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Tanknology <br /> Emergency Stop (E-Stop / ESO) Periodic Inspection <br /> Facility Information Technician Information <br /> Site#:7-ELEVEN#17647,MKT 2368(N-744)17647 Date:7/28/2021 <br /> Address:1048 W.YOSEMITE AVE @ EL PORTEL Name:Tim Elebeck <br /> City/State:MANTECA CA mG�y fJa. ,,k <br /> Technician Signature: <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 <br /> dispensers)are de-energized,and remain de-energized until they are re-set manually).The test procedures and guidelines shall be in accordance <br /> with the E-Stop Testing Process. <br /> SITE DATA <br /> 1 Number of E-Stop switches INSIDE of the building: 1 <br /> 2 Number of E-Stop switches OUTSIDE of the building: 1 <br /> PERFORMANCE DATA Yes No NA <br /> 3 You have added or confirmed that all E-Stop locations are on the Site Diagram G r r <br /> 4 Do all E-Stops shutdown power to ALL DISPENSERS G. r <br /> 5 Do all E-Stops shutdown power to ALL STP's G r r <br /> 6 Are ALL E-Stops clearly Labeled r r r <br /> 7 Are the TURBINE BREAKERS clearly identified/labeled G. r r <br /> POST TEST <br /> 8 All equipment secured and any access ports,lids,enclosures are closed. G r r <br /> 9 All safety barricades and test equipment has been properly removed f•+ r r <br /> 10 E-Stop was reset and all dispensing functions are normal G r r <br /> E-Stop Inspection Results <br /> 11 PASS I FAIL I INCONCLUSIVE <br /> Comments(Clearly describe any deficiencies found) <br /> WO:2350909 <br />