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11 p Emergency Shut-Off (ESO) Testing Results & Checklist Site# 2093 Co.Name: FASTECH Date 12/06/11 Addr. 3425 Tracy Blvd. Phone: 714-523-0194 1 1 _ Ci /St:Tracy,CA Lead Tech: Omar Ruiz 771_ PASS eMaint.W.O.# 9794430 Name: Omar Ruiz or Passport#: 835686 ❑ 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 re-set manually. The test procedures and guidelines shall be in accordance with the ESO Testing Process. # The following information is to be completed. X To SelectYes No N/ 1 Number of ESO switches: 1 Type of Switch Push Pull Monenta Plain h ht/To le Other: 2 -- –D`____�_ _�9 if Momentary type,locate and identify re-set button): reset switch in back office room ti 3 Type of Turbine Control Relay System Electrical Distribution Center): ❑ I Brown Box p Power Solution ❑ Custom Fabricated ❑ Carolina Box ❑ Other 4 Type of Turbine Control Rela s: Make fe etro Mode vfc 5 Type of Line Leak Detection: ❑ Mechanical Ell FI D/CPT ❑ PLLD PERF'S)EN —,TFST,_., 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)? El El8 9 Are the DISPENSER BREAKERS clearly identified/labeled? � 0 ❑ 10 Are the TURBINE BREAKERS clearly identified/labeled? ❑ ❑ 11 Are all the ESOs accessible and clearly identified/labeled? 0 ❑ Did the ESO(s)function correctly(de-energized from either the line side or the motor side of the contacts or the coil)? E] El12 If#12 is NO,briefly describe what was wrong: 12A 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,clearly 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# I I I I ❑ ❑ 777 7'vm 7,77'7,7771 10 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. Submit comp/ ied;copy wi#h.uther tloC tnet}tatrcirr in E�Mal tertance.