Maintenance Report 2014.pdf
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- Solicitation number
- 36C24524Q0607
About this file
This document is a maintenance report for a federal contract opportunity at the Martinsburg Veterans Affairs Medical Center. The report provides details on the inspection, testing, and maintenance services required for various electrical equipment such as 12 kV vacuum switchgear breakers, automatic transfer switches, 480V switchgear breakers, and transformers located at the facility. The contract requires the contractor to perform these services over a one-year period. The report includes detailed information on the specific equipment, including location, manufacturer, model, and current ratings. It also documents the inspection and test results for each piece of equipment, noting any deficiencies found. The key requirements of the federal contract opportunity are to provide comprehensive inspection, testing, and maintenance services to ensure the reliable operation of the facility's critical electrical infrastructure.
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Text version
Table of Contents Job #ELY8013
PAGE
PAGE
NO.Asset
PositionSubstation (Eq Loc)Plant
Veterans Affairs Med CenterCustomer
V.A. Medical CenterUser
Automatic Transfer Switch
217AATSHospital
Automatic Transfer Switch
217BATSHospital
Automatic Transfer Switch
306AATSHospital
Automatic Transfer Switch
307ATSHospital
Automatic Transfer Switch
317ATSHospital
Automatic Transfer Switch
320ATSHospital
Automatic Transfer Switch
Fire HouseATSHospital
ATS-3-,CB-1
ATS-3ATS RoomHospital
ATS-1-,CB-1
ATS-1ATS RoomHospital
ATS-1,Normal
ATS-1ATS RoomHospital
ATS-1,Emergency
ATS-1ATS RoomHospital
ATS-1-,CB-2
ATS-1ATS RoomHospital
ATS-10-,Emergency
ATS-10ATS RoomHospital
ATS-10, CB-2
ATS-10ATS RoomHospital
ATS-10-,Normal
ATS-10ATS RoomHospital
ATS-10, CB-1
ATS-10ATS RoomHospital
ATS-2-,CB-1
ATS-2ATS RoomHospital
ATS-2,Normal
ATS-2ATS RoomHospital
ATS-2,Emergency
ATS-2ATS RoomHospital
ATS-2-,CB-2
ATS-2ATS RoomHospital
ATS-3,Normal
ATS-3ATS RoomHospital
ATS-3-,CB-2
ATS-3ATS RoomHospital
ATS-3,Emergency
ATS-3ATS RoomHospital
ATS-4,CB-1
ATS-4ATS RoomHospital
ATS-4,Emergency
ATS-4ATS RoomHospital
ATS-4,CB-2
ATS-4ATS RoomHospital
Molded Case Circuit Breaker -Solid State
ATS-4ATS RoomHospital
PAGE
REVISED 6/30/2011COPYRIGHT © 2002-2008 POWERDB, INC. www.powerdb.com
PAGE
NO.Asset
PositionSubstation (Eq Loc)Plant
Veterans Affairs Med CenterCustomer
V.A. Medical CenterUser
ATS-4,Normal
ATS-4ATS RoomHospital
ATS-5-,Emergency
ATS-5ATS RoomHospital
ATS-5, CB-1
ATS-5ATS RoomHospital
ATS-5, CB-2
ATS-5ATS RoomHospital
ATS-5-, Normal
ATS-5ATS RoomHospital
ATS-6, CB-2
ATS-6ATS RoomHospital
ATS-6, CB-1
ATS-6ATS RoomHospital
ATS-6-,Normal
ATS-6ATS RoomHospital
ATS-6-,Emergency
ATS-6ATS RoomHospital
ATS-7, CB-2
ATS-7ATS RoomHospital
ATS-7-,Emergency
ATS-7ATS RoomHospital
ATS-7-,Normal
ATS-7ATS RoomHospital
ATS-7, CB-1
ATS-7ATS RoomHospital
ATS-8-,Emergency
ATS-8ATS RoomHospital
ATS-8-,Normal
ATS-8ATS RoomHospital
ATS-8, CB-2
ATS-8ATS RoomHospital
ATS-8, CB-1
ATS-8ATS RoomHospital
ATS-9, CB-1
ATS-9ATS RoomHospital
ATS-9, CB-2
ATS-9ATS RoomHospital
ATS-9-,Emergency
ATS-9ATS RoomHospital
ATS-9-,Normal
ATS-9ATS RoomHospital
TIE
Switchgear "A"Building 500Hospital
MDP-1
Switchgear "A"Building 500Hospital
Spare 1A
Switchgear "A"Building 500Hospital
DPSA
Switchgear "A"Building 500Hospital
Bus Duct run
Switchgear "A"Building 500Hospital
PAGE
REVISED 6/30/2011COPYRIGHT © 2002-2008 POWERDB, INC. www.powerdb.com
PAGE
NO.Asset
PositionSubstation (Eq Loc)Plant
Veterans Affairs Med CenterCustomer
V.A. Medical CenterUser
DPNCB DP-NC1 DP-NC2
Switchgear "A"Building 500Hospital
DP-NE1-R
Switchgear "A"Building 500Hospital
Elevator
Switchgear "A"Building 500Hospital
Spare 3B
Switchgear "A"Building 500Hospital
MCC1
Switchgear "A"Building 500Hospital
ATS
Switchgear "A"Building 500Hospital
Main
Switchgear "A"Building 500Hospital
Spare 7C
Switchgear "B"Building 500Hospital
CT Scan
Switchgear "B"Building 500Hospital
DP-SW2
Switchgear "B"Building 500Hospital
Main
Switchgear "B"Building 500Hospital
DP-KA
Switchgear "B"Building 500Hospital
DP-NW2
Switchgear "B"Building 500Hospital
Vacuum System
Switchgear "B"Building 500Hospital
DP-SE1
Switchgear "B"Building 500Hospital
DP-NW1
Switchgear "B"Building 500Hospital
DP-OR
Switchgear "B"Building 500Hospital
DP-SWB
Switchgear "B"Building 500Hospital
DP-SE2
Switchgear "B"Building 500Hospital
DP-NWB
Switchgear "B"Building 500Hospital
LP-SE1A
Switchgear "B"Building 500Hospital
DP-NE2
Switchgear "B"Building 500Hospital
DP-SW1
Switchgear "B"Building 500Hospital
DP-NEB
Switchgear "B"Building 500Hospital
DP-SEB
Switchgear "B"Building 500Hospital
DP-NE1
Switchgear "B"Building 500Hospital
PAGE
REVISED 6/30/2011COPYRIGHT © 2002-2008 POWERDB, INC. www.powerdb.com
PAGE
NO.Asset
PositionSubstation (Eq Loc)Plant
Veterans Affairs Med CenterCustomer
V.A. Medical CenterUser
MAIN
Building 501Hospital
EM-A 501
Building 501Hospital
Low Voltage Breaker
MainBuilding 501Hospital
MAIN
mainBuilding 502Hospital
EDP
mainBuilding 502Hospital
Medium Voltage Vacuum Breaker
B00 B501 B502 A SideMain SubstationHospital
Medium Voltage Vacuum Breaker
B500 B501 B502 B SideMain SubstationHospital
Medium Voltage Vacuum Breaker
Cooling Plant "A2"Main SubstationHospital
Medium Voltage Vacuum Breaker
Cooling Plant "B2"Main SubstationHospital
Medium Voltage Vacuum Breaker
Main "A"Main SubstationHospital
Medium Voltage Vacuum Breaker
Main "B"Main SubstationHospital
Medium Voltage Vacuum Breaker
Old hospital A3Main SubstationHospital
Medium Voltage Vacuum Breaker
Old hospital B3Main SubstationHospital
Medium Voltage Vacuum Breaker
TieMain SubstationHospital
Tie Breaker
MainMedium Voltage SwitchgearHospital
Cooling Plant "A" Breaker
MainMedium Voltage SwitchgearHospital
Main Breaker Relay "B"
MainMedium Voltage SwitchgearHospital
Cooling Plant Relay "A"
MainMedium Voltage SwitchgearHospital
Cooling Plant "B" Breaker
MainMedium Voltage SwitchgearHospital
B500,B510,B502 Relay "A"
MainMedium Voltage SwitchgearHospital
Main Breaker "A"
MainMedium Voltage SwitchgearHospital
Old Hospital "B" Relay
MainMedium Voltage SwitchgearHospital
B500,B501,B502 "B" Breaker
MainMedium Voltage SwitchgearHospital
Main Breaker "B"
MainMedium Voltage SwitchgearHospital
Old Hospital. "A" Relay
MainMedium Voltage SwitchgearHospital
Cooling Plant Relay"B"
MainMedium Voltage SwitchgearHospital
PAGE
REVISED 6/30/2011COPYRIGHT © 2002-2008 POWERDB, INC. www.powerdb.com
PAGE
NO.Asset
PositionSubstation (Eq Loc)Plant
Veterans Affairs Med CenterCustomer
V.A. Medical CenterUser
B500,B510,B502 Relay "B"
MainMedium Voltage SwitchgearHospital
B500,B501,B502 "A" Breaker
MainMedium Voltage SwitchgearHospital
Old Hospital Breaker "B"
MainMedium Voltage SwitchgearHospital
Main Breaker Relay "A"
MainMedium Voltage SwitchgearHospital
Old Hospital Breaker "A"
MainMedium Voltage SwitchgearHospital
Transformer Test
Building 501Transformers and SwitchHospital
Medium Voltage Switch
Building 501Transformers and SwitchHospital
Medium Voltage Switch
Building 502Transformers and SwitchHospital
Transformer Test
Building 502Transformers and SwitchHospital
Transformer Test
Building 508Transformers and SwitchHospital
Transformer Test (2)
BuildingTransformers and SwitchHospital
Transformer Test "B"
Building 500Transformers and SwitchHospital
Transformer Test "A"
Building 500Transformers and SwitchHospital
Medium Voltage Switch #1
Building 500Transformers and SwitchHospital
Medium Voltage Switch #2
Building 500Transformers and SwitchHospital
Medium Voltage Switch Tie
Building 500Transformers and SwitchHospital
Transformer Test
Tansformer "B"Transformers and SwitchHospital
Transformer Test
Tansformer "C"Transformers and SwitchHospital
Transformer Test
Tansformer "F"Transformers and SwitchHospital
Transformer Test
Transformer "A"Transformers and SwitchHospital
Transformer Test
Transformer "D"Transformers and SwitchHospital
Transformer Test
Transformer "E"Transformers and SwitchHospital
Transformer Test
Transformer "G"Transformers and SwitchHospital
Transformer Test
Transformer "GH"Transformers and SwitchHospital
Transformer Test
Transformer "H"Transformers and SwitchHospital
Transformer Test
Transformer "J"Transformers and SwitchHospital
PAGE
REVISED 6/30/2011COPYRIGHT © 2002-2008 POWERDB, INC. www.powerdb.com
PAGE
NO.Asset
PositionSubstation (Eq Loc)Plant
Veterans Affairs Med CenterCustomer
V.A. Medical CenterUser
Transformer Test
Transformer "L"Transformers and SwitchHospital
Transformer Test
Transformer "LM"Transformers and SwitchHospital
Transformer Test
Transformer "M"Transformers and SwitchHospital
Transformer Test
Transformer "N"Transformers and SwitchHospital
Transformer Test
Transformer "O"Transformers and SwitchHospital
Transformer Test
Transformer "P"Transformers and SwitchHospital
Transformer Test
Transformer "Q"Transformers and SwitchHospital
Transformer Test
Transformer "R"Transformers and SwitchHospital
BREAKER DATA
Electrical Services & Systems Automatic Transfer Switch
217A
4/14/2015DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: 217A
ATSSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
ELECTRICAL TESTS
INSPECTION DATA
Timothy SturgillTested By: PAGE
CURRENT RATING:SERIAL NUMBER:
VOLTAGE RATING:
MANUFACTURER:
Acceptable
PHYSICAL / MECHANICAL CONDITION:
EQUIPMENT GROUNDING:
CLEANLINESS:
MAIN CONTACTS:
ARCING CONTACTS:
LUBRICATION:
BARRIERS AND INSULATORS:
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
AcceptableCONNECTION TIGHTNESS:
MANUAL OPERATOR:
Cummins
L010310871
BTPCC-1323777
TYPE / STYLE #:
SYSTEM VOLTAGE
ATS PROTECTION: BYPASS ISOLATION: Switch
MANUAL TRANSFER WARNING LABELS:
MECHANICAL / ELECTRICAL INTERLOCKS:
EXERCISER SWITCH:
BA C A B
OPEN ( LOAD - GND )
C
AS LEFT SETTINGS TEST RESULTSRANGES
NORMAL TO EMERGENCY:
EMERGENCY TO NORMAL:
TIME DELAY ON TRANSFER:
ENGINE COOL DOWN:
NORMAL VOLTAGE SENSING:
EMERGENCY VOLTAGE SENSING:
ENGINE START:
FUNCTIONS
OPEN ( LINE - GND)
AS FOUND SETTINGS
CLOSED ( PH - GND )
AMPS:MicroOhms A: C: N:B:@CONTACT RESISTANCE IN ( Normal )
MicroOhms @ ( Bypass )AMPS: C: N:B:A:
INSULATION RESISTANCE:
VOLTS DC500@
EMERGENCY:
A B
( ) NORMAL:
LOAD:
BYPASS:
C
CONTACT RESISTANCE IN
MicroOhms @ ( Emergency )AMPS: C: N:B:A:CONTACT RESISTANCE IN
COMMENTS: Transfer Switch is in Satisfactory condition
Automatic Transfer Switch
217B
4/14/2015DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: Building 217B
ATSSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
ELECTRICAL TESTS
INSPECTION DATA
Timothy SturgillTested By: PAGE
CURRENT RATING:SERIAL NUMBER:
VOLTAGE RATING:
MANUFACTURER:
Acceptable
PHYSICAL / MECHANICAL CONDITION:
EQUIPMENT GROUNDING:
CLEANLINESS:
MAIN CONTACTS:
ARCING CONTACTS:
LUBRICATION:
BARRIERS AND INSULATORS:
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
AcceptableCONNECTION TIGHTNESS:
MANUAL OPERATOR:
ASCO
335475FB
series 7000
Breaker
TYPE / STYLE #:
SYSTEM VOLTAGE
ATS PROTECTION: BYPASS ISOLATION: Breaker
MANUAL TRANSFER WARNING LABELS:
MECHANICAL / ELECTRICAL INTERLOCKS:
EXERCISER SWITCH:
BA C A B
OPEN ( LOAD - GND )
C
AS LEFT SETTINGS TEST RESULTSRANGES
NORMAL TO EMERGENCY:
EMERGENCY TO NORMAL:
TIME DELAY ON TRANSFER:
ENGINE COOL DOWN:
NORMAL VOLTAGE SENSING:
EMERGENCY VOLTAGE SENSING:
ENGINE START:
FUNCTIONS
OPEN ( LINE - GND)
AS FOUND SETTINGS
CLOSED ( PH - GND )
AMPS:MicroOhms A: C: N:B:@CONTACT RESISTANCE IN ( Normal )
MicroOhms @ ( Bypass )AMPS: C: N:B:A:
INSULATION RESISTANCE:
VOLTS DC500@
EMERGENCY:
A B
( ) NORMAL:
LOAD:
BYPASS:
C
CONTACT RESISTANCE IN
Automatic Transfer Switch
306A
4/14/2015DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: Building 306A
ATSSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
ELECTRICAL TESTS
INSPECTION DATA
Timothy SturgillTested By: PAGE
CURRENT RATING:SERIAL NUMBER:
VOLTAGE RATING:
MANUFACTURER:
Acceptable
PHYSICAL / MECHANICAL CONDITION:
EQUIPMENT GROUNDING:
CLEANLINESS:
MAIN CONTACTS:
ARCING CONTACTS:
LUBRICATION:
BARRIERS AND INSULATORS:
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
AcceptableCONNECTION TIGHTNESS:
MANUAL OPERATOR:
ASCO
352109-008RE
300 series
Breaker
TYPE / STYLE #:
SYSTEM VOLTAGE
ATS PROTECTION: BYPASS ISOLATION:
MANUAL TRANSFER WARNING LABELS:
MECHANICAL / ELECTRICAL INTERLOCKS:
EXERCISER SWITCH:
BA C A B
OPEN ( LOAD - GND )
C
AS LEFT SETTINGS TEST RESULTSRANGES
NORMAL TO EMERGENCY:
EMERGENCY TO NORMAL:
TIME DELAY ON TRANSFER:
ENGINE COOL DOWN:
NORMAL VOLTAGE SENSING:
EMERGENCY VOLTAGE SENSING:
ENGINE START:
FUNCTIONS
OPEN ( LINE - GND)
AS FOUND SETTINGS
CLOSED ( PH - GND )
AMPS:MicroOhms A: C: N:B:@CONTACT RESISTANCE IN ( Normal )
MicroOhms @ ( Bypass )AMPS: C: N:B:A:
INSULATION RESISTANCE:
VOLTS DC500@
EMERGENCY:
A B
( ) NORMAL:
LOAD:
BYPASS:
C
CONTACT RESISTANCE IN
COMMENTS: ATS is in satisfactory condition
Automatic Transfer Switch
4/14/2015DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: Building 307
ATSSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
ELECTRICAL TESTS
INSPECTION DATA
Timothy SturgillTested By: PAGE
CURRENT RATING:SERIAL NUMBER:
VOLTAGE RATING:
MANUFACTURER:
Acceptable
PHYSICAL / MECHANICAL CONDITION:
EQUIPMENT GROUNDING:
CLEANLINESS:
MAIN CONTACTS:
ARCING CONTACTS:
LUBRICATION:
BARRIERS AND INSULATORS:
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
AcceptableCONNECTION TIGHTNESS:
MANUAL OPERATOR:
ASCO
82019-Y
300 series
Switch
TYPE / STYLE #:
SYSTEM VOLTAGE
ATS PROTECTION: BYPASS ISOLATION:
MANUAL TRANSFER WARNING LABELS:
MECHANICAL / ELECTRICAL INTERLOCKS:
EXERCISER SWITCH:
BA C A B
OPEN ( LOAD - GND )
C
AS LEFT SETTINGS TEST RESULTSRANGES
NORMAL TO EMERGENCY:
EMERGENCY TO NORMAL:
TIME DELAY ON TRANSFER:
ENGINE COOL DOWN:
NORMAL VOLTAGE SENSING:
EMERGENCY VOLTAGE SENSING:
ENGINE START:
FUNCTIONS
OPEN ( LINE - GND)
AS FOUND SETTINGS
CLOSED ( PH - GND )
AMPS:MicroOhms A: C: N:B:@CONTACT RESISTANCE IN ( Normal )
MicroOhms @ ( Bypass )AMPS: C: N:B:A:
INSULATION RESISTANCE:
VOLTS DC500@
EMERGENCY:
A B
( ) NORMAL:
LOAD:
BYPASS:
C
CONTACT RESISTANCE IN
COMMENTS: ATS is in satisfactory condition
Automatic Transfer Switch
4/14/2015DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: Building 317
ATSSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
ELECTRICAL TESTS
INSPECTION DATA
Timothy SturgillTested By: PAGE
CURRENT RATING:SERIAL NUMBER:
VOLTAGE RATING:
MANUFACTURER:
Acceptable
PHYSICAL / MECHANICAL CONDITION:
EQUIPMENT GROUNDING:
CLEANLINESS:
MAIN CONTACTS:
ARCING CONTACTS:
LUBRICATION:
BARRIERS AND INSULATORS:
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
AcceptableCONNECTION TIGHTNESS:
MANUAL OPERATOR:
ASCO
376707FP
series 7000
Breaker
TYPE / STYLE #:
SYSTEM VOLTAGE
ATS PROTECTION: BYPASS ISOLATION: Breaker
MANUAL TRANSFER WARNING LABELS:
MECHANICAL / ELECTRICAL INTERLOCKS:
EXERCISER SWITCH:
BA C A B
OPEN ( LOAD - GND )
C
AS LEFT SETTINGS TEST RESULTSRANGES
NORMAL TO EMERGENCY:
EMERGENCY TO NORMAL:
TIME DELAY ON TRANSFER:
ENGINE COOL DOWN:
NORMAL VOLTAGE SENSING:
EMERGENCY VOLTAGE SENSING:
ENGINE START:
FUNCTIONS
OPEN ( LINE - GND)
AS FOUND SETTINGS
CLOSED ( PH - GND )
AMPS:MicroOhms A: C: N:B:@CONTACT RESISTANCE IN ( Normal )
MicroOhms @ ( Bypass )AMPS: C: N:B:A:
INSULATION RESISTANCE:
VOLTS DC500@
EMERGENCY:
A B
( ) NORMAL:
LOAD:
BYPASS:
C
CONTACT RESISTANCE IN
Automatic Transfer Switch
4/14/2015DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: Building 320
ATSSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
ELECTRICAL TESTS
INSPECTION DATA
Timothy SturgillTested By: PAGE
CURRENT RATING:SERIAL NUMBER:
VOLTAGE RATING:
MANUFACTURER:
Acceptable
PHYSICAL / MECHANICAL CONDITION:
EQUIPMENT GROUNDING:
CLEANLINESS:
MAIN CONTACTS:
ARCING CONTACTS:
LUBRICATION:
BARRIERS AND INSULATORS:
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
AcceptableCONNECTION TIGHTNESS:
MANUAL OPERATOR:
GE
1664771-1
ATS-LS
TYPE / STYLE #:
SYSTEM VOLTAGE
ATS PROTECTION: BYPASS ISOLATION: Switch
MANUAL TRANSFER WARNING LABELS:
MECHANICAL / ELECTRICAL INTERLOCKS:
EXERCISER SWITCH:
BA C A B
OPEN ( LOAD - GND )
C
AS LEFT SETTINGS TEST RESULTSRANGES
NORMAL TO EMERGENCY:
EMERGENCY TO NORMAL:
TIME DELAY ON TRANSFER:
ENGINE COOL DOWN:
NORMAL VOLTAGE SENSING:
EMERGENCY VOLTAGE SENSING:
ENGINE START:
FUNCTIONS
OPEN ( LINE - GND)
AS FOUND SETTINGS
CLOSED ( PH - GND )
AMPS:MicroOhms A: C: N:B:@CONTACT RESISTANCE IN ( Normal )
MicroOhms @ ( Bypass )AMPS: C: N:B:A:
INSULATION RESISTANCE:
VOLTS DC500@
EMERGENCY:
A B
( ) NORMAL:
LOAD:
BYPASS:
C
CONTACT RESISTANCE IN
Automatic Transfer Switch
Fire House
4/14/2015DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: Fire House
ATSSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
ELECTRICAL TESTS
INSPECTION DATA
Timothy SturgillTested By: PAGE
CURRENT RATING:SERIAL NUMBER:
VOLTAGE RATING:
MANUFACTURER:
Acceptable
PHYSICAL / MECHANICAL CONDITION:
EQUIPMENT GROUNDING:
CLEANLINESS:
MAIN CONTACTS:
ARCING CONTACTS:
LUBRICATION:
BARRIERS AND INSULATORS:
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
Acceptable
AcceptableCONNECTION TIGHTNESS:
MANUAL OPERATOR:
G.E.Zenith
1435859-1
TYPE / STYLE #:
SYSTEM VOLTAGE
ATS PROTECTION: BYPASS ISOLATION: Switch
MANUAL TRANSFER WARNING LABELS:
MECHANICAL / ELECTRICAL INTERLOCKS:
EXERCISER SWITCH:
BA C A B
OPEN ( LOAD - GND )
C
AS LEFT SETTINGS TEST RESULTSRANGES
NORMAL TO EMERGENCY:
EMERGENCY TO NORMAL:
TIME DELAY ON TRANSFER:
ENGINE COOL DOWN:
NORMAL VOLTAGE SENSING:
EMERGENCY VOLTAGE SENSING:
ENGINE START:
FUNCTIONS
OPEN ( LINE - GND)
AS FOUND SETTINGS
CLOSED ( PH - GND )
AMPS:MicroOhms A: C: N:B:@CONTACT RESISTANCE IN ( Normal )
MicroOhms @ ( Bypass )AMPS: C: N:B:A:
INSULATION RESISTANCE:
VOLTS DC500@
EMERGENCY:
A B
( ) NORMAL:
LOAD:
BYPASS:
C
CONTACT RESISTANCE IN
Molded Case Circuit Breaker - Solid State
ATS#3
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS#3 CB-1
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.9
0.9 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 3
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
12.4
0.38
0.1
0.38
12.5
0.1
A
12.8
0.1
0.38
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 400 270
0.42
0.180.1
0.3
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 83
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
TeraOhms
COMMENTS:
ATS-1
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-1,CB-1
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.9
0.9 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 3
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
9.2
0.38
0.12
0.38
9.1
0.12
A
9.5
0.12
0.38
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 225
0.180.1
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 82
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-1
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-1 Normal
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
1.0 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 4
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
Cleaned
Inspected
N/A
Acceptable
Acceptable
Acceptable
Inspected
Inspected
Inspected
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
Inspected
Inspected
INSPECTION DATA
Timothy SturgillTested By: PAGE
8.0
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
65kiloAmps @ 480 VAC
B
48.6
0.47
0.016
0.28
0.47
47.5
0.016
0.28
A
48.7
0.016
0.28
0.47
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 250
0.420.3
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 124
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-1
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-1 Emergency
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
1.0 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 4
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
Cleaned
Inspected
N/A
Acceptable
Acceptable
Acceptable
Inspected
Inspected
Inspected
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
Inspected
Inspected
INSPECTION DATA
Timothy SturgillTested By: PAGE
8.0
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
65kiloAmps @ 480 VAC
B
48.7
0.34
0.03
0.27
0.34
49.1
0.03
0.27
A
50.4
0.03
0.27
0.34
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 250
0.420.3
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 84
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-1
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-1,CB-2
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.9
0.9 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 3
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
9.8
0.38
0.015
0.18
0.38
9.7
0.015
0.18
A
9.8
0.015
0.18
0.38
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 225
0.180.1
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 87
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-10
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS# 10 Emergency
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.2 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
1.5
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 1
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
1.5
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
12.7
0.16
0.012
0.12
0.16
12.1
0.012
0.12
A
12.5
0.012
0.12
0.16
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 400
0.48
0.190.1
0.3
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 132
AmpsMicroOhms @ 10@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-10
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-10 CB-2
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.2 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
1.5
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 1
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
1.5
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
12.5
0.37
0.016
0.16
0.37
12.3
0.016
0.16
A
12.3
0.016
0.16
0.37
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 400
0.38
0.280.2
0.3
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 106
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
TeraOhms
DEFICIENCIES:
ATS-10
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS# 10 Normal
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.2 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
1.5
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 1
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
1.5
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
12.7
0.16
0.015
0.12
0.16
12.8
0.015
0.12
A
12.8
0.015
0.12
0.16
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 400
0.48
0.190.1
0.3
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 131
AmpsMicroOhms @ 10@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-10
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-10 CB-1
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.2 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
1.5
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 1
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
1.5
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
12.6
0.12
0.014
0.15
0.12
12.3
0.014
0.15
A
12.3
0.014
0.15
0.12
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 400
0.18
0.280.2
0.1
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 110
AmpsMicroOhms @ 10@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
TeraOhms
ATS-2
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-2 CB-1
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
n/a
0.9 na n/a
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 3
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
9.4
0.38
0.38
9.4
A
9.4
0.38
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 400 286
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 132
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-2
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-2 Normal
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
n/a
1.0 na n/a
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 4
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
8.0
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
49.24
0.47
0.014
0.47
49.02
0.014
A
49.21
0.014
0.47
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 250
0.490.4
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 126
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-2
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-2 Emergency
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
n/a
1.0 na n/a
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 4
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
8.0
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
48.6
0.32
0.03
0.32
47.9
0.03
A
48.7
0.03
0.32
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 250
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 124
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-2
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-2 CB-2
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
n/a
0.9 na n/a
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 3
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
10.1
0.38
0.02
0.38
10.54
0.02
A
10.1
0.02
0.38
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 400 250
0.390.3
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 95
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
TeraOhms
DEFICIENCIES: Defective Closing mech. Breaker would sometimes close need to reset several times before closing.
ATS-3
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-3 Normal
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
1.0 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 4
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
8.0
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
65kiloAmps @ 480 VAC
B
48.6
0.47
0.014
0.25
0.47
48.4
0.014
0.25
A
48.9
0.014
0.25
0.47
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 300
0.18
0.280.2
0.1
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 124
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-3
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS#3 CB-2
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.9
0.9 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 3
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
12.5
0.37
0.017
0.13
0.37
12.6
0.017
0.13
A
12.4
0.017
0.13
0.37
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 400 300
0.42
0.180.1
0.3
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 92
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS#3
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS-3 Emergency
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
1.0 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 4
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
8.0
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
0.48
0.03
0.25
0.48
0.03
0.25
A
0.03
0.25
0.48
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 300
0.18
0.280.2
0.1
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 89
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS#4
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS#4 CB-1
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.9
0.9 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 3
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
9.82
0.38
0.17
0.38
9.72
0.17
A
9.76
0.17
0.38
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 250 272
.038
0.180.1
0.28
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 84
AmpsMicroOhms @ 10@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS#4
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS#4 Emergency
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
1.0 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 4
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
8.0
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
56.2
0.32
0.03
0.32
55.6
0.03
A
55.4
0.03
0.32
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 250
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 124
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
ATS-4
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS#4 CB-2
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
0.9
0.9 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 3
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
400 Amps
600 Volts
SGLL34BD0400
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
9.8
0.36
0.015
0.17
0.36
9.8
0.015
0.17
A
9.8
0.015
0.17
0.36
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 250 250
.038
0.180.1
0.28
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 97
AmpsMicroOhms @ 10@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph. ) Open ( Line - Load )
A-G
Molded Case Circuit Breaker - Solid State
*DATE TESTED:
EQUIPMENT POSITION:
PLANT:
JOB NUMBER:
DEVICE / FEEDER ID: *
*SUBSTATION:
USER:
CUSTOMER:
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: *
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
Long Short Inst. Gnd.
RTG PLUG SIZE# *
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
INSPECTION DATA
*Tested By: *PAGE
* Amps
* Volts
*MOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
* * * VAC
B
A
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) *
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'*
Contact Resistance
B
C
A*
Amps* @ *@ VDCInsulation Resistance - in
A-G
COMMENTS: *
ATS-4
11/12/2014DATE TESTED:
EQUIPMENT POSITION:
HospitalPLANT:
ELY8013JOB NUMBER:
DEVICE / FEEDER ID: ATS#4 Normal
ATS RoomSUBSTATION:
V.A. Medical Center; , USER:
Veterans Affairs Med Center; , CUSTOMER:
1.0 na
TRIP UNIT INFORMATION
BREAKER DATA
GROUND FAULT TIME:
INCOMM ADDRESS:
GROUND FAULT PICK UP:
ELECTRICAL TESTS
NTD=NO TIME DELAY
CUSTOMER SETTINGS
LONG DELAY PICK UP:
LONG DELAY TIME:
MANUFACTURER:
FUSE MANUFACTURER:TYPE:
FUSE CAT #:
SHORT DELAY PICK UP:
GE
Spectra RMS
SHORT DELAY TIME:
INSTANTANEOUS:
ALCu
NT=NO TRIP
FUSE AMPS:
NUMBER OF POLES: 3
TRIP UNIT NAMEPLATE DATA
FUNCTIONS / PROTECTION:
C.T. RANGE:
C.T. TAP USED:
MANUFACTURER:
ZONE INTERLOCK:
THERMAL MEMORY:
TRIP UNIT TYPE:
GE
Spectra Rms
Off
Long Short Inst. Gnd.
RTG PLUG SIZE# 4
MAIN CONTACTS:
CLEAN/LUBE: CLEAN/LUBE:CONDITION:
NEUTRAL SENSOR:
ACCESSORY CONNECTIONS:
ARC CHUTES:
AUXILIARY DEVICES:
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
CONDITION:
ARCING CONTACTS:
CUBICLE:
OVERCURRENT DEV. BATT.:
Acceptable
N/A
N/A
INSPECTION DATA
Timothy SturgillTested By: PAGE
8.0
400 Amps
600 Volts
UnitMOUNTING LOCATION:
BREAKER ID:
CONNECT. WIRE SIZE:
SO/SERIAL NUMBER:
N/A
N/A
N/A
INTERRUPT RATING:
VOLTAGE RATING:
CURRENT RATING:
NPU=NO PICKUP
VAC
B
48.6
0.47
0.016
0.25
0.47
47.5
0.016
0.25
A
47.5
0.016
0.25
0.47
C
LDT (Seconds)
Test Settings
Test Value (Mult. of Current)
Test Current (Amps)
Limits
MIN/MAX
Function
SDPU (Amps)
SDT (Seconds)
INSTPU (Amps)
GFPU (Amps)
GFT (Seconds)
LDPU (Amps) 250
B-G
C-G
B-C
C-A
A-B
B-B'
C-C'
A-A'3
Contact Resistance
B
C
A3
3 3
3 124
AmpsMicroOhms @@ VDCInsulation Resistance - in
Closed ( Ph. - Gnd. )Closed ( Ph. - Ph.
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