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Emergency Shut-Off(ESO) Testing Results & Checklist <br /> Facility Information Contractor Information Test Results <br /> Site# Co.Name:W6M q <br /> Date: <br /> Address: < v,- Phone^ L <br /> Citv/St: Lead Technician =PASS <br /> eMaint.W.O..O.# ? Name: C or <br /> Passport#: l 'Z` iS FAIL(Next Day Repair Required) <br /> Si nature: F L.. f r-. . <br /> The objective or this test Is to provide assurance that when the ESO switch Is activated,all the fueling system circuits(turbines,and dispensers)are do-energized.and remain de-energized <br /> until they are reset manually. The test procedures and guidelines shall be In accordance with the ESO Testing Process. <br /> To Select <br /> # The following Information Is to be completed. Yes I No I N/A <br /> SITE DATA <br /> 1 Number of ESO switches: <br /> 2 Type of Switch:_Push Pull ='Momentary _Plain light/Toggle _Other:( ) <br /> (if Momentary type,locate and identify re-set button): 6IS,I �{ <br /> 3 Type of Turbine Control Relay System(Electrical Distribution Conter): <br /> _Brown Box _Power Solution Custom Fabricated _Carolina Box _Other <br /> 4 Type of Turbine Control Relays: Meko 1?. Model <br /> 5 Type of Line Leak Detection: t--Mechanical _ELD/CPT _PLLD <br /> PERFORMANCE TEST <br /> 6 Does the ESO shutdown power to the DISPENSERS? <br /> 7 Does the ESO shutdown power to the TURBINES? 'J <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)? <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 I labeled? <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)? [/ <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 Site Manager of <br /> the problem,place an"Out of Service"Tag on the ESO(s),and identify an alternate mean(i.e.,locate circuit panel,clearly identify <br /> 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# <br /> POSTTEST <br /> 1:11Site's fueling system is fully operational. <br /> 12 All equipment secured and any access ports,lids,enclosures are closed. �, <br /> 13 JAII safety barricades,and any debris was been removed. <br /> CONIrdENTS <br /> Submit completed copy with other documentation In E-Maintenance. <br />