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Emergency Shut-Off (ESO) Testing Results & Checklist Facility Information Contractor Information Test Results Site# 2186 Co.Name: FASTECH Date: 02/14/12 Addr. 3212 N.California St. Phone: 714-523-0194 Ci /St: Stockton,Ca Lead Tech: Isaac Anderson(Alltech Petro Inc. X PASS eMaint.W.O.# 98.06135 Name: or Passport#: FAIL(Next Day Repair Required) Signature: The objective of this test is to provide assurance that when the ESO switch is ac.ti d,.SII 4 coling custom circuits(turbines,and dispensers)are de-energized,and remain de-energized until they are reset manually. The test procedures and guidelines shall be in accordance with the ESO Testing Process. # The following information is to be completed. X To Select YesNo NIA SITE DATA 1 Number of ESO switches: 1 2 Type of Switch I I Push Pull =JMonentary Plain light/Toggle I 10ther: f Momentary type,locate and identify re-set button 3 Type of Turbine Control Relay System Electrical Distribution Center Brown Box I Power Solution JCustom Fabricated I Carolina Box 10ther X 4 Type of Turbine Control Rela s: I Make Red Jacket Model ariable Speed Flow Control/ 5 Type of Line Leak Detection: Mechanical ELD/CPT 1PLLD X PERFORMANCE TEST 6 oes the shutdown power tote X 7 Does the ESO shutdown power to the TURBINES? X Is the 220 voltage tot e turbine relay removed either the line side or the motor side of the contacts or the col X 8 9 re the DISPENSER A S clearly identified/labeled? X 10 Are the TURBINE SHEAKEHSclearly entified labeled? X 11 Are all the ESOs accessible and clearly identified/labeled? X Did the s function correctly de-energized from either the line side or the motor side of the contacts or the col X 12 If#12 is NO,briefly describe what was wrong: 12A How was it corrected: 12B 12C If repair or ESO functionality cannot be corrected same day(prior to leaving the site). The technician MUST notify the Site Manager of the problem,place an"Out of Service"Tag on the ESO(s),and identify an alternate mean(i.e.,locate circuit panel clearly identify turbine and dispenser breakers for shut-off in the event of an emergency). 12D Elite Customer Solution Center has been contacted for the repair. eMaint.W.O.Ticket# POST TEST 11 Site's fueling system is fully operational. X 12 All equipment secured and any access ports,lids,enclosures are closed. X 13 All safety barricades,and any debris was been removed. X COMMENTS Submit completed copy with other documentation in E-Maintenance.