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Job Name ______________________________________________________________________________
Address ________________________________________________________________________________
______________________________________________________________________________________
City/State
Facility Contact Name _________________________________________ Phone # ____________________
MAKE-UP AIR
1. Kitchen make-up air supply is turned on______Yes______No
2. Type of make-up air
Ceiling Registers
Built into Hood
Ceiling Linear Diffusers
Other
3. If ceiling register or linear diffusers approximate distance from face of hood
_____________________________________________________________
AIR VOLUME READINGS
Push "Start Fan" and take velocities. Record as follows: Exhaust record in the "EX" row, Exhaust at Custom
Air baffles (if applicable) record in the "CA" row, and Make-up Air record in the "MA" row.
T I
E
M
N
. O
H
O
O
D
S
E
R
A I
L
N
. O
E
X
C
A
M
A
E
X
C
A
M
A
E
X
C
A
M
A
WASH MODE TEST:
1. Model of Control Cabinet _______________________________________________
2. Push "START WASH" on Control Cabinet. Check the following:
A. Exhaust fan off_____Yes_____No
B. Damper closes to the front of the hood after
approx. 70 sec.____Yes ____No
C. Water turned on_____Yes_____No
D. All nozzles spraying_____Yes_____No
E. Green light is on and "Wash On" is displayed on
C-6000 command center____Yes ____No
3. At the conclusion of check A through L above, push the "EXIT" button on the C-6000 command center.
Check the following: A. Did the water shut off ___Yes ___No B. Did the damper stay closed ___Yes ___No
4. Push "START FAN". Check the following:
A. Green light comes on and "Fan On" is displayed on C-6000 command center___Yes ___No
B. Damper fully opens after approx. 45 seconds ___Yes ___No
Form No. CG36000SUR
VENTILATOR START-UP INSPECTION REPORT
For Model "CG3" Series Ventilators with C-6000 Series Control
A
R I
V
E
L
O
C
T I
E I
S
F (
P
M
)
F
R
O
M
L
E
F
T
T
O
I R
G
H
H
O
O
D
S
L
O
, T
F
L I
T
E
R
B
A
N
K
O
R
M
A
K
- E
U
P
A
R I
D
S I
C
H
A
R
G
E
F . Detergent pump operating ____Yes ___ No
G. Length of wash cycle ________Minutes
H. Water pressure_________________PSI
I. Water temperature_____________°F
J. Any ventilator leaks_____Yes_____No
K. Drains free and clear_____Yes_____No
L. Brand of detergent used______________
Gaylord Representative ____________________________________________________________
Representative Company Name ______________________________________________________
File Number _______________________________________________ Date _________________
Zip
CSA Contacted __________________________________________________________________
FIRE MODE TEST:
CAUTION: Before any fire tests are performed, check with building superintendent to see if Gaylord control
cabinet is tied into building alarm, monitoring system and/or Fire Department.
THERMOSTAT TEST (For CG3, CG3-FDL, and CG3-FDT)
With the exhaust fan on, open electrical compartment on Control Cabinet and push and hold for 20 seconds
the "Fire Test Switch". The following should occur:
1. Damper closed to rear_____Yes_____No
(N/A on CG3-FDL and CG3-FDT)
2. Water turned on_____Yes_____No
NOTE: Water will continue to run for 5 minutes after the "Fire Test Switch" button is released. The water may be
shut off prior to the end of the cool down cycle by pushing the "EXIT" button on the C-6000 command center.
T
A
V
E
R
A
G
E
Upon completion of the thermostat test push the "EXIT" button on the C-6000 command center. The following
should occur:
A. Water shut off ___Yes ___No
B. Damper closes to front ___Yes ___No
(N/A on CG3-FDL and CG3-FDT)
REMOTE FIRE SWITCH TEST (Optional Equipment):______Equipped______Not Equipped
Open fire switch and flip toggle switch to the "ALARM" or "TEST" position. The following should occur:
1. Water spray turned on_____Yes_____No
2. Damper remained open (or opens) ____Yes____No
3. Exhaust fan remained on (or turned on)____Yes____No
INSTALLATION INCLUDES THE FOLLOWING:
Gaylord Heat Reclaim Unit (HRU)
Gaylord Clearair Pollution Control Unit (RSPC)
Gaylord Distributor (UDS)
Gaylord Recirculating Wash System (GRW)
Personnel provided with ventilator technical manual________Yes________No
Inspection Witnessed By (Print Name) ______________________________________________________
Signature ________________________________________________ Date _______________________
Comments ____________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Distribution: WHITE-Gaylord Industries, Inc. YELLOW-Customer PINK-Dealer GOLDENROD-Sales Rep Litho U.S.A.
GAYLORD INDUSTRIES, 10900 S.W. Avery Street • Tualatin, OR 97062-1149
3. Exhaust fan shut off_____Yes_____No
4. Steady red light on and "Fire In Hood" displayed .
on C-6000 Command Center ____Yes ___No
C. Steady red light turned off and "Fan Off"
displayed on C-6000 Command Center___Yes ___No
4. Flashing red light on and "Ext. Fire Active"
displayed on C-6000 Command Center
_____Yes_____No
The Gaylord "Quencher" Fire Protection System
Gaylord Rooftop Unit (GRT)
Wet Chemical Fire Protection System
PHONE:1-800-547-9696 • FAX: 1-503-692-6048 •
email:info@gaylordusa.com
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