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tip <br /> — GR Job aY 2040102 <br /> �.4 <br /> Emergency Shut Off (ESO) Testing Results & Checklist <br /> Facility Information Contractor Information <br /> TEST Resu � now L <br /> Site# 6080 Co. Name: Gettler-Ryan Inc.Phone 925-551-7555 <br /> Address: 85 Louise Ave Date: 2/2/2016 <br /> Ci /St: Lathro ,Ca Lead Technician: Tim Adams x PASS <br /> eMaint.W.O.# 10010669 Name' <br /> Passport: or ENWi` O VtV & <br /> Signature FAIL(Next Day Repair Ret}u'treld)-�_t r?,-o., P <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 do-energized,and <br /> remain de-energized until they are re-set manually). The test procedures and guidelines shall be in accordance with the E-Stop Testing Process. <br /> # The following lnformatton fs to be completed. x T.s.l�ct <br /> SITE DATA ''" NO N'" <br /> Number of E-Stopswitches: 2 <br /> 2 Type of Switch? Push Pull_ Momentary_ Plain light/Toggle X 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 /> _Brown Box _Power Solution X Other Custom <br /> Fabricated <br /> 4 T pe of Turbine Control Relays Make _ Fe Petro Model Maq VFC <br /> 5 Type of Line Leak Detection: Mechanical ELD/CPT X PLLDs <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 S. <br /> 8 Is the 220 voltage to the turbine relay removed(either the line side or the motor side of the contacts or the coil)? x <br /> 9 Are the DISPENSER BREAKERS clearly identified/labeled? z <br /> 10 Are the TURBINE BREAKERS dearly identified I labeled? x <br /> 11 Are all the ESOs accessible and clearly identified/labeled? x <br /> _ x <br /> t2 <br /> Did the ESO(s)function correctly(de-energized from either the line side or the motor side of the contacts or the coil)? <br /> 12A If#12 is NO, briefly describe what was wrongx . <br /> 126 - <br /> How was it corrected: <br /> •J�o'. <br /> s+, <br /> 12C If repair or ESO functionality cannot be corrected same day(prior to leaving the site). The technician MUST notify the Site <br /> Manager of the problem,place an"Out of Service"Tag on the ESO(s),and identify an alternate mean(i.e.,locate circuit <br /> panel,clearly identify turbine and dispenser breakers for shut-off in the event of an emergency). 4' <br /> 120 Elite Customer Solution Center has been contacted for the repair. " "` <br /> eMaint.W.O.Ticket# i <br /> POST TEST <br /> 11 Site's fueling system is fully operational. <br /> x ''_; <br /> 12 All equipment secured and any access ports,lids,enclosures are closed. <br /> 13 All safety barricades,and any debris was been removed. - x r <br /> COMMENTS <br /> Submit completed copy with other documentation In E-Maintenance. <br />