authorized personnel with report.

1.3.8.5. During the month, it may be necessary for the COR to change or adjust the cleaning schedule to meet mission needs. The COR will notify the Contractor as soon as possible of any changes. The

COR will provide the Contractor with a revised date to accomplish the re-scheduled work. In order to allow the Contractor ample time to reschedule their workers, the revised date will be at least five (5) working days from the original cleaning date unless a different timeframe is agreed to by the COR and the Contractor.

1.3.8.6. Unacceptable performance work must be resolved/rescheduled with the COR and completed within five (5) calendar days. It is the responsibility of the Contractor to reschedule the work with the

COR. Any items not completed by the Contractor at the scheduled time of cleaning and not identified to the inspector shall be considered incomplete and therefore, unacceptable.

1.3.9. CAUTION SIGNS: The Contractor shall display caution signs when cleaning in an area where people other than Contractor personnel are present. The signs shall be both in English and Japanese.

1.3.10. DAMAGE TO GOVERNMENT FACILITY/EQUIPMENT: The Contractor shall be responsible for damage caused by their cleaning operation. The Contractor shall notify the COR and/or the facility manager if during a cleaning operation the Contractor damages the facility or equipment.

1.3.11. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONAL

COMMAND AUTHORITY OR OVERSEAS COMBATANT COMMANDER: The Contractor is not required to perform all services listed in this PWS during crisis.

1.4 CONTRACTOR MANPOWER REPORTING LANGUAGE FOR CONTRACTOR

PEFORMANCE WORK STATEMENT.

1.4.1. The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the [NAMED COMPONENT] via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil.

1.4.2. Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the

FY, all data shall be reported no later than 31 October of each calendar year. Contractors may direct questions to the CMRA help desk.”

1.4.3. USER MANNUALS: Data for Air Force service requirements must be input at the Air Force CMRA link. However, user manuals for government personnel and contractors are available at the Army CMRA link at http://www.ecmra.mil.

2. SERVICES SUMMARY (SS): The Contract service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement.

Performance Objective

PWS Para Performance Threshold

SS# 1: Perform Cleaning Work 1.1. Complete requirement 96% of the time and no more than 1 defect per month

SS# 2: Perform Operational Test 1.2. Complete requirement 96% of the time and no more than 1 defect per month

SS#3: Reporting Requirements 1.3.8.4 Complete requirement 100% of the time

3. GOVERNMENT FURNISHED PROPERTY AND SERVICES:

3.1. UTILITIES: The Government shall, without cost to the Contractor, provide reasonable amounts of water, electricity and sewage required to perform the requirements of the PWS.

3.2. The Government will provide the following services for emergency purposes only:

a. Security Police Telephone 225-7227 (for emergency 911)

b. Fire Protection Telephone 911

c. Hospital Emergency Telephone 911

Any time the Contractor uses one of the above services on a cost reimbursement basis, the

Contractor’s Contract Manager (CM) shall immediately report to the COR with all of the details.

4. APPENDIX:

A. ESTIMATED WORKLOAD DATA:

1. Yokota O & M Locations and Yokota NAF Locations

2. Tama NAF Locations

3. Hospital Locations

B. YOKOTA FIRE EMERGENCY SERVICES HOOD AND DUCT CLEANING

CHECKLIST

C. DRAWING INACCESSABLE AREA PERFORMING SERVICES

Appendix A

Estimated Workload Data

1. Yokota O&M Locations (CLINS 0001,1001,2001,3001,4001)

Bldg. No. &

Location

Frequency No. of

System

Dimension Fire-extinguishing

System

REMARKS Est.

Work

Hour

80/Passenger

BX Cafeteria/

Grill

Monthly 1

Hood 15'x3'-6"x2'

Duct 5'x1'-6"x12"

Duct 3'x1'-6"x1'-6"

Exhaust fan

Mfr: Ansul

Model No.: R-101

Mfrd Yr:

Able to perform the task

1100 ~

335/Samurai

Café/

Working Area

Quarterly 3

Hood 3’-4”x3’-11”x6’-11”

Duct 10”x8”x13’-1”

Fan 1’-4” dia

Mfr: Ansul

Model No.: R-102

Mfrd Yr:

Able to perform the certain area

2400 ~

Hood 6’-7”x3’-11”x6’-11”

Duct 1’x1’x6’-7”

Fan 1’-4”

Mfrd Yr:

Able to perform the certain area

2400 ~

Hood 3’-11”x3’-11”x6’-11”

Duct 9”x9”x4’-11”

Mfrd Yr:

Able to perform the certain area

2400 ~

335/Samurai

Café/

Kitchen/

Working Area

Monthly 8

Hood 11’-10”x3’-11”x6’-11”

Duct 1’-2”x1’-2”x13’-1”

Fan 1-11”

Mfrd Yr:

Able to perform the task

2400 ~

Hood 8’-6”x4’-3”x6’-11”

Duct 1’-6” x1’-6”x8’-3”

Fan 1’-11”

Mfrd Yr:

Able to perform the task

2400 ~

Hood 14’-8”x5’x6’-11”

Duct 1’-4”x1’-4”x14’-8”

Fan 1’-11” dia

Mfrd Yr:

Able to perform the task

2400 ~

Hood 14’-8”x5’x6’-11”

Mfrd Yr:

Able to perform the task

2400 ~

Hood 14’-8”x5’x6’-11”

Mfrd Yr:

Able to perform the task

2400 ~

Hood 14’-8”x5’x6’-11”

Mfrd Yr:

Able to perform the task

2400 ~

Hood 8’-3”x5’x6’-11”

Duct 1’-6”x1’-4”x18’

Mfrd Yr:

Able to perform the task

2400 ~

Hood 13’-1”x3’-11”x6’-11”

Duct 1’-4”x1’-4”x13’-1”

Mfrd Yr:

Able to perform the task

2400 ~

415/Burger

King/ Kitchen Quarterly 1

Fryer Hood

3'x6'-4"x4' Bunk

Duct 1'-11"x1'-10"x4'

(Plenum)

Duct 9"x13"x8'-6" (Exhaust)

Exhaust fan 2.5 HP

Model No.: R-101

Mfrd Yr:

Able to perform the task

2200 ~

415/Burger

King/ Kitchen Monthly 1

Broiler Hood

4'-6"x4'-4"x2'

Duct 11"x11"x1'-6"(makeup plenum)

Duct 1'-8"x6"x5'-6"(Exhaust)

Exhaust fan 2.5 HP

Mfrd Yr:

Unable to perform the certain area

2200 ~

570/Anthony’ s Pizza/

Kitchen

Semiannual 1

Hood 5’-2”x4’-6”x2’

Duct 131’-2”x13’-1”x9’-8”

Mfr: Anjet

Model No.: R-102B

Mfrd Yr:

Unable to perform the certain area

2030 ~

570/Taco

Bell/ Kitchen

Quarterly

Hood 5’-9”x3’x2’-3”

Hood 2’-3”x3’x2’-3”

Model No.: R-102B

Unable to perform the certain area

2030 ~

570/Charly’s

Steakery Monthly 1

Hood 5-’9”x4-9”x2-’3”

Mfrd Yr:

Unable to perform the certain area

2030 ~

570/Popeyes/

Kitchen

Monthly

Duct 40’ Long X 24” diameter

Exhaust fan 2400 CFM

Mfr: Ansul

Model No.: R-102

Mfrd Yr:

Able to perform the certain area

2100 ~

1214/Airline

Catering

Semiannual 1

Hood 8’-5”x4’-25”x2’

Duct 29’-5”x1’x1’

Mfrd Yr:

Able to perform the task

2200~

621/Sunrise

Bakery/

Kitchen

Semiannual 1

Hood 16'-5"x3'-8"x3'-4"

Duct 2ea, 1'-12"x1'-12"x15'-2"

Exhaust Fan 2ea, 15" Dia

Mfr: Yamato

Model No. HDR-

50DC

Mfrd Yr: 1976

Able to perform the task

1300 ~

1214/Pizza

Hut/ Kitchen Semiannual 1

Hood 7’-9” x 3’-8” x 3’-3”

Duct

Fan 1’6”

Mfrd Yr:

Able to perform the task

2200 ~

1239/West

Elementary

School/

Kitchen

Semiannual 1

Hood 7'x7'x2'

Duct 22"x22"x5'

Roof Exhaust Fan

Centrifugal Type 3/4 HP

Model No.:

Mfrd Yr:

Able to perform the task

1330 ~

1591/Youth

Center/

Kitchen Annual 1

Hood 6’-0” x 2’-9” x 3’-2”

Duct 7’-6” x 1’-6” x 3”

Fan 3’

Mfr: Secom

Tomahawk Jet

Mfrd Yr: 94.9

Able to perform the task

1300 ~

1592/Child

Development

Center/

Kitchen

Semiannual 1

Hood 6’-0” x 2’-9” x 3’-2”

Duct 7’-6” x 1’-6” x 3”

Fan 3’

Mfrd Yr:

Unable to perform the certain area

3258/Youth

Center/

Kitchen

Semiannual 1

Hood 6’-6” x 3’-3” x 3’-4”

Duct 9’-9” x 1’-3” x 6”

Fan 1’6”

Tomahawk TJ-FR

Mfrd Yr:

Able to perform the task

1500 ~

4155/ Middle

School/

Kitchen

Semiannual 1

Hood 9’-8”x4’-3”x3’-6”

Duct, 18’-7”x2’-8”x1’-5”

Model No.: TJ-FR

Mfrd Yr: 99.6

Able to perform the task

1330 ~

4189/YHS

Cafeteria/

Kitchen

Semiannual 2

Hood 7'x7'x1'

Duct 2'-6"x2'-6"x5'

Duct 1'-3"x1'-3"x4'

Roof exhaust fan, 3HP

Mfr: Ansul

Model No.: 3A2100

Mfrd Yr: 84.8

Able to perform the certain area

1300 ~

Hood 3'-6"x4'x1'-6"

Duct 1'-6"x1'-6"x4'

Mfr: Ansul

Model No.: 3A2100

Mfrd Yr: 84.8

Able to perform the certain area

1300 ~

4320/East

Elementary

School/

Kitchen

Semiannual 2

Hood 3’-3”x2’-7”x2’-7”

Duct 1’-2”x1’x12’-2”

Duct 1’-2”x1’x12’-2”

Duct 5’-3”x1’-2”x1’

Fan 1’-11” Dishwasher

Mfr: Ansul

Model No.:

Mfrd Yr:

Able to perform the task

1330 ~

Hood 9’-8”x8’-2”x2’-11”

Duct 9”x1’-9”x4”

Duct 9”x1’-9”x4”

Duct 1’-6”x1’-4”x8’-2”

Duct 1’-6”x1’-4”x16’-4”

Duct 1’x1’x7’-3”

Exhaust box 6’-10”x6’x1’

Exhaust box 6’-10”x1’-2”x1’

Chamber 3’-3”x1’-11’x1’-4

Mfr: Ansul

Model No.:

Mfrd Yr:

Able to perform the task

1330 ~

703/AAFES

Base Ops

Hood 2’-9” x 3’-7” x 3’-2”

Duct 26’-4” x 1’-6” x 1’-6”

Model No.

Tomahawk Jet TJ-

FR/TJ-HD

1430 ~

3015/Yume

Child

Development

Center/

Hood 11’-x 4’-6” x 2’

Duct 1'4"×1'11"×6'7"

Duct 1'7"×2'4"×6'7"

Duct 10'4"×3'11"×1'8"

Fan FE-5 3.7kw Filter 8EA

Tomahawk Jet TJ-

HD

Mfrd Yr: 2009

Semiannual

Hood 6’-10” x 4’-6” x 2’

Duct 1'4"×1'4"×7'2"

Duct 1'9"×2'0"×7'1"

Duct 5'6"×3'3"×1'8"

Fan FE-7 1.5kw Filter 6EA

Mfr: Secom

Model No.:

Tomahawk Jet TJ-

HD

Mfrd Yr: 2009

Hood 3’-7” x 3’ x 2’

Duct 1'4"×1'4"×26'11"

Duct 1'9"×2'0"×6'7"

Fan FE-18 1.5kw

Mfr:

Model No.: N/A

Sub Total

Yokota O&M

Yokota NAF Locations:

Location

Frequency No. of

System

Dimension Fire-extinguishing

System

REMARKS Est.

Work

Hour

31/Officer's

Open Mess/

Monthly

Hood 9'x29'-8"x3'

Duct 18"x12"x5'-4"

Duct 2'x1'-8"x2'-4"

Duct (2'x1'-8") x1’-8"x1'-8"

Duct 2'x1'-8"x3'

Duct 2'-4"x1'-8"x1'-2"

Duct 2'-6"x2'x4'-8"

Duct (3'x2'-4") x2’x3’

Duct 3'x2'x20'-8"

Duct 3'x2'-2"x11'-8"

Duct 1'x1'-8"x2'x4 ea.

Mfr: Sentinel

Model No.: HDR-

50DC

Mfrd Yr:

Able to perform the task

0900 ~

Semiannual

Hood 3'-6"x8'-4"x2'

Duct 1'x1'x15'

Duct 1'-4"x1'x16'

Mfr: Sentinel

Model No.: HDR-

50DC

Mfrd Yr:

Able to perform the task

0900 ~

Hood 4'-3"x6'x2'

Duct 2'-6"x1'-2"x15'

Exhaust Fan #6, 11kw

50DC

Mfrd Yr:

Able to perform the task

0900 ~

35/Route 16 Monthly 1

Hood 4'x8'x1'-6"

Duct 1'-2"x1'-2"x6'

Mfr: Ansul

Model No.: R-102

Mfrd Yr:

Able to perform the certain area

2030 ~

327/Café

Kirara/

Kitchen

Semiannual 1

Hood 5’-10”x2’-9”x2’

Duct 2’x2’x10’

Fan 1’-6” dia

50DC

Mfrd Yr:

Able to perform the task

2100 ~

1213/Bowling

Alley/ Kitchen Quarterly 1

Hood 11'x1'-8"x2'

Duct 1'-6"x1'-4"x15'

Mfr: Gaylord

Model No.:

Mfrd Yr: 2006

Unable to perform the certain area

2300 ~

Hood 1’-10”x5’-2”x8’-9”

Duct 13’-9”x6’-9”

Duct 6’-9”x2’-8”

Model No.: 3A2100

Mfrd Yr:

Able to perform the task

2200 ~

2066/Charlie

T’s/ Kitchen Semiannual 3

Hood 1’-10”x5’-2”x8’-9”

Duct 19’-4”x15’-2”

Duct 16’-6”x9’-7”

Mfrd Yr:

Able to perform the task

2200 ~

Duct 16’-6”x9’-7”

Mfr: Ansul

Model No.: 3A2100

Mfrd Yr:

Able to perform the task

2200 ~

2066/Charlie

T’s/ Kitchen

Duct 20’-8”x16’-6”

Duct 19’-4”x12’-5”

Duct 16’-6”x8’-3”

Mfr: Ansul

Model No.: 3A2100

Mfrd Yr:

Able to perform the task

2200 ~

Hood 1’-10”x5’-2”x8’-9”

Duct 19’-4”x8’-3”

Mfr: Ansul

Model No.: 3A2100

Mfrd Yr:

Able to perform the task

2200 ~

Hood 1’-10”x5’-2”x8’-9”

Duct 19’-4”x8’-3”

Mfr: Ansul

Model No.: 3A2100

Mfrd Yr:

Able to perform the task

2200 ~

4085/JE

Bakery/

Working Area

Semiannual 1

Hood 3’-2”x13’x1’

Duct 1’-6”x3’x4’

Exhaust Fan 30” dia

Mfr: Espio

Model No.: Yamato

Protec

Mfrd Yr:

Able to perform the task

0900 ~

536/Chili’s

Grill and Bar

No.1.

Monthly

Hood 5’3” x3'x2’6”

Duct 1’3”x1’3”x5’3’’

Exhaust Fan COOK VCRD

165 VH 17 D

Filter 3EA

Mfr: Ansul

Model No.: R-102

Mfrd Yr: 2009 Able to perform the task

2300 ~

Hood 12’5” x4'5”x5’3”

Duct 1’3”x1’3”x5’3’’

Exhaust Fan COOK VCRD

165 VH 17 D

Filter 6EA

Mfr: Ansul

Model No.: R-102

Mfrd Yr: 2009

Able to perform the task

2330 ~

Hood 4’ x3'8”x2’

Duct 1’3”x1’3”x5’3’’

Exhaust Fan COOK VCRD

165 VH 17 D

Filter 2EA

Mfr: Ansul

Model No.: R-102

Mfrd Yr: 2009

Able to perform the task

2330 ~

536/Chili’s

Grill and Bar

No.3.

Semiannual

Hood 6’6” x4'3”x2’

Duct 1’3”x1’3”x5’3’’

Exhaust Fan COOK VCRD

165 VH 17 D

Filter 3EA

Mfr: Ansul

Model No.: R-102

Mfrd Yr: 2009

Able to perform the task

2330 ~

4330/Banzai

Burrito Monthly

Hood 9'-8” x4'x2'-3”

Duct 2'x2'x13'

Mfrd Yr:

Able to perform the task

2030 ~

Yokota NAF

2. Tama NAF Location: (CLINS 0002,1002,2002,3002,4002)

Location.

Frequency No. of

System

Dimension Fire-extinguishing

System

REMARKS Est.

Work

Hour

375/Rec

Center/

Kitchen (Tama

Lodge)

Quarterly 1

Hood 27’-7”x3’-11”x2’-11”

Dishwasher 5’-11”x2’-

11”x2’-11”

Duct 4’-7”x20’-4”

Duct 11’-6”x7’-10”

Duct 21’-0”x9’-2”

Duct 7’-10”x2’-0”

Duct 4’-7”x1’-4”

Duct 4’-7”x2’-4”

Duct 8’-6”x16’-9”

Duct 7’-3”x2’-11”

Duct 5’-7”x6’-7”

Fan 6’-3”x1’-8”x6’-3”

Tomahawk Jet

Mfrd Yr:

Unable to perform the certain area

0900~

540/Boy

Scouts Dining

Facility/

Kitchen &

Dining room

(Tama Annex)

Annual 2

Hood 7'x2'-6"x1'-0"

Duct 10'x1'x1'

Exhaust Fan, 1' Dia

Mfrd Yr:

Able to perform the task

0900 ~

Hood 6'x3'x2'

Duct 2'x1'x1'

Exhaust Fan, 1' Dia

Mfrd Yr:

Able to perform the task

0900 ~

1010/Golf

Club House/

Kitchen (Tama

Annex)

Quarterly 1

Duct and Hood, 140 SF

Centrifugal exhaust

Fan, Type #2, 1HP

Mfrd Yr:

Able to perform the task

0830 ~

Tama NAF

3. Hospital Location: (CLINS 0003,1003,2003,3003,4003)

Location.

Frequency No. of

System

Dimension Fire-extinguishing

System

REMARKS Est.

Work

Hour

4408/Hosp

Dining Room/

Kitchen

Semiannual 1

Hood 8'-8"x4'-3"x4'

Duct 1'x1'-6"x3'

Light fixtures, 6 ea

Mfrd Yr: 93.11

Unable to perform the certain area

1630 ~

Quarterly 2

Hood 19'-10"x4'-3"x4'

Duct 3 ea, 2'x2'-3"x5’

Mfr: Ansul

Mfrd Yr: 93.11

Unable to perform the certain area

1630 ~

Duct 3'-4"x2'-2"(Note: Duct shall be cleaned to roof, approx. 35')

Roof exhaust fan, 3' Dia

Mfrd Yr: 93.11

Unable to perform the certain area

1630 ~

Hospital

Note 1: Abbreviations: Est. -------- Estimated

Mfr -------- Manufacturer

Mfrd Yr --- Manufactured Year

Appendix B

Yokota Fire Emergency Services

Hood and Duct Cleaning Inspection Checklist

Date Time Name of Inspector (PRINT)

Building Number Occupancy Name

Yes No N/A

1 Is the exterior and interior surface of the hood system clean and free of grease?

2 Are grease removal devices, fans, and ducts cleaned to the bare metal?

3 Are piping, valves, and nozzles (located in the hood and duct work) clean and free of grease?

4 Is the interior and exterior exhaust cap (located on the roof) clean and free of grease?

5 Are all fire protection features within the hood and duct system wiped clean and inspected for damage? (i.e. sprinkler heads, fusible links, and cables)

6 Are all caps for hood and duct extinguishing system installed (not missing?)

7 Are all nozzles directed/aiming to the cooking equipment?

8 Are all panels, fan units, and other system components returned to an operable condition after the inspection?

9 Are all access panels closed properly and in good condition?

10 Are all areas around the hood and duct system cleaned and replaced into an operable condition.

11 Is there any area not accessible (ask contractor).

If so, where? why?

Remarks:

Accepted / Unaccepted

Contractor’s Signature Inspector’s Signature

Appendix C

DRAWING INACCESSABLE AREA PERFORMING SERVICES