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Emergency Stop (E-Stop) Testing Results & Checklist <br /> Facility Information Contractor Information TEST Results <br /> Site#2186 Co. Name: Gettler-R an Inc. Date: 3 / 6 / 09 <br /> Address: 3212 N Callfomla St. Phone: (925)551-4777 <br /> Ci /St: Stockton Ca Lead Technician: PASS X <br /> eMaint.W.O.#9548034 Name: Chris San Nicolas or <br /> Signature: FAIL Next Day Repair Required) <br /> The objective of this test Is to provide assurance that the when the EStop switch is activated,all the fueling system circuits (turbines, and dispensers)are de- <br /> energized,and remain de-energized until they are reset manually). The test procedures and guidelines shall be In accordance with the Estop Testing Process. <br /> # The following information Is to be completed x ro select <br /> Yes No I NIA I <br /> SITE DATA <br /> 1 Number of E-Stop switches: _1 <br /> 2 Type of Switch? _X_Push Pull Momentary Plain light/Toggle Other: <br /> (if Momentary type, locate and identify re-set button): <br /> 3 Type of Turbine Control Relay System (Electrical Distribution Center): <br /> Brown Box Power Solution _X_Other Custom Fabricated <br /> 4 Type of Turbine Control Relays: Make_Red Jacket_ Model_CPT_ <br /> 5 Type of Line Leak Detection: Mechanical X ELD/CPT PLLD <br /> PERFORMANCE TEST <br /> 6 Does the E-Stop shutdown power to the DISPENSERS X <br /> 7 Does the E-Stop shutdown power to the TURBINES X <br /> 8 Is the 220 voltage to the turbine relay removed (both sides of the relay) X <br /> 9 Are the TURBINE BREAKERS clearly identified/labeled X <br /> 10 Did the E-Stop(s)function correctly(de-energized from both sides of the relay) X <br /> 10A If#10 is NO, briefly describe what was wrong: <br /> 10B How was it corrected: <br /> 10C If repair or E-Stop functionality can not be corrected same day(prior to leaving the site). The technician MUST notified <br /> the Site Manager of the problem, place an"Out of Service"Tag on the E-Stop(s), and identified an alternate mean for <br /> site shutdown in the event of an emergency. <br /> 10D The Elite Customer Solution Center has been contacted for the repair. <br /> W.O. Ticket# <br /> POST TEST <br /> 11 Site's fueling system is fully operational. X <br /> 12 All equipment secured and any access ports, lids, enclosures are closed. X <br /> 13 All safety barricades, and any debris was been removed. X <br /> COMMENTS <br /> # Reference Item 0 and describe observationalconclMons where expectations are not met <br />