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Nora urca.er: Z'A'0746v <br />by <br />liol Emergency Shut -Off (ESO) Testing Results & Checklist <br />fadcy T <br />Ito#a. Nam • Date: <br />dress- hors -/ <br />i 1 St: ol ASS <br />Maint. w.0. # ame: or <br />as AIL (Next Day Repair Required) <br />ure: <br />ne oWaWn ar mfr lass is to provide aeuranes that aaaar me ESD as l eh M seWated, ea dte frleihrp system elmutp purbiries, and waacrrseral are , and mmeM db-anon�i <br />1 thayaR rs�et meewaly. The teat prawduris and g3dMnnes shall be In asoordairm with do ESO T -11W Proses. <br />flawlrlQ rrtfa/�rePfr # <br />X Te ahem! <br />DATA <br />ber of ESO switch <br />of Switch: ush Pull ®Momentary Plain tight I Toggle Other'(mentary type, to and identify reset button):T <br />fy <br />of Turbine Control Relay System (Electrical Distri Center): <br />Brown Box Power Sokrtiot _ , ustom Fabricet _Carolina Box Otlier <br />4 ype of Turbine Control Relays: oke Model <br />5 ype of Lute Leak Detection: ech Dries! ELDICPT PLLD`"' <br />.,. <br />ERPORMANCE TEST <br />6 oes the ESO shutdown power to the DISPENSERS? <br />- <br />7 oes the ESO shutdown power to the TURBINES? <br />_ <br />8 s the 229 voltage to the turbine relay removed (cher the ins skis or the motor side of the contacts or the coil)? <br />9 re the DISPENSER BREAKERS clearly identified / labeled? <br />ID Nna the TURBINE BREAKERS dearly identified I labeled? <br />11 Nre all the ESOs accessible and dearly identified I labeled? <br />72 1d the ESO(s) function correctly (de -energized from either the fine side or the motor side of the contacts or the coil)? <br />12A f #12 is NO, brie describe what was wrong,^ <br />fly <br />128 Aow was it corrected: <br />12C f repair or ESO functionality cannot be corrected same day (prior to leaving the site). The technician MUST notify the Site <br />sager of the problem, piece an 'Out of Service" Tag on the ESO(s), and identify an alternate mean (i.e., locate circuit panel. <br />early identify turbine and dispenser breakers for shad -off in the event of an emergency). <br />;• <br />120 lite Customer Solution Center has been Contacted for the repair. <br />Weird. W.O. Ticket # <br />ST TEST <br />11 de's fueling system is fully operational. <br />12 U equipment secured and any access pots, lids, enclosures are closed. <br />13 1 safety barricades, and any debris was been removed. <br />COMMENTS <br />mast corn~ ootrywith ad— doom seats M E treoa <br />Tanknology Inc. 11000N. MoPac Expressway, Suite 500, Austin, Texas 78759 <br />