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0 by GR Job# 17204467 <br /> Emergency Shut-Off (ESO) Testing Results & Checklist <br /> Facility InformationG ntraetor In <br /> - TEST.Results <br /> Site#AY CO 218 Co. Name: Gettler-Ryan Inc. Date:l:/3 /2018 <br /> Address: Phone 925~551-7555 <br /> 3212 Lead Technician:Al er Tat x PASS <br /> City/St:Sto CA Name: or <br /> eMafnt.W.O.# , 141aQ q Passport _ FAIL(Next Day Repair Required) <br /> _._ <br /> —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 dispensers)are de-energized,and <br /> remain de-energized until they are reset manually). The test procedures and guidelines shall be In accordance with the Estop Testing process. <br /> if The following Informadon Is to be completed. x Tu Seh a <br /> Y_ Nn WA <br /> SITE DATA <br /> Number of E-Stop switches: <br /> 2 Type of Switch? Push Pull X Momentary Plain light/Toggle 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 /> 0 Brown Box 0 Power Solution JROther ,0 Custom Fabricated <br /> a Type of Turbine Control Rela s: Make F e* Model r+C <br /> 5 Type of Line Leak Detection Mechanical ELD/CPT ✓ PLLD <br /> PERFOORMANCE TTEST <br /> 6 Does the E-Stop shutdown power to the DISPENSERS $X1 7 Does the E-Stop shutdown power to the TURBINES <br /> 8 Is the 220 voltage to the turbine relay removed(either the line side a or the motor side of the contacts or the coil)? <br /> 9 Are the DISPENSER BREAKERS clearly identified/labeled? <br /> 10 Are the TURBINE BREAKERS clearly identified/labeled? <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 If#12 is NO,briefly describe what was wrong: <br /> 12B How was it corrected.- <br /> 12C <br /> orrected:12C If repair or ESO functionality cannot he 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(i.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 /> eMaint.W.O.Ticket# 101415 0 9 <br /> POST TEST. <br /> > <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 /> COMMEMTS <br /> Submit completed copy with other documentation In E-MalnWriance. <br />