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by GR Job# 19200015 <br /> Emergency Shut-Off ( ESO) Testing Results & Checklist <br /> Facility Information Contractor Information TEST Results <br /> Site # Arco 2186 Co Name • Gettler-Ryan Inc . Date : 1 / 3 / 2019 <br /> Address : Phone 925 .559 -7555 <br /> 3212 N California Lead Technician . David Rouse x PASS <br /> City l St: Sacramento CA Nameor <br /> eMaint. W.O. # _ 1 0 212 7 2 0 Passport FAIL (Next Day Repair Required ) <br /> Signature <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 d"nergized, and <br /> remain d"nergized until they are reset manually). The test procedures and guidelines shall be In accordance with the E•Stop Testing Process. <br /> X To s.Ma <br /> # The following Information Is to be completed. <br /> SITE DATA <br /> 1 Number of EaStop switches: 2 <br /> Type of Switch? Push Pull X Momentary Plain light ! Toggle Other: <br /> 2 <br /> (if Momentary type , locate and identify re-set button ) In Elect Room <br /> 3 Type of Turbine Control Relay System (Electrical Distribution Center) : <br /> Brown Box nPower SolutionJ.:aOther oCustom Fabricated <br /> a T pe of Turbine Control Relays Make FE PETRO Model MAG VFC <br /> 5 Type of Line Leak Detection Mechanical ELDlCPT ✓ PLLD <br /> PERFORMANCE TEST <br /> 6 Does the E-Stop shutdown power to the DISPENSERS X <br /> 7 Does the &Stop shutdown power to the TURBINES X <br /> e Is the 220 voltage to the turbine relay removed (either the line side or the motor side of the contacts or the coil)? X <br /> 9 Are the DISPENSER BREAKERS clearly identified ! labeled? X <br /> 10 Are the TURBINE BREAKERS clearly identified ! labeled? X <br /> 11 jAre all the ESOs accessible and clearly identified ! labeled? X <br /> tit Did the ESO( s) function correctly (de-energized from either the line side or the motor side of the contacts or the coil)? X <br /> 12A Ili # 12 is NO , briefly describe what was wrong . <br /> F <br /> 12B How was it corrected <br /> i <br /> i <br /> 12C If repair or ESO functionality cannot be corrected same day (prior to leaving the site ) . The technician MUST notify the <br /> Site Manager of the problem , place an "Out of Service" Tag on the ESO( s) , and identify an alternate mean (i . e . , locate <br /> circuit panel , clearly identify turbine and dispenser breakers for shut-off in the event of an emergency) . <br /> r <br /> 1211 Elite Customer Solution Center has been contacted for the repair . <br /> eMaint W O . Ticket # <br /> POST TEST <br /> JAll <br /> Site's fueling system is fully operational . x <br /> All equipment secured and any access ports , lids . enclosures are closedx <br /> safety barricades, and any debris was been removed x <br /> COMMENTS <br /> JAN 22 2019 <br /> Submit completed copy with other documentation in &Maintenance, <br /> i <br /> i <br /> r, <br />