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by GR Job# 17204467 <br /> 0 Emergency Shut-Off (ESO) Testing Results & Checklist <br /> ntraCt~yo�r�info�r" <br /> matfon TEST ResutsFacil YInformation 1, <br /> Site#Arco 2186 Co. Name: Gettler-Ryan'Inc. Date:1/3/2018 <br /> Address: Phone 925-551-7555 <br /> 3212 Lead Technidan:Alexander Tatex PASS <br /> City!St:Stockton CA Name: or <br /> eMaint.W.O.# 10 1 Passport: FAIL(Next Day Repair Required) <br /> S' nature <br /> 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-energized,an <br /> remain d"nerglzod until they are ro-set manually). The test procedures and guidelines shall be In accordance with the Estop Testing Process. <br /> # The following Information Is to be comp/sled. <br /> xToS.J� <br /> Y_ No WA <br /> SITE DATA <br /> 1 Number of E-Stopswitches: <br /> 2 Type of Switch? Push Pull X MomentaryLlPlain 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 /> ElBrown Box ZI Power Solution X Other Il Custom Fabricated <br /> a Type of Turbine Control Relays: Make EEr Model a VFQ <br /> 5 Type of Line Leak Detection Mechanical ELD/CPT LLl PLLD <br /> !T"M RMA CE mS,T <br /> 6 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 coil)? 7 <br /> 9 Are the DISPENSER BREAKERS clearly identified/labeled? x <br /> 10 Are the TURBINE BREAKERS clearly identified/labeled? <br /> 11 Are all the ESOs accessible and dearly 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 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(i.e., locate <br /> circuit panel, dearly 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 /> 11 Site's fueling system is fully operational. x <br /> 12 All equipment secured and any access ports, lids, enclosures are dosed. x <br /> 13 JAII safety barricades, and any debris was been removed. x <br /> COMMENTS <br /> Submit completed copy with other documentation In E-Maintenance. <br />