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R E�a L by IAN 18 201�GR Job# 17204467 Emergency Shut-Off (ESO) TestinReIt s Checklist ;I`IirIRU IV �fv r�L isi r`iLI r� Facility Information Contractor Information TEST Results Site#Arco 2186 Co. Name: Gettler-Ryan Inc. Date:1/3/2 018 Address: Phone 925-551-7555 3212 Lead Technician:Alexander Tate x PASS City/St:Stockton, CA Name: or eMaint.W.O.# 1 41 Passport: FAIL(Next Day Repair Required) Si nature The objective of this test Is to provide assurance that the when the EStop switch Is activated,all the fueling system circuits(turbines,and dispensers)are de•anergized,an remain de-energized until they are re-set manually). The test procedures and guidelines shall be In accordance with the Estop Testing Process. tt The following Information Is to be completed. x To sel.d Yes No WA SITE DATA xF Number of E-Sto switches: _ 2 Type of Switch? Push Pull JK Momentary Plain light/Toggle Other (if Momentary type, locate and identify re-set button): In Elect Room 9 Type of Turbine Control Relay System(Electrical Distribution Center): JZBrown Box n Power Solution Other Custom Fabricated 4 Type of Turbine Control Relays: Make FE Petro Model Ma2 YFC 5 Type of Line Leak Detection: Mechanical I IELD/CPT I.LJ PLLD 1u PERFORMANCE TEST 6 Does the E-Stop shutdown power to the DISPENSERS X Wlt a 7 Does the E-Stop shutdown power to the TURBINES Xt y4`" 8 Is the 220 voltage to the turbine relay removed(either the fine side or the motor side of the contacts or the coil)? X 9 Are the DISPENSER BREAKERS clearly identified/labeled? X e 10 Are the TURBINE BREAKERS clearly identified/labeled? X 11 Are all the ESOs accessible and dearly identified/labeled? X 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 12A If#12 is NO, briefly describe what was wrong: 126 How was it corrected: m 12C If repair or ESO functionality cannot be corrected same da p y y(prior to leaving the site). The technician MUST notify 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 emergency). 12D Elite Customer Solution Center has been contacted for the repair. eMaint. W.O.Ticket# 10141 S 0 9 POST TEST 11 Site's fueling system is fully operational. x 12 All equipment secured and any acoess ports, lids, enclosures are dosed. x 13 All safety barricades, and any debris was been removed. COMMENTS Submit completed copy with other documentation In E-Maintenance.