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Work Order: 2258592 <br /> r <br /> by <br /> JOWIL <br /> Emergency Stop (E-Stop) Testing Results & Checklist <br /> Site# ortf a, Co.Name: .s Date: / 1 <br /> Address: IX1 &w. e-~ Phone: <br /> Cit t+ <br /> 1 St: c,E.e+- ew Lead Tecttnidan: PASS <br /> eMalnt,W.O.# Name: ,a .cam or <br /> L! Signature: FAIL Next Day Repair Required) <br /> The objective of this teal is to provide assurance tint the when the E4wp swkeh is actlwted,ill the foaling system eheedts(h Wnes.and dispensers)are do, <br /> energized,and remain do-energhad eertil they are re set manually), Tim East procedures and guldeilnaa shall be M atcordafte with the E-Stop Testing Process. <br /> IF The Jw1awrng rnformanon Fs to be eonwated. X To SwKt <br /> Y77 YN rN r <br /> 1 Number of E-Stop switches: <br /> 2 Type of Switch? sh Full _Momentary __PIaIn light/Toggle Other <br /> {if Momentary type,locate and IderEtiry re-set button): <br /> 3 Type of Turbine Control Relay SyStem(Electrical Distrfttion Center): <br /> Brawn Box Power Solution _Other Custom Fat> <br /> 4 Type of Turbine Control Relays; Make ,e Model 11V A <br /> 5 Type of Line Leak Detection: Mlechanicai ELDICPT PILO <br /> 6 Does the E-Stop shutdown purer to the DISPENSERS <br /> 7 Does the E-Stop shutdown power to the TURBINES <br /> S Is the 220 voltage to the turbine relay removed(both sides of the relay) <br /> 9 Are the TURBINE BREAKERS clearly identified I labeled <br /> 10 Did the E-Stops)function correctly(de-energized from boat sides of the relay) <br /> t0A If#10 is NO.briefly describe what was wrong: <br /> i� <br /> 10B How wus it corrected: <br /> 10C If repair or tE-Stop functionality cannot be corrected sane day(prior to leaving the site). The technician MUST rlatified <br /> the Site Manager of the problem,place an'Out of Servk:e'Tag on Vie E-Stop(s),and IdentifEed an alternate rnean for <br /> site shutdown in the even of an emergency. <br /> 100 The Elite Customer Solution Center has been contacted for the repair. 1 <br /> W-0.Ticket# <br /> im 'ii <br /> 11 Site's fueling system is fuity operational, <br /> 12 All umnt secured and any access parts,lids,enclosures are closed <br /> 13 All safety barricades,and any debris was been removed. <br /> b <br /> i .. <br /> Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 <br />