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by Emergency Shut-Off (ESO) Testing Results & Checklist <br /> Site# 2133 Co.Name: FASTECH Date: 01/27/12 <br /> Addr. 2908 Benjamin Holt Dr. Phone: 714-523-0194 <br /> Ci /St: Stockton CA Lead Tech: Isaac Anderson Alitech Petro Inc. X PASS <br /> eMaint.W.O.# 9798966 Name: or <br /> Pass ort#: FAIL(Next Day Repair Required <br /> Signature: <br /> The objective of this test is to provide assurance that when the ESO switch is acts ,.1104 ueling system circuits(turbines,and dispensers)are de-energized,and <br /> remain de-energized until they are reset manually. The test procedures and guidelines shall be in accordance with the ESO Testing Process. <br /> X To Select <br /> # The following information is to be completed. Yes No N/A <br /> 1 Number of ESO switches: <br /> 2 T pe of Switch Push Pull Monentary X Plain li ht(To le Other: <br /> if Momenta e,locate and identi re-set button <br /> 3 Type of Turbine Control Relay System(Electrical Distribution Center): <br /> Brown Box I Power Solution ICustom Fabricated Carolina Box 10ther X <br /> 4 Type of Turbine Control Relays: Make Red Jacket X Model Capacitor kn Control Box <br /> 5 Type of Line Leak Detection: Mechanical ELD/CPT PLLD X <br /> 6 Does the ESO shutdown power to the X <br /> 7Does the ESO shutdown power tote X <br /> Is the 220 voltage tot a turbine relay remove (either the line side or the motor side of the contacts ort the coil)? X <br /> 8 <br /> 9 rete DISP S clearly l entl lelabeled? X <br /> 10 rete TURBINE BREAKERS clearly I entl lelabeled? X <br /> 11 re all the ESOs accessible and clearly l enti lelabeled? <br /> X <br /> Did the s unction correctly(de-energized from either Me line side or the motor side of the contacts or the coil)? <br /> X <br /> 12 <br /> If#12 is NO,briefly describe what was wrong: <br /> 12A <br /> How was it corrected: <br /> 12B <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 panel, <br /> clearly identify turbine and dis enser breakers for shut-off in the event of an emer enc . <br /> Elite Customer Solution Center has been contacted for the repair. <br /> 12D <br /> eMaint.W.O.Ticket# <br /> 111MONSIMMEMEEM no= <br /> 11 Site's fueling system is fully operational. X <br /> 12 All equipment secured and any access ports,lids,enclosures are closed. X <br /> 13 All safety barricades,and any debris was been removed. X <br /> Submit co»piete!btaRY tNith otheF cfocumentatien in E=Maintenance. <br />