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bin Emergency Shut-Off(ESO) Testing Results & Checklist <br /> ti <br /> Facility Information Contractor Information Test Results qW <br /> Site# 2186 Co.Name FASTECH Date: 02/11/13 <br /> Addr. 3212 N.California St. Phone. 714-523-0194 <br /> Cit /St: Stockton,Ca Lead Tech. Isaac Anderson(Alltech Petro Inc. PASS <br /> eMaint.W.O.# 9875664 Name: Isaac Anderson(Alltech Petro Inc. or <br /> Pass ort# B36878 p FAIL(Next Day Repair Required) <br /> Signature <br /> The objective of this testis to provide assurance that when the ESO switch is acti ed,all t4 ueling system circuits(turbines,and dispensers)are de-energized,and <br /> remain de-energized until they are re-set manually. The test procedures and guidelines shall be in accordance with the ESO Testing Process. <br /> X To Select <br /> # The following information is to be completed. <br /> Yes No NIA <br /> SITE DATA <br /> 1 Number of ESO switches 1 <br /> 2 Type of Switch Push Pull Monentary Plain lightlfoggleLFIow <br /> her: <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 Custom Fabricated ❑ Carolina Box <br /> 4 T e of Turbine Control Relays: Make Red Jacket Model Variable Spetroll <br /> 5 Type of Line Leak Detection: Mechanical ELD/CPT PLLD <br /> PERFORMANCE TEST' <br /> 6 oes a Mu snutcown power to ine tulor-t:N61=HZ�-f Y1 <br /> 7 oes t e s ut own power tote ❑ <br /> Is the 220 voltage to the turbine relay remove (either theine side or the moor side of the contacts or the coil)? ® ❑ <br /> 8 <br /> 9 ret e DISPENSER BREAKERS clearly l entl ie /labeled? <br /> 10 rete TURBINE BREAKERS clearly i enti le labeled? ® ❑ <br /> 11 re all the s accessible and clearly l enti led/labele <br /> Did the s unction correctly(de-energizedfrom either the line side or the motor side o the contacts or t o coil)? ® ❑ <br /> 12 <br /> If#12 is NO,briefly describe what was wrong: <br /> WA <br /> How was it corrected: <br /> 12B — — <br /> 12C If repair or ESO functionality cannot be corrected same day(prior to leaving the site). The technician MUST notify the Site <br /> Manager of the problem,place an"Out of Service"Tag on the ESO(s),and identify an alternate mean(i.e..locate circuit panel <br /> dead identifyturbine and m enser breakers for shut-off in the event of an emergency). <br /> 12D Elite Customer Solution Center has been contacted for the repair. <br /> eMaint.W.O.Ticket# <br /> POST TEST <br /> 11 Site's fueling system is fully operational. <br /> 12 All equipment secured and any access ports,lids.enclosures are closed. <br /> 13 All safety barricades.and any debris was been removed. <br /> COMMENTS <br /> Submit completed copy with other documentation in E-Maintenance. <br />