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by g <br /> 0 Emergency Shut-Off (ES®) Testing Results & Checklist <br /> Site#:5450 Co.Name.Tait Environmental Services Date: 10 / 3 / 2008 <br /> Address:1617 W.Freemont St. Phone:(714)560-8222 <br /> City/St:Stockton,Ca Lead Tech <br /> flii - X PASS <br /> eMaint.W.O.# 9388017&9388016 Dragan Pesic or <br /> Passport#: 97156217 =FAIL(Next Day Repair Required) <br /> Signature: <br /> The objective of this test is to provide assurance that when the ESD switch is activated,all the fueling system circuits(turbines,and dispensers)are de-energized,and remain de-energlzed <br /> until they are reset manually. The test procedures and guide <br /> a The followlrig lnformetlon is to be completed x Tod ha wn <br /> ^� - '�� x�xc� F• `�r`��"�«��� :r x�.c �- ��.c.x� rte-� ��.-e �.F-.x+�,er.� ::.f s r..r .� aua�..R <br /> Yea <br /> 1 Number of ESO switches. 1 <br /> 2 Type of Switch X Push Pull _Momentary Plain light/Toggle _Other.( ) <br /> i. <br /> (if Momentary type,locate and Identify re-set button): <br /> 3 Type of Turbine Control Relay System(Electrical Distribution Center): t( <br /> _Brown Box _Power Solution Custom Fabricated _Carolina Box __X_Other CPT . <br /> 4 IType of Turbine Control Relays: Make �RJ Model CPT <br /> 5 Type of Line Leak Detection: X Mechanical _ELD/CPT _PLLD i <br /> 6 Does the ESO shutdown power to the DISPENSERS? X <br /> 7 Does the ESO shutdown power to the TURBINES? X <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)? X <br /> 9 Are the DISPENSER BREAKERS clearly identified/labeled? X <br /> 10 Are the TURBINE BREAKERS clearly identified/labeled? X <br /> 11 Are all the ESOs accessible and clearly identified/labeled? X <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)? X <br /> 12A It#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 <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 /> clearly identify 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. t <br /> eMaint W.0,Ticket# t <br /> r <br /> �. e .,:..._ ... _ tea- � <br /> 11 Site's fueling system is fully operational. <br /> 12 JAII equipment secured and any access ports,lids,enclosures are closed. <br /> 13 JAJI safety barricades,and any debris was been removed. <br /> ENRO`�. <br /> I' <br /> i <br /> i <br /> Submit coinplated copy with other documentationtAalntanance <br /> 1 <br /> 1}t. <br /> f <br />