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tip GR Job# 18202542 <br /> flc� low <br /> 84V V* Emergency Shut-Off ( ESO ) Testing Results & Checklist <br /> Facility Information Contractor Information TEST Results <br /> Site # Arco 2093 Co . Name: Gettler• Ryan ( tic . Date : 8 3 0 / 2 0 18 <br /> Address : Phone 925-5514555 <br /> 3425 Tracv Blvd Lead Technician: David Rouse x. PASS <br /> City ,/ St: Trac CA Name: or <br /> eMaint. W.O. # 10 18 8 9 0 0 Passport: FAIL (Next Day Repair Required ) <br /> Si nature <br /> The objective of this test Is to provide assurance that the when the E•Stop switch is activated, all the fueling system circuits (turbines, and dispensers) are d"nerglzed, and <br /> remain de-energized until they are reset manually). The test procedures and guidelines shall be in accordance with the E-Stop Testing Process. <br /> '.. <br /> # The following Information Is robe completed. X To S.lectns No wx <br /> SITE DATA <br /> 1 Number of E• Stop switches: 2 <br /> 2 Type of Switch? Push Pull X MomentaryPlain light / Toggle El Other. <br /> ( if Momentary type, locate and identify re-set button ) : In Elect Room <br /> 3 Type of Turbine Control Relay System ( Electrical Distribution Center): <br /> Brown Box M Power Solution Other nCustom Fabricated <br /> a Type of Turbine Control Relays; Make FE P tro Model IST UR <br /> 5 Type of Line Leak Detection: Mechanical L.JELDICPT J PLLD <br /> PERFORMANCE TEST <br /> B Does the E- Stop shutdown power to the DISPENSERS X <br /> 7 Does the E-Stop shutdown power to the TURBINES X <br /> e Is the 220 voltage to the turbine relay removed (either the line side or the motor side of the contacts or the cod )? X <br /> 9 Are the DISPENSER BREAKERS clearly identified I labeled? X <br /> 10 Are the TURBINE BREAKERS clearly identified 1 labeled? X <br /> 11 Are all the ESOs accessible and clearly identified 1 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 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 <br /> Site Manager of the problem , place an "Out of Service" Tag on the ESO(s), and identify an alternate mean ( [ e . , locate <br /> circuit panel , 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. <br /> I eMaint . W . O. Ticket # <br /> POST TEST <br /> 11 Site's fueling system is fully operational . x <br /> 12 All equipment secured and any access ports, lids, enclosures are closed . x <br /> 13 All safety barricades, and any debris was been removed . x <br /> COMMENTS <br /> RECEVED <br /> SEP 2 4 2018 <br /> ENVIRONMENTAL <br /> Submit completed copy with other documentation in E•Maintenance. HEALTH [) PPARTMEN <br /> I <br />