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CSTCOEmergency Stop Switch Operation Inspection <br /> WMOiLESALE <br /> Facility : Costco #038 Date : 3/ 13/ 19 <br /> Address : 1616 W . Hammer Lane Testing Company : Alltech Petro Inc . <br /> City , State , Zip : Stockton , Ca Tester Name : Chad White <br /> This procedure is to verify the operation of all emergency stop switches/buttons ( E -stops ) . Each E-Stop must <br /> disconnect power to the dispensers , submersible turbine pumps (STPs ) and all non - intrinsically safe electrical equipment <br /> in classified areas . Test each E - Stop separately . See PEI /RP1200 , Section 11 for the inspection procedure . <br /> E-Stop Number or ID 1 2 3 <br /> Location On Data Hut East side of Station West side of Station <br /> 1 . E-stop labeled and located ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No <br /> where easily accessible? <br /> 2 . System is fully powered and in ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No <br /> normal operating condition? <br /> 3 . After activating E-stop , power has been disconnected from : <br /> 3a . All dispensing devices on all ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No <br /> islands? <br /> 3b . All STPs for all fuel grades? ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No <br /> 3c. All power, control and signal <br /> circuits associated with the ® Yes El No ® Yes ❑ No ® Yes El No <br /> dispensing devices and the <br /> STPs? <br /> 3d . All other non- Intrinsically safe <br /> electrical equipment in classified ® Yes El No ® Yes El No ® Yes El No <br /> areas surrounding fuel <br /> dispensing devices? <br /> 4 . All intrinsically safe electrical <br /> equipment remains energized ® Yes El No ® Yes El No ® Yes El No <br /> after E-stop activation ? <br /> 5 . After testing , has E-stop been <br /> reset and power reestablished to ® Yes El No ® Yes [:1 No ® Yes ❑ No <br /> normal operating condition ? <br /> A " No " to lines 3a -3d indicate a test failure . <br /> Test Results : ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail <br /> Comments : <br /> Tester's Signature 40004Date : 3/ 13/ 19 <br />