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Work Order: 2259227 <br /> :G <br /> Emergency Stop {E-Stop} Testing Results & Checklist <br /> Facility,Information Contractor Information TEST Results <br /> site# 01IM90 Co.Nam n rttt`JJ Date: <br /> Address: 14 t,� Phone: ) <br /> City 1St: CYtan col Lead Technician: PASS +Y i <br /> eMaint.W.O.# Name: or /7� <br /> Signet FAIL(Next Day Repair Re uired <br /> I <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 disponsers)are da <br /> lenergized,and remain de-energized until they are ro-set manually). The test procedures and guidelines shalt be in accordance with the E-Stop Testing Process. <br /> X To Sricct <br /> The following information Is to be completed. <br /> —YtsT No N/A <br /> SITE DATA <br /> 1 Number of E-Stop switches: _ <br /> 2 Type of Switch? ush Putl __Momentary Plain light!Toggle __Other: <br /> (if Momentary type,locate and identify re-set button): _ <br /> 3 Type of Turbine Control Relay System(Electrical Distribution Cantor): <br /> r _Brown Box _Power Solution _Other v6ustorn Fabricated <br /> _4 Type of Turbine Control Relays: _—A4akerr7? Model <br /> 5 Type of Line Leak Detection: echanical ELDICPT ___PLLD <br /> PERFORMANCE TEST <br /> 6 Does the E-Stop shutdown power to the DISPENSERS <br /> 7 Does the E-Stop shutdown power to the TURBINES <br /> 8 Is the 220 voltage to the turbine relay removed(both sides of the relay) <br /> 9 Are the TURBINE BREAKERS clearly identified/labeled _ <br /> 10 Did the E-Stop(s)function Correctly(de-energized from both sides of the relay) <br /> 10A If#10 is NO,briefly describe what was wrong: <br /> 10B How was 2t corrected: --1 <br /> 10C If repair or E-Stop functionality can not be corrected same day(prior to leaving the site). The technician MUST notified I <br /> the Site Manager of the problem,place an"Out of Service"Tag on the E-Stop(s),and identified an alternate mean for III <br /> site shutdown in the event of an emergency. <br /> 10D The Elite Customer Solution Center has been contacted for the repair. <br /> W.O.Ticket# <br /> L12 <br /> POST TEST <br /> Site's fueling system is fully operational.All equipment secured and any access ports,lids,enclosures are closed.AIF safety barricades,and any debris was been removed. L <br /> COMMENTS <br /> S Reference items and describe observationslconditions where expectations are not met. <br /> i <br /> Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 <br />