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Werk Order: 2268618 <br /> b r3 <br /> ` Emergency Stop (E-Stop) Testing Results & Checklist <br /> Favi 1 lfom�atfpn' ractar::..lnform. :TE57 Results <br /> Site Co. Na ' o.. Date: ! I <br /> Address: Phone: 0%nr <br /> City/St: Lead Tec nicianj PASS <br /> eMaint.W.O.# Name: or <br /> S't natur FAIL Next Day Repair Required) <br /> The objective of thistest is to provide assurance that the when the E.9top switch is activated,all the fueling system circuits(turbines,and dispensers)are <br /> , de <br /> energized,and remain de-energized until they are re-set manually). The test procedures and guidelines shall be In accordance with the Estop Testing Process. <br /> XT ISI <br /> I u The Inlfowfn information is to be completed Y fvo WA <br /> 5 w 'r i t47 <br /> p;ti �a�ixt� sxce <br /> 51TE:bAT i r `t r;xt.i f,k,n `i <br /> 1 N umber of IEiStop switches: <br /> 2 Typr of Switch? _Push Pull _Momentary Iain light I Toggle Other: <br /> (if Mementlary type, locate and identify re-set button): <br /> 3 Type of Turbine Control Relay System(Electrical Distribution Center): <br /> _Browh Box _Power Sol on Other ✓Cus om Fatxicated <br /> 4 Type of Turbine Control Relays: Make Model 0v- <br /> 5 Type of Lit Leak Detection Mechanical _ELD/CPT PLLD <br /> PER <br /> w.r,.e. i Yt�e .i`f r"w *s 5t''?c'�3 �'µ �F..��r. �. :.'.t�, rfX'.� �p:9'IU�,y�:.r aTt�' � .Z'I. •: <br /> 6 Does theStop shutdown power to the DISPENSERS >x <br /> 7 Does the E-Stop shutdown power to the TURBINES <br /> 8 is the 220 Voltage to the turbine relay removed(both sides of the relay) <br /> 9 Are the TURBINE BREAKERS clearly identified/labeled <br /> 10 Did the E- tops)function correctly(de-energized from both sldes of the relay) <br /> 10A If#10 is N0,briefly describe what was wrong: <br /> 10B How was it corrected: <br /> 10C If repair orIE-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 shutdofwn in the event of an emergency. <br /> 10D The Elite Customer Solution Center has been contacted for the repair. <br /> W.O.Ticket# <br /> "1 P05T TET <br /> .tet .+..�.�,, ..�.. K^'i¢.¥e�U::x:�r&. :is;.� j <br /> i 1 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 /> i,:2 d u.�..'t o n:aGaiZ5lr�it w+�le eC..pp1P 'h @t!► t,i .. � -Iw <br /> I <br /> I <br /> l <br /> Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759 <br />