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by Emergency Shut-Off (ESO) Testing Results & Checklist 01 z a ow --- - IR F �. Site # 2133 Co. Name: FASTECH Date 04/05/11 Addr. 2908 Ben amin Holt Phone: 714-5523-0194 Ci /St: Stockton CA Lead Tech: Omar Ruiz PASS eMaint. W.O. # 9749046 Name: Omar Ruiz or Pass rt#: IB35686 FAIL (Next Day Repair Required) Signature: — — The objective of this test is to provide assurance that when the ESO switch is activated, all the fueling system circuits (turbines, and dispensers) are de- energized, and remain de-energized until they are reset manually. The test procedures and guidelines shall be in accordance with the ESO Testing Process. # The following information is to be completed K To Select Yes No N/ i 1 Number of ESO switches: 1 2 Type of Switch Push Pull ❑ Monentary OPlain light/Toggle ❑ Other. if Momentary type, locate and identify re-set button): 3 Type of Turbine Control Relay System (Electrical Distribution Center): Brown Box EJ Power Solution Custom Fabricated ❑ Carolina Box PlOther 4 Type of Turbine Control Relays: Make redJacket Mode constant 5 Type of Line Leak Detection: Mechanical ELD / CPT PLLD �.�.., �3 \ 6 Does the ESO shutdown power to the DISPENSERS? 7 Does the ESO shutdown power to the TURBINES? ❑ Is the 220 voltage to the turbine relay removed (either the line side or the motor side of the contacts or the coil)? 0 ❑ 8 9 Are the DISPENSER BREAKERS clearly identified / labeled? / 10 Are the TURBINE BREAKERS clearly identified / labeled? 0 ❑ 11 Are all the ESOs accessible and clearly identified / labeled? Did the ESO(s) function correctly (de-energized from either the line side or the motor side of the contacts or the coil)? ❑ ❑ 12 J If #12 is NO, brief describe what was wrong: How was it corrected: 12B 12C If repair or ESO functionality cannot be corrected same day (prior to leaving the site). The technician MUST notify the Site Manager of the problem, place an "Out of Service" Tag on the ESO(s), and identify an alternate mean (i.e., locate circuit panel , learly identify turbine and dispenser breakers for shut-off in the event of an emergency). 12D Elite Customer Solution Center has been contacted for the repair. eMaint. W.O. Ticket # 11 Site's fueling system is fully operational. 12 All equipment secured and any access ports, lids, enclosures are closed. , 13 All safety barricades, and anx debris was been removed. } ,,..,\ 5 s3 � Submit completed copy with other documentAtlon in E-Maintenance.