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Emergency Shut-®f(ES®) Testing Results & Checklist <br /> Facility Information Contractor Information Test Results <br /> Site# ,; ` (:^ Co.Name: tier"�' ly 1 i '1' Date: <br /> Address:r`,C- t tl`<_ Phone-,!It Lt r ' l�G <br /> City/St: r,, Lead Technician: Z%PAS S <br /> eMaint W.O.#'3' t'.: -_ Name: j/ ; or <br /> Passport#: 15 IFAIL(Next Day Repair Required) <br /> Signature: <br /> The objective of this test Is to provide assurance that when the ESO switch Is activated,all the fueling system circuits(turbines,and dispensers)are de­energized,and remain de<nergized <br /> until they are reset manually. The test procedures and guidelines shall be in accordance with the ESO Testing process. <br /> To Select <br /> # The following information Is to be completed. <br /> Yos No I NIA <br /> SITE DATA <br /> 1 Number of ESO switches: <br /> 2 Type of Switch: _Push Pull _Momentary _Plain liaht/Toggle _Other:( ) <br /> If Momenta e,locate and identify re-set button): � "" <br /> f Momentary fv ) t a:�If1 i P'- ' Vii.. <br /> 3 Type of Turbine Control Relay System(Electrical Distribution Center): <br /> r Brown Box _Power Solution _Custom Fabricated _Carolina Box _Other <br /> 4 Type of Turbine Control Relays: Make %: i.; t' Model <br /> 5 Type of Line Leak Detection: 1,--Mechanical ELD/CPT PLLD <br /> PERFORMANCE TEST <br /> 6 Does the ESO shutdown powerto the DISPENSERS? A <br /> 7 Does the ESO shutdown power to the TURBINES? <br /> 8 Is the 220 voltage to the turbine relay removed(either the line side or the motor side of the contacts or the coil)? <br /> 9 Are the DISPENSER BREAKERS clearly identified/labeled? c <br /> 10 Are the TURBINE BREAKERS clearly identified/labeled? <br /> 11 Are all the ESOs accessible and clearly identified/labeled? <br /> 12 Did the ESO(s)function correctly(de-energized from either the line side or the motor side of the contacts or the coil)? f/ <br /> 12A If#12 is NO,briefly describe what was wrong: <br /> 12B How was it corrected: <br /> 12C If repair or ESO functionality cannot be corrected same day(prior to leaving the site). The technician MUST notify the Site Manager of <br /> the problem,place an"Out of Service"Tag on the ESO(s),and identify an alternate mean(i.e.,locate circuit panel,clearly identify <br /> turbine and dispenser 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 /> POSTTEST <br /> 11 Site's fueling system is fully operational. <br /> 12 All equipment secured and any access ports,lids,enclosures are closed. v <br /> 13 All safety barricades,and any debris was been removed. <br /> COMMENTS <br /> Submit completed copy with other documentation in E-Maintenance. <br />