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by Emergency Shut-Off (ESO) Testing Results Checklist - - - _ - r 3 M.£ .,, ,1i "x . , mi � Ffo' lip" Site r �ftr�natiQ>>l % ses>u ,% 3 6 Site# 5450 Co. Name: FASTECH Date, 09/01/11 Addr. 1617W. Fremont Phone: 714-523-0194 City/St: Stockton,CA Lead Tech: Omar Ruiz ❑ PASS eMaint.W.O.# 9775929 Name: Omar Ruiz or Passport#: IB35686 ❑ FAIL(Next Day Repair Required) Signature: I ? 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 de- 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. # The following information is to be completed. X To Select Yes I No INIA r 1 Number of ESO switches: 1 2 Type of Switch E]J Push Pull Monentary ❑ Plain light/Toggle ❑ 1Cther if Momentary type,locate and identify re-set button): Type of Turbine Control Relay System(Electrical Distribution Center): ❑ Brown Box p I Power Solution ❑ Custom Fabricated ❑ Carolina Box 2 Other 4 Tye of Turbine Control Relays: Make red jacket Modef cwt 5 Type of Line Leak Detection: I] Mechanical ❑ ELD/CPT ❑ PLLD PERI+ORMaPlGE TEST 6 Does the ESO shutdown power to the DISPENSERS? Pi n 7 Does the ESO shutdown power to the TURBINES? ED ❑ Is the 220 voltage to the turbine relay removed(either the line side or the motor side of the contacts or the coil)? 21 El8 9 Are the DISPENSER BREAKERS clearly identified/labeled? ❑ J 10 Are the TURBINE BREAKERS clearly identified/labeled? ❑ ❑ 11 Are all the ESOs accessible and clearly identified/labeled? ❑ ❑ J 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 not the Site Manager of the problem,place an"Out of Service"Tag on the ESO(s),and identify an alternate mean(i.e., locate circuit panel,clearly identify turbine and dispenser breakers for shut-off in the event of an ewer ency). 12D Elite Customer Solution Center has been contacted for the repair. i eMaint.W.O.Ticket# f''OS1 T " ,% , .. 11 Site's fueling system is fully operational. L51;7,1 12 All a ui ment secured and an access orts, lids,enclosures are closed. 13 All safet barricades,and an debris was been removed. s P' .. Sutrr'it completed copy with other documentation in E-Maintenance.