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Work Order: 2267978 <br />by <br />`emergency Stop (E -Stop) Testing Results & Checklist <br />R•' �42L. "itis J;' ;_�"y�. • f <br />4acditIXtgmatoi5 T4,rac`dr..11i ion' _ ffSVV e's F % r <br />Site # Co. Nam : Date: ! f D <br />Address: Phone: Oq 11 <br />Cit I St: }>v. Lead Technician: PASS <br />eMaint. W.O. # Name:Um frol or <br />Signatur FAIL jNext Day Repair Re wired <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 de <br />energized, and remain de -energized until they are re -set manually). The test procedures and guidelines shall be In accordance with the Estop Testing Process. <br />X To Select <br /># <br />The followm� information is to be Completed Yes No I NIA <br />1 <br />2 <br />SITE<DRTQ�.,y <br />Number of E -Stop switches: t' <br />Type of Switch? _Push Pull _Momentary _Plain tight / Toggle Other: <br />(if Momentary type, locate and identify re -set button): <br />3 <br />Type of Tu bine Control Relay System (Electrical Distribution Center): ?:.' :r';:-. <br />l- . <br />_Brow' Box _Power Solution Ot er ustom Fabricated rc.`a <br />Type of Turbine Control Relays: Make 4 Model <br />Type of Li Leak Detection Mechanical D(CPT _PLED ^, e <br />t�EPCp FOR At10E'T$T <br />.:A �}� -�t� t /� <br />4 <br />5 <br />6 <br />Does the 8 -Stop shutdown power to the DISPENSERS <br />7 <br />Does the P -Stop shutdown power to the TURBINES <br />8 <br />Is the 220 voltage to the turbine relay removed (both sides of the relay) <br />9 <br />Are the TUFBINE BREAKERS clearly identified / labeled <br />10 <br />Did the E-Stop(s) function correctly (de -energized from both sides of the relay) <br />10A <br />If #10 is NO, briefly describe what was wrong: <br />i <br />l <br />10B <br />10C <br />How was it! corrected: <br />I <br />If repair or jE-Stop functionality can not be corrected safle day (prior to leaving the site). The technician MUST notified <br />the Site Manager of the problem, place an "Out of Service" Tag on the E-Stop(s), and Identified an alternate mean for <br />site shutdown in the event of an emergency. <br />10D <br />The Elite Customer Solution Center has been contacted for the repair. i <br />W.O.Ticket # <br />6 <br />P, d °a'Sh '�r fS.kTe7, <br />11 <br />Site's fueling system is fully operational. <br />12 <br />All equipment secured and any access ports, lids, enclosures are closed. <br />13 <br />JAII safety t;arricades, and any debris was been removed. <br />Ill.. <br />n� <br />fan Yde'�cjq""eq con , N_m ;'fwor3s e <br />`"YfRefeen%. <br />i t <br />i <br />I <br />Tanknology Inc. 8501 N. MoPac Expressway, Suite 400, Austin, Texas 78759 <br />