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Emergency Shut -Off (ESO) Testing Results & Checklist "`2Gilt [ormaYron Coifr'actor.Infprmatr�n„” Tesi Results. Site # Arco 5450 Co. Name: Wayne Perry Date: 09/23/10 Addr. 1617 W Fremont St. Phone: 916.646-9680 Cit /St: Stockton CA 95203 Lead Tech: Brandon Smith 0 PASS eMaint. W.O. # 9703238 Name: Brandon Smith or Pass ort#: 1937515 ❑ FAIL (Next Day Repair Required) Si nature: c r The objective of this test is to provide assurance that when the ESO switch is,a tivated, all the fueling system circuits (turbines, and dispensers) are do. energized, and remain de -energized until they are re -set manually. The test procedures and guidelines shall be in accordance with the ESO Testing Process. X To Select # The following Information Is to be completed. Yes No N/ 1 Number of ESO switches: 1 2 Type of Switch 0 Push Pull ❑ Monentary ❑ Plain light/Toggle ❑ Other: if Momentary type, locate and identify re -set button): 3 Type of Turbine Control Relay System (Electrical Distribution Center): ❑ Brown Box ❑ Power Solution ❑ Custom Fabricated ❑ Carolina Box Other 4 IType of Turbine Control Relays: Make Red Jacket Model VST 5 Type of Line Leak Detection: 0 Mechanical 0 ELD / CPT ❑ PLLD _4 MWEI 6 Does the ESO shutdown power to the DISPENSERS? ❑ ❑ 7 Does the ESO shutdown power to the TURBINES? 0 ❑ Is the 220 voltage to the turbine relay removed (either the line side or the motor side of the contacts or the coil)? 0 ❑ 8 9 Are the DISPENSER BREAKERS clearly identified / labeled? 0 ❑ 10 Are the TURBINE BREAKERS clearly identified / labeled? 0 ❑ 11 Are all the ESOs accessible and clearly identified / labeled? 0 ❑ Did the ESO(s) function correctly (de -energized from either the line side or the motor side of the contacts or the coil)? 0 ❑ 12 If #12 is NO, briefly describe what was wrong: 12A How was it corrected: 12B 12C If repair or ESO functionality cannot be corrected same day (prior to leaving the site). The technician MUST notify th Site Manager of the problem, place an "Out of Service" Tag on the ESO(s), and identify an alternate mean (i.e., locat circuit panel , clearly identify turbine and dispenser breakers for shut-off in the event of an emergency). Elite Customer Solution Center has been contacted for the repair. L3 U 12D ❑ 13eMaint. W.O. Ticket # 11 Site's fueling system is fusfull operational. 0 ❑ 12 All equipment secured and any access ports, lids enclosures are closed. ® ❑ 13 All safetv barricades and any debris was been remove( ® O rONi �yS � � �. .t* :a � r `� :. fir, .t+t a� � , •�,.: Frl�1'�: � t a r ia+ te. 87 Main Has Electronic and 91 has a mechanical. Submit,comgieted copy with other documentation in E -Maintenance: