Marion testing.pdf
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- 36C25026Q0067
About this file
This document is a detailed electrical maintenance and testing report for the Marion VA Medical Center, performed by Premier Power Maintenance on job number 220919 from January 17 to February 16, 2023. The comprehensive report covers electrical system inspections and testing across multiple buildings and substations, including low voltage power circuit breakers, panel inspections, transformers, batteries, capacitors, and vacuum circuit breakers. The technicians identified numerous maintenance issues, such as breakers with loose connections, broken toggles, missing hardware, and thermal temperature variations, and made recommendations for repairs and replacements.
Key findings include deficiencies in various electrical components across buildings 124, 127, 138, 147, 15, 16, 172, 174, 175, and 185, with specific concerns like breaker continuity failures, thermal temperature increases, ground connection issues, and potential equipment degradation. The report encompasses detailed electrical testing results, including insulation resistance measurements, contact resistance tests, and dissolved gas analysis for transformers. The testing was performed by multiple technicians including Melvin Williams, Tracy Stafford, Brandon Andrus, Austin Knight, Andy Barnes, Andy Byrer, and Robert Stranzin, following standards from organizations like InterNational Electrical Testing Association (NETA), National Electrical Code, and IEEE.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25026Q0067 0004.pdf | ||
| Marion testing 2.pdf | ||
| 36C25026Q0067 0003.pdf | ||
| FTW Testing.pdf | ||
| FTW Testing 2.pdf | ||
| 36C25026Q0067 0002.pdf | ||
| Sign-in-Marion.pdf | ||
| Sign-in-Ft.-Wayne.pdf | ||
| 36C25026Q0067 0001.pdf | ||
| Attachment VII - marion dry type transformers.docx | DOCX document | |
| Attachment I - SOW Attachments.pdf | ||
| Attachment IX - Important Information.docx | DOCX document | |
| Attachment VI - Marion panel boards.docx | DOCX document | |
| Attachment V - Fort Wayne Electrical test equipment list 08-05-25.xlsx | XLSX spreadsheet | |
| Attachment IV - Fort Wayne Electrical Panel 08-05-25.xlsx | XLSX spreadsheet | |
| Attachment III - Wage Determination - Allen Co.pdf | ||
| Attachment II - Wage Determination - Grant Co.pdf | ||
| Attachment VIII - Marion MCC.docx | DOCX document | |
| 36C25026Q0067.docx | DOCX document |
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“Integrity, Skill, Teamwork”
W W W . P R E M I E R P O W E R M A I N T E N A N C E . C O M
Engineering Report VA Medical Center-Marion
John Hendricks Maintenance Testing Job Number: 220919
March 15, 2023
Premier Power Maintenance
4035 Championship Drive Indianapolis, IN 46268
T (317) 879-0660 www.premierpowermaintenance.com
March 15, 2023
VA Medical Center –Marion 1700 E. 38th St.
Marion, IN 46953
Attention: John Hendricks
Subject: Maintenance Testing Project No. 220919
Dear Mr. Hendricks, Thank you for the opportunity to provide services for you during this project. Our comprehensive report and recommendations are attached. They detail the work we performed, results obtained and provide recommendations for any corrective actions. Please let us know if you have any questions or need additional information.
As an independent third party electrical testing, maintenance and engineering services firm and full member of the InterNational Electrical Testing Association (NETA), Premier Power Maintenance prides itself in the quality of our services and skills of our people. Thanks again for the opportunity to provide you with electrical testing services. If there is anything more we can do for you, please don’t hesitate to contact us.
Sincerely, Premier Power Maintenance
Melvin Williams Field Service Supervisor
1. Summary
• Maintenance tests and inspections of electrical equipment help assure proper and safe operation.
• This project involved air switches, oil-filled and dry type transformers, low and medium voltage breakers, switchboards, panel inspections, relays and infrared inspections.
• Please refer to Section 5 for complete details regarding comments, deficiencies and recommendations.
2. Objectives
Maintenance Testing
• The equipment and components listed in Section 3.0 of this report have been inspected and tested to help assure their proper and safe operation. Defective or marginal equipment can be identified, repaired, replaced or scheduled for future repairs without costly or unexpected interruptions during normal operating periods.
• The test results are particularly valuable when kept for comparison with past and future maintenance test results. This historic database enables one to predict the probability of equipment failure and thus schedule facility production and financial budgets to accommodate preventive maintenance or repair rather than breakdown maintenance.
Thermographic Survey
• The purpose of infrared inspections is to provide information relative to the physical condition of the electrical distribution system. Loose and poor connections, unbalanced loads, and loose bus joints can be located. These conditions are characterized by increased resistance and accompanied by a temperature rise, which is detected by infrared scanning. The survey was performed while the system was loaded, representative of a “normal” workday.
Oil Testing
• The oil in an oil filled transformer is intended to:
o Provide dielectric strength of the transformer insulation system o Provide efficient cooling o Protect the transformer core and coil assembly from chemical attack
• The oil quality screen (moisture, dielectric, interfacial tension, neutralization number, specific gravity, color and visual) is the standard testing means to determine if the oil is still capable of performing its intended function. While the degradation of oil is a natural process, early detection and remediation will extend the life of the transformer.
Another valuable oil testing method for transformers is the dissolved gas analysis (DGA). This battery of tests, often called fault gas analysis, is the easiest method to determine the operating condition of the transformer itself. Some gases indicate overheating of the unit possibly due to overloading, while other gases indicate a fault type condition within the transformer. The proper monitoring of dissolved gas within the transformer with remediation can prolong the life of the unit. It can also be used as a warning for the need to replace the transformer prior to failure.
3. Service Description
• This project was initiated by John Hendricks with VA Medical Center-Marion. All testing was performed by Premier Power Maintenance field technicians Melvin Williams, Tracy Stafford, Brandon Andrus, Austin Knight, Andy Barnes, Andy Byrer and Robert Stranzin from January 17, 2023 to February 16, 2023.
• For a list of equipment tested in this project, please see test sheets located in the Appendix.
4. Procedure
• All testing is performed in accordance with PPM’s standard procedures including, but not limited to, selected specifications from the following: InterNational Electrical Testing Association (NETA), National Electrical Code (NEC), National Fire Protection Association 70B-Electrical Equipment Maintenance (NFPA 70B), Institute of Electrical and Electronic Engineers (IEEE), American Society for Testing and Materials (ASTM), National Electrical Manufacturer’s Association (NEMA), manufacturer’s instruction manuals and/or project specifications, unless otherwise noted.
5. Results: Comments, Deficiencies and Recommendations
• The following is a list of problems discovered during this testing project along with any corrective action that was made by Premier Power Maintenance. Those corrections beyond the scope of the project that require your additional corrective action are in bolded text.
Based on the results of the inspections and tests performed, the equipment included in this project (see detailed test data in Appendix) is considered serviceable.
o 124: 2AE NQOB-50416: HOLE IN FRONT OF PANEL NEEDS TO BE COVERED.
COVER IS BENT AND MISSING HARDWARE. RECOMMEND REPAIR/REPLACE.
o 124: 2CE NQOB-50416-26AA9: REPLACED BREAKER #30 o 124: 3B NQOB-50416-27881: BREAKER 31/33 WAS REPLACED. TIGHTENED LOOSE
WIRE.
o 124: PH2 5158C03G04: REPLACED BAD 2 PULL BREAKER WITH SPACERS, MISSING
SCREW IN PANEL.
o 124: 1CE NQOB-50416-26AA6: CONTINUITY CHECKS FAILED ON SPARE BREAKER(S).
REPLACED BREAKER 18 AND 20.
o 124: 1BE NQOB-50416-26AA: REPLACED ALL SPARE BREAKERS WHICH FAILED
CONTINUITY CHECKS.
o 138: L3B2 TX0B: #29 HAS A BROKEN TOGGLE. REPLACED #4 BREAKER.
o 138: L3B1 NQOB-50416-22V: REPLACED 3 BREAKERS.
o 138-DP2 42-50416-13: BREAKER 138 P3A IS BROKEN WON'T CLOSE. RECOMMEND
REPAIR.
o 138-DP-1 42-504160-12: 5 BREAKERS RING OUT IN OPEN POSITION. 138 LBB
BREAKER REPLACED WENT FROM 200A TO 150 AMP.
o 138-L3B2 TXOB: #29 BREAKER FOUND WITH BROKEN TOGGLE. REPLACED
# 4 BREAKER.
o 147: TN8 (XFMR): GROUND CABLE WAS LOOSE. TIGHTENED.
o 15: 1A NQ0B-50416-18R: NOTICED SEVERAL SPARE BREAKERS TURNED OFF.
THERE WERE ALSO 3 OPENINGS WHICH WILL NEED BREAKER COVERS.
o 16: 1D: REPLACED BREAKER # 29 DUE TO POOR CONTINUITY CHECKS.
o 16: 1A NQOB-50416-23X1: TURNED OFF SPARE BREAKERS. BREAKER(S) # 34 AND 38
SPARE BREAKERS FAILED CONTINUITY CHECKS.
o 16: 3E: BREAKER # 8 NEEDS REPLACED. MEASURED 124VAC ON LOAD WIRE. TABS
BROKEN ON BREAKER(S) 4 AND 6.
o 172: 1HL2: NEUTRAL PLASTIC BLOCK FOUND BROKEN FROM PANEL. RECOMMEND
REPAIR/REPLACE.
o 172: HEDP1 APB2765A: SPARES IN SLOT 3 DO NOT OPERATE PROPERLY.
o 172: 1LN3B-N AQF3301MBX: INSTALL HOLE COVER FOR UNUSED BREAKER SECTION.
o 172: HDNP1 AUF3244MXB: UNUSED SPACE NEEDS BLANKS/UNUSED BREAKERS
TURNED OFF.
o 172: BHN1 AEF3301MXT: UNUSED BREAKERS TURNED OFF. SPARE BREAKER SNAPPED
FROM MOUNT. BREAKER REMOVED; FILLED OPENING.
o 172: 1HN3 AEF3302MBX: NEUTRAL MOUNTING PLATE BROKEN FROM BOX.
o 172: 1LN7-N AQF3302CTX: FOUND GROUND WIRE LOOSE. RE-TIGHTENED. OPENED UP
ALL SPARE BREAKERS FOUND IN THE 'ON' POSITION.
o 172-TN4 (XMFR): GROUNDS FOUND LOOSE. TIGHTENED.
o 172-TN2 (XFMR) 9T23Q3144: GROUND CONNECTIONS WERE FOUND LOOSE.
TIGHTENED.
o 172-1HN2-N AEF3302BTX: TURNED OFF SPARE BREAKERS. NEUTRAL BAR PLASTIC CLIP
FOUND BROKEN. STILL ISOLATED AND NO ISSUES.
o 172-2LN13 AQF3422CBX: INSTALLED NEW LATCH. TURNED OFF SPARE BREAKERS.
o MAIN BREAKER TX3: PT BLOCK UNDER BREAKER HAD BEEN REMOVED. IT WAS BACK IN
BEFORE RE-ENERGIZING. CUSTOMER WAS INFORMED THAT AFTER REPLACING THAT
FUSE BLOCK IT CAUSED THAT FEED TO DROP A PHASE. THE PT FUSE BLOCK WAS
REMOVED WHICH FIXED THE ISSUE. RECOMMEND REPLACING WITH GENERAL
ELECTRIC POWER METER.
o 175: MDSH2: INSTALLED BLANK o 51: MDP FUSED DISC 42-50416-6B: MISSING HARDWARE ON SIDE PANEL. NEEDS TWO
PHILLIPS HEAD SCREWS.
o 65: 1B NQOB-50416-257: TAPED AN EXPOSED WIRE THAT WAS DISCONNECTED.
o 65: B NQOB-3045-IN: REPLACED BREAKERS 22 AND 13.
o 65: 1A NQOB-50416-252: REPLACED BREAKER #9, REPLACED BRACKET FOR BREAKERS
11 AND 12.
o 65: B-65 3283-4M: COVER HELD ON WITH 1 SCREW AND ELECTRICAL TAPE. MISSING
BREAKER BLANKS.
o 79: 1B: 16 BAD BREAKERS, CUSTOMER SAID ANNOTATE AND MOVE ON. ENTIRE PANEL
NEEDS OVERHAULED.
o 79: 1C 41-32370-1A1: ENTIRE PANEL IS OFF. NONE OF THE BREAKERS RACK OUT AND
PANEL IS MISSING HARDWARE.
o 8-B2 P4260B3200CU: UNUSED HOLE IN BOTTOM RIGHT OF PANEL NEEDS FILLED WITH
BLANK.
o 97: PAINTHOUSE CDP-7: REPLACED BREAKER #3.
o PNL MDP52-BREAKER 52-B (CENTER FUSE/PHASE) SHOWS A THERMAL TEMPERATURE
INCREASE OF 6.2°C IN COMPARISON TO ADJACENT FUSE/PHASE. AT NEXT SCHEDULED
DOWNTIME, CHECK FUSE FOR PROPER SETTING OF FUSE BLADES. REMOVE AND
CLEAN IF NECESSARY (OR CHANGE OUT FUSE).
o BREAKER B-9 (A PHASE WIRE) HAS A THERMAL TEMPERATURE INCREASE OF 7.5°C IN
REFERENCE TO C-PHASE SAME BREAKER. AT NEXT SCHEDULED OUTAGE, CHECK WIRE
FOR DAMAGES/LOOSE CONNECTIONS. ALL BREAKERS WERE CHECKED FOR TORQUE,
TIGHTNESS, AND CONTINUITY ACROSS CLOSED CIRCUIT. MAY NEED TO RE-CHECK WIRE
AND INVESTIGATE LOAD END WHERE EQUIPMENT IS CONNECTED.
o PNL 9-1B BREAKER #11 SHOWS A THERMAL TEMPERATURE INCREASE OF 4.8°C IN
COMPARISON TO ADJACENT LOAD WIRES ON BREAKER #13. THIS BREAKER HAS 2 LOAD
WIRES. NEED TO VERIFY IF SECOND CIRCUIT CAN BE MOVED WITHIN THIS PANEL TO
TAKE LOAD OFF 20A BREAKER.
o MAIN SUBSTATION BATTERY CHARGER: BATTERY CHARGER WAS OFFLINE BECAUSE OF
THE OUTAGE TO PERFORM OTHER TESTING. BOTH POSITIVE AND NEGATIVE TO
GROUND INDICATE THERE IS A GROUND SOMEWHERE ON THE DC SYSTEM IN THE
MAIN SUB. FURTHER INVESTIGATION TO FIND EXACTLY WHERE.
o MAIN SUBSTATION EAST LOOP FEEDER #1: THIS IS A MAGNETIC-AIR BLAST STYLE
BREAKER. PISTOL GRIP WASN'T ABLE TO OPERATE BREAKER OPEN OR CLOSE. NEEDS
FURTHER INVESTIGATION OF UMBILICAL AND CONTROL WIRING.
o MAIN SUBSTATION FEEDER #3: REPLACED THE CLOSE LIGHT FOR PISTOL GRIP.
o MAIN SUBSTATION FEEDER #4: REPLACED LIGHT BULB FOR CLOSED LIGHT INDICATOR.
o MAIN SUBSTATION FEEDER #5: CLOSE LIGHT INDICATOR BULB WAS REPLACED.
o MAIN SUBSTATION WEST LOOP FEEDER #2: CLOSE BULB WAS REPLACED WITH NEW
BULB.
o SWITCH A SUBSTATION 225 kVA TRANSFORMER: RECOMMEND INSPECTIONS IN NEAR
FUTURE TO CHECK TO SEE IF THERE IS AN ACTIVE LEAK.
o SWITCH I SUBSTATION TRANSFORMER: WATER IN BOTTOM OF SWITCH. RECOMMEND
DRILLING A WEEP HOLE IN BOTTOM OF CABINET.
o SWITCH J SUBSTATION TRANSFORMER: OIL TEMPERATURE READS 5'C. RECOMMEND
CHECKING OIL LEVEL AGAIN ONCE TEMPERATURE REACHES 20'C OR ABOVE.
o SWITCH S SUBSTATION MAIN SWITCH: ALL ELECTRICAL TESTING WAS PERFORMED IN
COLD/SNOWY SUB ZERO CONDITONS. INSULATION RESISTANCE READINGS WERE
BELOW NETA STANDARDS. RECOMMEND RETESTING UNDER WARMER WEATHER
CONDITIONS TO CHECK FOR TRENDING.
APPENDIX
MARION VA MEDICAL CENTER
MARION VA MEDICAL CENTERCustomer
Plant
Table of Contents Job #220919
4035 Championship Drive Indianapolis, IN 46268
317-879-0660 www.premierpowermaintenance.com24 Hour Emergency Service REVISED 2/18/2008
User
PagePositionSubstation Equipment
00100 - ENGINEERING REPORT CHECKLIST
MAIN BREAKERBUILDING #124 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
PANEL INSPECTIONS-1BUILDING #124 50955 - PANEL INSPECTION RESULTS_R01-23
MAIN BREAKERBUILDING #127 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
PANEL INSPECTIONSBUILDING #127 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #137 50955 - PANEL INSPECTION RESULTS_R01-23
DP1BUILDING #138 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
EEDP-A MAINBUILDING #138 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONS-1BUILDING #138 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-2BUILDING #138 50955 - PANEL INSPECTION RESULTS_R01-23 (2)
SWBD MDP 2BUILDING #138 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
SWDB 138 MAINBUILDING #138 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONSBUILDING #147 50955 - PANEL INSPECTION RESULTS_R01-23
MAIN BREAKERBUILDING #15 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONS-1BUILDING #15 50955 - PANEL INSPECTION RESULTS_R01-23
MAIN BREAKERBUILDING #16 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONS-1BUILDING #16 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #17 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #172 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-2BUILDING #172 50955 - PANEL INSPECTION RESULTS_R01-23 (3)
PANEL INSPECTIONS-3BUILDING #172 50955 - PANEL INSPECTION RESULTS_R01-23 (2)
PANEL INSPECTIONS-4BUILDING #172 50955 - PANEL INSPECTION RESULTS_R01-23 (3)
PANEL INSPECTIONS-5BUILDING #172 50955 - PANEL INSPECTION RESULTS_R01-23 (4)
1 HE6-E MAINBUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ATS#5 ELEVATOR & EM PNL #1BUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
CHILLER #3BUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
CHILLER 174.CCU2BUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
CHILLER 174-CCU-1BUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
MAIN BREAKER FOR LNDP1BUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
MAIN BREAKER FOR MDAPFBUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
MAIN BREAKER TX 4BUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
MAIN BREAKER TX3BUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
MCC HEBUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
MCC HNBUILDING #174 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
PANEL INSPECTIONS-1BUILDING #174 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-2BUILDING #174 50955 - PANEL INSPECTION RESULTS_R01-23 (2)
ATS #1 HDSCBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ATS #2BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
Table of Contents Job #220919
4035 Championship Drive Indianapolis, IN 46268
317-879-0660 www.premierpowermaintenance.com24 Hour Emergency Service REVISED 2/18/2008
PagePositionSubstation Equipment
ATS #3BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ATS #6 ELEV. EM PANEL #2BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ATS #7 ELEV EM PANEL #3BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
ATS #8 - 1HRGBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
EHDS 1 ATS #1BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
EHDS 1 ATS #3BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
EHDS 1 MAIN BREAKERBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
EHDS 2 ATS #2BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
EHDS 2 ATS #8BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
EHDS 2 MAIN BREAKERBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
EHDS 2 TE 16BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELDS 1 EXISTING ATS BLDG 138 EEDPABUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELDS 1 EXISTING ATS BLDG 138 EMDPBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELDS 1 EXISTING EM SWBD BLDG 124BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELDS 1 MAIN BREAKERBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
GEN #1 BREAKERBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
GEN #2 BREAKERBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
GEN #3 BREAKERBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
MAIN BREAKER MDSH5 FROM TX6BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
MAIN BREAKER MDSH6 FROM TX7BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
MAIN BREAKER TX 1BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
MAIN BREAKER TX 2BUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONS-1BUILDING #175 50955 - PANEL INSPECTION RESULTS_R01-23
TE 16 MAIN BREAKERBUILDING #175 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
TE16 XFMRBUILDING #175 56750 - XFMR MAINTENANCE AND INSP_R03-23
MLEDP MAIN BREAKERBUILDING #185 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST (2)
MLNDP MAIN BREAKERBUILDING #185 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONS-1BUILDING #185 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONSBUILDING #2 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #3 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #4 50955 - PANEL INSPECTION RESULTS_R01-23
MDP-47BUILDING #47 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONS-1BUILDING #47 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #5 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #51 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #52 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #53 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #54 50955 - PANEL INSPECTION RESULTS_R01-23
55-MDPBUILDING #55 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONS-1BUILDING #55 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #6 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #65 50955 - PANEL INSPECTION RESULTS_R01-23
4035 Championship Drive Indianapolis, IN 46268
317-879-0660 www.premierpowermaintenance.com24 Hour Emergency Service REVISED 2/18/2008
PagePositionSubstation Equipment
BASEMENT DRY CORE XFMRBUILDING #79 57130 - TRANSFORMER LIQUID COOLANT TRENDING
PANEL INSPECTIONS-1BUILDING #79 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #8 50955 - PANEL INSPECTION RESULTS_R01-23 (4)
MDP 9 MAIN 1200A BREAKERBUILDING #9 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
PANEL INSPECTIONS -1BUILDING #9 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONS-1BUILDING #97 PAINTHOUSE 50955 - PANEL INSPECTION RESULTS_R01-23
PANEL INSPECTIONSBUILDINGS (UNIDENTIFIED) 50955 - PANEL INSPECTION RESULTS_R01-23 (3)
INFRARED SURVEY-1CAMPUS IR SURVEY 52000 - THERMOGRAPHIC INSPECTION
INFRARED SURVEY-2CAMPUS IR SURVEY 52000 - THERMOGRAPHIC INSPECTION
INFRARED SURVEY-3CAMPUS IR SURVEY 52000 - THERMOGRAPHIC INSPECTION (2)
BATTERIESMAIN SUBSTATION 10151 - BATTERY INSPECTION
BATTERY CHARGERMAIN SUBSTATION 10200 - BATTERY CHARGER INSPECTION
CAPACITORSMAIN SUBSTATION 61611 - CAPACITOR BANK TESTS
CONTROL POWER TRANSFORMERMAIN SUBSTATION 27450 - CONTROL POWER TRANSFORMER TEST
EAST LOOP FEEDER #1MAIN SUBSTATION 16100 - VACUUM CIRCUIT BREAKER_R01-23
EAST LOOP FEEDER #1MAIN SUBSTATION 45000 - OVERCURRENT RELAY(2)
FEEDER #3MAIN SUBSTATION 16100 - VACUUM CIRCUIT BREAKER_R01-23
FEEDER #3MAIN SUBSTATION 45000 - OVERCURRENT RELAY(2)
FEEDER #4MAIN SUBSTATION 16100 - VACUUM CIRCUIT BREAKER_R01-23
FEEDER #4MAIN SUBSTATION 45000 - OVERCURRENT RELAY(3)
FEEDER #5MAIN SUBSTATION 16100 - VACUUM CIRCUIT BREAKER_R01-23
FEEDER #5MAIN SUBSTATION 45000 - OVERCURRENT RELAY(4)
MAIN BREAKER 52 AMAIN SUBSTATION 16100 - VACUUM CIRCUIT BREAKER_R01-23
MAIN BREAKER 52 AMAIN SUBSTATION 34567 - MEMO
MAIN BREAKER 52 AMAIN SUBSTATION 45000 - OVERCURRENT RELAY(5)
MAIN BREAKER 52 PMAIN SUBSTATION 16100 - VACUUM CIRCUIT BREAKER_R01-23
MAIN BREAKER 52 PMAIN SUBSTATION 34567 - MEMO
MAIN BREAKER 52 PMAIN SUBSTATION 45000 - OVERCURRENT RELAY(4)
PT DRAWER EASTMAIN SUBSTATION 27200 - VOLTAGE TRANSFORMER TEST (2)
PT DRAWER WESTMAIN SUBSTATION 27200 - VOLTAGE TRANSFORMER TEST
WEST LOOP FEEDER #2MAIN SUBSTATION 16100 - VACUUM CIRCUIT BREAKER_R01-23
WEST LOOP FEEDER #2MAIN SUBSTATION 45000 - OVERCURRENT RELAY(3)
MAIN SWITCHPACT AREA 15600 - FUSED DISCONNECTED INSP
MAIN TRANSFORMERPACT AREA 56750 - XFMR MAINTENANCE AND INSP_R03-23
MAIN TRANSFORMERPACT AREA 57130 - TRANSFORMER LIQUID COOLANT TRENDING
PANEL INSPECTIONS-1PACT AREA 50955 - PANEL INSPECTION RESULTS_R01-23
XFMR BREAKERPACT AREA 15200 - LOW VOLTAGE POWER CIRCUIT BREAKER TEST
225 KVA TRANSFORMERSWITCH A 57130 - TRANSFORMER LIQUID COOLANT TRENDING
500 KVA TRANSFORMERSWITCH A 56750 - XFMR MAINTENANCE AND INSP_R03-23
500 KVA TRANSFORMERSWITCH A 57130 - TRANSFORMER LIQUID COOLANT TRENDING (2)
MAIN SWITCHSWITCH A 15600 - FUSED DISCONNECTED INSP (2)
500 kVA TRANSFORMERSWITCH B 56750 - TRANS. MAINTENANCE AND INSP_r1
4035 Championship Drive Indianapolis, IN 46268
317-879-0660 www.premierpowermaintenance.com24 Hour Emergency Service REVISED 2/18/2008
PagePositionSubstation Equipment
500 KVA TRANSFORMERSWITCH B 57130 - TRANSFORMER LIQUID COOLANT TRENDING
750 KVA TRANSFORMERSWITCH B 56750 - TRANS. MAINTENANCE AND INSP_r1
750 KVA TRANSFORMERSWITCH B 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH B 15600 - FUSED DISCONNECTED INSP
225 KVA TRANSFORMERSWITCH C 56750 - TRANS. MAINTENANCE AND INSP_r1
225 KVA TRANSFORMERSWITCH C 57130 - TRANSFORMER LIQUID COOLANT TRENDING
300 KVA TRANSFORMERSWITCH C 56750 - TRANS. MAINTENANCE AND INSP_r1
300 KVA TRANSFORMERSWITCH C 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH C 15600 - FUSED DISCONNECTED INSP
50 KVA SINGLE PHASE TRANSFORMERSWITCH H 56750 - TRANS. MAINTENANCE AND INSP_r1
50 KVA SINGLE PHASE TRANSFORMERSWITCH H 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH H 15600 - FUSED DISCONNECTED INSP
112.5 KVA TRANSFORMERSWITCH I 56750 - TRANS. MAINTENANCE AND INSP_r1
112.5 KVA TRANSFORMERSWITCH I 57130 - TRANSFORMER LIQUID COOLANT TRENDING
250KVA TRANSFORMERSWITCH I 56750 - TRANS. MAINTENANCE AND INSP_r1 (2)
250KVA TRANSFORMERSWITCH I 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH I 15600 - FUSED DISCONNECTED INSP
1000 KVA TRANSFORMERSWITCH J 56750 - TRANS. MAINTENANCE AND INSP_r1
1000 KVA TRANSFORMERSWITCH J 57130 - TRANSFORMER LIQUID COOLANT TRENDING
500 KVA TRANSFORMERSWITCH J 56750 - TRANS. MAINTENANCE AND INSP_r1
500 KVA TRANSFORMERSWITCH J 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH J 15600 - FUSED DISCONNECTED INSP
225 KVA XFMRSWITCH M 56750 - XFMR MAINTENANCE AND INSP_R03-23
225 KVA XFMRSWITCH M 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH M 15600 - FUSED DISCONNECTED INSP (2)
500 KVA TRANSFORMERSWITCH O 56750 - TRANS. MAINTENANCE AND INSP_r1
500 KVA TRANSFORMERSWITCH O 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH O 15600 - FUSED DISCONNECTED INSP (3)
MAIN SWITCHSWITCH P 15600 - FUSED DISCONNECTED INSP (3)
XFMR # TX5SWITCH P 56750 - TRANS. MAINTENANCE AND INSP_r1 (2)
XFMR # TX5SWITCH P 57130 - TRANSFORMER LIQUID COOLANT TRENDING (2)
MAIN SWITCHSWITCH Q 15600 - FUSED DISCONNECTED INSP (2)
XFMR # TX4SWITCH Q 56750 - TRANS. MAINTENANCE AND INSP_r1
XFMR # TX4SWITCH Q 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH R 15600 - FUSED DISCONNECTED INSP
XFMR TX-1SWITCH R 56750 - TRANS. MAINTENANCE AND INSP_r1
XFMR TX-1SWITCH R 57130 - TRANSFORMER LIQUID COOLANT TRENDING
XFMR TX-2SWITCH R 56750 - TRANS. MAINTENANCE AND INSP_r1 (2)
XFMR TX-2SWITCH R 57130 - TRANSFORMER LIQUID COOLANT TRENDING (2)
MAIN SWITCHSWITCH S 15600 - FUSED DISCONNECTED INSP
XFMR TX-6SWITCH S 56750 - TRANS. MAINTENANCE AND INSP_r1 (2)
XFMR TX-6SWITCH S 57130 - TRANSFORMER LIQUID COOLANT TRENDING (2)
4035 Championship Drive Indianapolis, IN 46268
317-879-0660 www.premierpowermaintenance.com24 Hour Emergency Service REVISED 2/18/2008
PagePositionSubstation Equipment
XFMR TX-7SWITCH S 56750 - TRANS. MAINTENANCE AND INSP_r1 (3)
XFMR TX-7SWITCH S 57130 - TRANSFORMER LIQUID COOLANT TRENDING (3)
MAIN SWITCHSWITCH T 15600 - FUSED DISCONNECTED INSP (2)
XFMR # TX3SWITCH T 56750 - TRANS. MAINTENANCE AND INSP_r1
XFMR # TX3SWITCH T 57130 - TRANSFORMER LIQUID COOLANT TRENDING
XFMR # TX8SWITCH T 56750 - TRANS. MAINTENANCE AND INSP_r1
XFMR # TX8SWITCH T 57130 - TRANSFORMER LIQUID COOLANT TRENDING
750 KVA TRANSFORMERSWITCH U 56750 - TRANS. MAINTENANCE AND INSP_r1
750 KVA TRANSFORMERSWITCH U 57130 - TRANSFORMER LIQUID COOLANT TRENDING
MAIN SWITCHSWITCH U 15600 - FUSED DISCONNECTED INSP
D.O.BREAKER TYPE
TRIP UNIT TYPE
122480
CUBICLE CODE
SN / SO NO.GENERAL ELECTRIC
TS32LSIG
NA
1600/2500POWER BREAK
FUSE CAT. NO.
RMS-9 MICROVERSATRIP
SENSOR TAPS
NA
TRIP UNIT CAT #
MANUFACTURER
Test Amps
% of Setting
Performance Tolerance
Pole 1 Pole 2 Pole 3 Targets
Found/Left Found/Left
Trip Unit SettingTest Criteria
LongTime PU
Long Time Delay
Short Time PU
Short Time Delay
Instant PU
Instant Delay
GRD Fault PU
GRD Fault Delay
NA
NA
NA NA NA
Found/Left
NA
NA NA NA NA
NA NA NA NA
NA NA NA NA
NA NA
NA NA NA NA
NA NA NA NA
NA NA NA NANA
NA
NA NA
NA
NA
NA
NA
Primary/Secondary Current Performance Tests
NANA
2.872.87
NA
0.12
NA
NA
0.135
NA
0.12
NA
NA
0.135
0.135 0.132 0.132
931 931
NANA
NA
0.12
NA
2.87
NA
NA
0.12
NA
2.87
NA
0.135
919 919
NANA
NA NA
0.120.12
NA
2.87
NA
NA
2.87
NA
0.37
0.37
MIN
MIN
A
AA
X
A
A
A
A = A
10,640
1,600 1,520
1,520
1,520
1,520
0.13
0.13
A
X 1,600
SENSOR TAP
DELAY
0.13
0.13
RATING PLUG
SENSOR TAP
RATING PLUG
I2T
OUT
OUT
ADDI INFO
MIN
MIN
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
0.95
0.95
Setting
OUT6,080-
INST.
GRD. FLT.
SETTINGS AS FOUND
A
2,500 OUT
SETTINGS AS LEFT FUNCTION Setting DELAY I2T ADDI INFO
10640=
925=
X
X
X
A
A
A
PAGE
USER
ADDRESS
CUSTOMER
LOW VOLTAGE POWER CIRCUIT BREAKER TEST 4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
(765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
JOHN HENDRICKS
DATE
SUBSTATION BUILDING #124
2/7/2023 AMBIENT TEMPERATURE 21 17 %
POSITION
ASSET #: OUTDOOR GEAR TOP LEFT
MAIN BREAKER
HUMIDITY°C
COUNTER END
ANDY BARNESTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service 15200, REVISED 2/24/2023
NA
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
C/L
NA
NA
C
NA
C
Description
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
Description
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY CTRIP UNIT
GOOD
GOOD
NA
NA NA
GOOD
NA
NA
NA
ELECTRICALLY OPERATED
MOUNTING
COUNTER BEGINNING
B.I.
NA
NOYES
FRAME SIZE AMPS V2,500
Insulation Resistance
POLE TO FRAME
10,620
10,320
11,151
10,836
181,335
5,520
4,480
109,600
4,704
115,080
8,380
11,910
151,000
8,799
12,505.5
158,550
5,796
LINE TO LOAD 172,700
EQUIPMENT TEMPERATURE TEMPERATURE CORRECTION FACTOR TO 20 °C
21 1.05°CV °C1,000
POLE 1 (M©) (P1-P2) POLE 2 (M©) (P2-P3)
TEST VOLTAGE
POLE 3 (M©) (P3-P1)
POLE TO POLE
READINGREADING 20°C20°CREADING 20°C
POLE 3
39.029.0 42.0
POLE 2POLE 1
POLE RESISTANCE (µ©)
COMMENTS: TOOK COVER OFF BREAKER BECAUSE HEARD SOMETHING RATTLING AND FOUND A BROKEN METAL FLANGE, DOESN'T SEEM TO AFFECT OPERATION OF BREAKER. CHARGING INDICTOR STICKER FELL OFF OF BREAKER TOO.
DEFICIENCIES:
EQPT. LOCATION
PAGE
USER
ADDRESS
CUSTOMER
4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
JOHN HENDRICKS (765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
DATE
SUBSTATION BUILDING #124 PANEL INSPECTIONS-1POSITION
2/9/2023 AMBIENT TEMPERATURE °C HUMIDITY %
ROBERT STRANZINTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service REVISED 3/16/2023
G =
P =
C =
ITEMS REQUIRING IMMEDIATE CORRECTIVE ACTIONSITEMS FOUND IN POOR CONDITION AND REQUIRE FUTURE CORRECTIVE ACTION
ITEMS FOUND IN SATISFACTORY CONDITION ITEMS FOUND OR CORRECTED AND LEFT IN SATISFACTORY CONDITION
G P C I
NQ225A
CURRENT
RATING TYPE
RESULTS
LOCATION / PANEL ID MANUFACTURE
SQUARE D
CATALOG #
NQ442L2C
COMMENTS
PANEL INSPECTION
I =
CONDITIONS - (OVERALL , TORQUE CHECK, CLEANLINESS, CONTINUITY CHECKS)
PRL1100A124: P1 CUTLER HAMMER 5158C03G02
2 UNUSED HOLES IN BOTTOM OF PANEL, MISSING 1 PANEL
COVER SCREW
AA45 KVA124: P1 (XFMR) CUTLER HAMMER V45226
VISIBLE HEAT DAMAGE ON WHAT LOOKS LIKE PAPER COVERING-
CONNECTION POINT LOOKS GOOD.
NQOB225A124: 2AE SQUARE D NQOB-50416
HOLE IN FRONT OF PANEL NEEDS TO BE COVERED.
COVER IS BENT AND MISSING HARDWARE.
NQOB225A124: 2CE SQUARE D NQOB-50416-26AA9
REPLACED BREAKER #30
NQOB225A124: 3AE SQUARE D NQOB-50416-26AA10
NQ200A124: 1 SQUARE D 12253383120020001
NQOB225A124: 3B SQUARE D NQOB-50416-27881
BREAKER 31/33REPLACED, TIGHTENED LOOSE WIRE,
UNUSED HOLE IN BOTTOM OF PANEL
PRL1225A124: PH2 CUTLER HAMMER 5158C03G04
REPLACED BAD 2 PULL BREAKER WITH SPACERS, MISSING
SCREW IN PANEL
NQOB225A124: 2B PANEL SQUARE D NQOB-50416-26AA10
NQOB100A124: B1 SQUARE D NQOB-50416-28AA
NQ225A124: 2C PANEL SQUARE D NQ442L2C
NQOB225A124: 1AE SQUARE D NQOD-50416-26AA5
Y448125A124: 1HL7-L GE AEF3181BTX
TURNED OFF SPARE BREAKERS.
Y448125A124: 1LN13-N GE AQF3301CTX
TURNED OFF SPARE BREAKERS
Y448125A124: 1HN9-N GE AEF3301BTX
Y448125A124:1HE7-E GE AEF3181BTX
NA2000A124: EM SWBD SQUARE D 50416-11
TURNED 2 SPARE BREAKERS OFF
QL15KVA124: TE-11 (XFMR) GE 9T23Q3141
Y448125A124: 1LE7-E GE AQF3121CTX
QL30KVA124: TN-15 (XFMR) GE 9T23Q3142
NQOB225A124: 1CE SQUARE D NQOB-50416-26AA6
CONTINUITY CHECKS FAILED ON SPARE BREAKER(S)
REPLACED BREAKER 18 AND 20.
NQOB225A124: 1BE SQUARE D NQOB-50416-26AA
REPLACED ALL SPARE BREAKERS WHICH FAILED
CONTINUITY CHECKS.
124: 3CE
NA
CUBICLE CODE
SN / SO NO.GENERAL ELECTRIC
TS20LSIG
NA
800/1200HI BREAK
FUSE CAT. NO.
RMS-9 MICROVERSATRIP
SENSOR TAPS
NA
TRIP UNIT CAT #
MANUFACTURER
Test Amps
% of Setting
Performance Tolerance
Pole 1 Pole 2 Pole 3 Targets
Found/Left Found/Left
Trip Unit SettingTest Criteria
LongTime PU
Long Time Delay
Short Time PU
Short Time Delay
Instant PU
Instant Delay
GRD Fault PU
GRD Fault Delay
NA
NA
NA NA NA
Found/Left
NA
NA NA NA NA
NA NA NA NA
NA NA NA NA
NA NA
NA NA NA NA
NA NA NA NA
NA NA NA NANA
NA
NA NA
NA
NA
NA
NA
Primary/Secondary Current Performance Tests
411411
2.872.87
NA
0.12
NA
NA
0.156
NA
0.12
NA
NA
0.156
0.153 0.15 0.15
254 254
NANA
NA
0.12
NA
2.87
NA
0.12
NA
2.87
0.153
258 258
NANA
NA NA
0.120.12
NA
2.87
NA
2.87
0.2
0.2
MIN
MIN
A
AA
X
A
A
A
A = A
2,800
800 400
0.13
0.13
A
X 800
SENSOR TAP
DELAY
0.13
0.13
RATING PLUG
SENSOR TAP
RATING PLUG
I2T
OUT
OUT
ADDI INFO
MIN
MIN
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
0.5
0.5
Setting
OUT1,600-
INST.
GRD. FLT.
SETTINGS AS FOUND
A
1,200 OUT
SETTINGS AS LEFT FUNCTION Setting DELAY I2T ADDI INFO
2800=
240=
X
X
X
A
A
A
PAGE
USER
ADDRESS
CUSTOMER
LOW VOLTAGE POWER CIRCUIT BREAKER TEST 4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
(765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
JOHN HENDRICKS
DATE
SUBSTATION BUILDING #127
2/7/2023 AMBIENT TEMPERATURE %
POSITION
ASSET #: OUTDOOR SWITCHGEAR BOTTOM RIGHT
MAIN BREAKER
HUMIDITY°C
COUNTER END
ANDY BARNESTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service 15200, REVISED 2/24/2023
NA
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
C/L
NA
NA
C
NA
C
Description
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
Description
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY CTRIP UNIT
GOOD
GOOD
NA
NA NA
GOOD
NA
NA
GOOD
ELECTRICALLY OPERATED
MOUNTING
COUNTER BEGINNING
B.I.
NOYES
FRAME SIZE AMPS V1,200
Insulation Resistance
POLE TO FRAME
1,310
1,611,000
1,375.5
1,691,550
2,352,000
1,675
1,461,000
3,000,000
1,534,050
3,150,000
1,018
1,207,000
3,000,000
1,068.9
1,267,350
3,150,000
1,758.75
LINE TO LOAD 2,240,000
EQUIPMENT TEMPERATURE TEMPERATURE CORRECTION FACTOR TO 20 °C
21 1.05°CV °C1,000
POLE 1 (M©) (P1-P2) POLE 2 (M©) (P2-P3)
TEST VOLTAGE
POLE 3 (M©) (P3-P1)
POLE TO POLE
READINGREADING 20°C20°CREADING 20°C
POLE 3
36.940.3 36.9
POLE 2POLE 1
POLE RESISTANCE (µ©)
COMMENTS: TRIP UNIT FLAG WAS OUT ON GROUND FAULT BEFORE REMOVED FROM TEST CELL.
USER
ADDRESS
CUSTOMER
4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
JOHN HENDRICKS (765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
DATE
SUBSTATION BUILDING #127 PANEL INSPECTIONSPOSITION
2/9/2023 AMBIENT TEMPERATURE °C HUMIDITY %
MELVIN WILLIAMSTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service REVISED 3/16/2023
G =
P =
C =
ITEMS REQUIRING IMMEDIATE CORRECTIVE ACTIONSITEMS FOUND IN POOR CONDITION AND REQUIRE FUTURE CORRECTIVE ACTION
ITEMS FOUND IN SATISFACTORY CONDITION ITEMS FOUND OR CORRECTED AND LEFT IN SATISFACTORY CONDITION
G P C I
CDP-7225A
CURRENT
RATING TYPE
RESULTS
LOCATION / PANEL ID MANUFACTURE
ITE
CATALOG #
86-70105-508-2
COMMENTS
PANEL INSPECTION
I =
CONDITIONS - (OVERALL , TORQUE CHECK, CLEANLINESS, CONTINUITY CHECKS)
NQOB100A127-1E SQUARE D NQOB
CDP-7225A127-OP ITE 87-70105-508-1
TURNED OFF UNUSED SPARE BREAKERS.
127-PP2
USER
ADDRESS
CUSTOMER
4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
JOHN HENDRICKS (765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
DATE
SUBSTATION BUILDING #137 PANEL INSPECTIONS-1POSITION
2/10/2023 AMBIENT TEMPERATURE °C HUMIDITY %
ROBERT STRANZINTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service REVISED 3/16/2023
G =
P =
C =
ITEMS REQUIRING IMMEDIATE CORRECTIVE ACTIONSITEMS FOUND IN POOR CONDITION AND REQUIRE FUTURE CORRECTIVE ACTION
ITEMS FOUND IN SATISFACTORY CONDITION ITEMS FOUND OR CORRECTED AND LEFT IN SATISFACTORY CONDITION
G P C I
NQOB50A
CURRENT
RATING TYPE
RESULTS
LOCATION / PANEL ID MANUFACTURE
SQUARE D
CATALOG #
NQOB-50416-21U
COMMENTS
MAIN BREAKER WIRE LOOSE, TURNED OFF SPARES.
PANEL INSPECTION
I =
CONDITIONS - (OVERALL , TORQUE CHECK, CLEANLINESS, CONTINUITY CHECKS)
137: 1
561004837369001
CUBICLE CODE
SN / SO NO.GE
GB216L3XXXFXXXX
NA
1600POWER BREAK 2
FUSE CAT. NO.
ENTELIGAURD TU
SENSOR TAPS
NA
TRIP UNIT CAT #
MANUFACTURER
Test Amps
% of Setting
Performance Tolerance
Pole 1 Pole 2 Pole 3 Targets
Found/Left Found/Left
Trip Unit SettingTest Criteria
LongTime PU
Long Time Delay
Short Time PU
Short Time Delay
Instant PU
Instant Delay
GRD Fault PU
GRD Fault Delay
0.5
800 NA NA
Found/Left
NA
4800 NA 1.61-2.45 NA
1200 NA NA NA
1800 NA NA NA
NA NA
4800 NA 0.0-0.05 NA
NA NA NA NA
NA NA NA NANA
NA
2 3200
NA
2.25
1.5
Primary/Secondary Current Performance Tests
NANA
2.362.36
0.085
NA
0.044
NA
NA
0.085
NA
0.044
NA
NA
NA NA NA
NA NA
0.0350.035
NA
0.085
2.3
NA
NA
0.085
2.3
NA
NA
NA NA
0.0450.045
NA NA
0.0950.095
2.36
NA
2.36
NA
1.5
1.5
A
AA
X
A
A
A = A1,600
3,200
1,600 800
1,600
2.45
0.06
X 1,600
SENSOR TAP 1,600
DELAY
2.45
0.06
1,600
RATING PLUG
SENSOR TAP
RATING PLUG
I2T ADDI INFO
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
0.5
0.5
Setting
1,200-
INST.
GRD. FLT.
SETTINGS AS FOUND
1,600
A
SETTINGS AS LEFT FUNCTION Setting DELAY I2T ADDI INFO
3200=
X
X
X
A
A
A
PAGE
USER
ADDRESS
CUSTOMER
LOW VOLTAGE POWER CIRCUIT BREAKER TEST 4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
(765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
JOHN HENDRICKS
DATE
SUBSTATION BUILDING #138
1/19/2023 AMBIENT TEMPERATURE %
POSITION
ASSET #: BUILDING 138 SWBD
DP1
HUMIDITY°C
COUNTER END
ANDY BYRERTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service 15200, REVISED 2/24/2023
NA
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
NA
NA
NA
C
NA
NA
Description
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
Description
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY CTRIP UNIT
NA
NA
NA
GOOD C
GOOD
NA
NA
GOOD
ELECTRICALLY OPERATED
MOUNTING
COUNTER BEGINNING
B.I.
NOYES
FRAME SIZE AMPS V1,600
Insulation Resistance
POLE TO FRAME
3,000,000
3,000,000
3,000,000
3,000,000
3,000,000
3,000,000
3,000,000
3,000,000
3,000,000
3,000,000
2,470,000
3,000,000
3,000,000
2,470,000
3,000,000
3,000,000
3,000,000
LINE TO LOAD 3,000,000
EQUIPMENT TEMPERATURE TEMPERATURE CORRECTION FACTOR TO 20 °C
20 1°CV °C1,000
POLE 1 (M©) (P1-P2) POLE 2 (M©) (P2-P3)
TEST VOLTAGE
POLE 3 (M©) (P3-P1)
POLE TO POLE
READINGREADING 20°C20°CREADING 20°C
POLE 3
36.035.0 34.0
POLE 2POLE 1
POLE RESISTANCE (µ©)
COMMENTS:
NA
CUBICLE CODE
SN / SO NO.GENERAL ELECTRIC
NA
NA
800HI-BREAK
FUSE CAT. NO.
NA
SENSOR TAPS
NA
TRIP UNIT CAT #
MANUFACTURER
Test Amps
% of Setting
Performance Tolerance
Pole 1 Pole 2 Pole 3 Targets
Found/Left Found/Left
Trip Unit SettingTest Criteria
LongTime PU
Long Time Delay
Short Time PU
Short Time Delay
Instant PU
Instant Delay
GRD Fault PU
GRD Fault Delay
NA
NA
NA NA NA
Found/Left
NA
NA NA NA NA
NA NA NA NA
NA NA NA NA
NA NA
NA NA NA NA
NA NA NA NA
NA NA NA NANA
NA
NA NA
NA
NA
NA
NA
Primary/Secondary Current Performance Tests
NANA
NANA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA NA NA
NA NA
NANA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA NA
NANA
NA NA
NANA
NA
NA
NA
NA
NA
NA
= AA
X A = A
X
SENSOR TAP
DELAY
RATING PLUG
SENSOR TAP
RATING PLUG
I2T ADDI INFO
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
Setting
INST.
GRD. FLT.
SETTINGS AS FOUND
SETTINGS AS LEFT FUNCTION Setting DELAY I2T ADDI INFO
X
X
X
A
A
A
PAGE
USER
ADDRESS
CUSTOMER
LOW VOLTAGE POWER CIRCUIT BREAKER TEST 4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
(765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
JOHN HENDRICKS
DATE
SUBSTATION BUILDING #138
2/10/2023 AMBIENT TEMPERATURE %
POSITION
ASSET #:
EEDP-A MAIN
HUMIDITY°C
COUNTER END
ROBERT STRANZINTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service 15200, REVISED 2/24/2023
NA
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
NA
NA
NA
NA
NA
NA
Description
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
Description
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY NATRIP UNIT
NA
NA
NA
GOOD C
NA
NA
NA
NA
ELECTRICALLY OPERATED
MOUNTING
COUNTER BEGINNING
B.I.
NA
NOYES
FRAME SIZE AMPS V800
Insulation Resistance
POLE TO FRAME
LINE TO LOAD
EQUIPMENT TEMPERATURE TEMPERATURE CORRECTION FACTOR TO 20 °C
°CV °C
POLE 1 (M©) (P1-P2) POLE 2 (M©) (P2-P3)
TEST VOLTAGE
POLE 3 (M©) (P3-P1)
POLE TO POLE
READINGREADING 20°C20°CREADING 20°C
POLE 3
67.065.0 61.0
POLE 2POLE 1
POLE RESISTANCE (µ©)
COMMENTS: CONTACT RESISTANCE ONLY. BREAKER WAS NOT REMOVED,
USER
ADDRESS
CUSTOMER
4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
JOHN HENDRICKS (765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
DATE
SUBSTATION BUILDING #138 PANEL INSPECTIONS-1POSITION
2/9/2023 AMBIENT TEMPERATURE °C HUMIDITY %
A. KNIGHT, A. BARNES, R. STRANZINTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service REVISED 3/16/2023
G =
P =
C =
ITEMS REQUIRING IMMEDIATE CORRECTIVE ACTIONSITEMS FOUND IN POOR CONDITION AND REQUIRE FUTURE CORRECTIVE ACTION
ITEMS FOUND IN SATISFACTORY CONDITION ITEMS FOUND OR CORRECTED AND LEFT IN SATISFACTORY CONDITION
G P C I
PRL1A100A
CURRENT
RATING TYPE
RESULTS
LOCATION / PANEL ID MANUFACTURE
EATON
CATALOG #
IC966466
COMMENTS
4TH FLOOR AREA
PANEL INSPECTION
I =
CONDITIONS - (OVERALL , TORQUE CHECK, CLEANLINESS, CONTINUITY CHECKS)
NQ100A138: PE SQUARE D 2944242910030001
NEW PANEL (INSTALLED 2-2-2023)
NA225A138: L3A 120/280 SQUARE D NQOB-50416-27BB5
NA225A138: RCU1 GE BR-12055
TURNED SPARE BREAKER OFF (NO LOAD WIRING)
NA225A138: RCU GE BR-32054
BKR # 29 SPARE FOUND TURNED ON. TURNED OFF
NLAB225A138: L3B2 GE TX0B
#29 HAS A BROKEN TOGGLE. REPLACED #4 BREAKER
NDP100A138: E3B FPE BZ-162968
REMOVED SPARE BREAKER FROM BOTTOM OF PANEL
NA100A138: E4A EATON EZ-82048R
A SERIES II600A138: EMDP PANEL GE AQF3306MBX
MISSING COVER HARDWARE
NA400A138: EMI SQUARE D 12-3619176BO
OPENED SPARE BREAKERS
NQOD225A138: EM-2 SQUARE D NQ0D430M225
OPENED ALL SPARE BREAKERS
NA100A138: PNL 138 E2 B SQUARE D NA
NA100A138: PNL 138-E2C SQUARE D MHC-15
1800A138: EEDP-A GE APB4089
BREAKER 138 PE WAS LOCKED OUT- CONTINUITY WAS UNABLE
TO BE TESTED
1400A138: EQXP GE D2006331T
CT SCAN BREAKER (NO CABLES LANDED) TOGGLE HAS A PIECE
BROKEN OFF. TURNED OFF BREAKER.
PRL1A100A138: L4A EATON 1C966401503
PRL1A225A138: P4D EATON 1C96640603
PRL1A225A138: P4A EATON 1C96640G03
NQOB200A138: L3B1 SQUARE D NQOB-50416-22V
REPLACED 3 BREAKERS.
NQOB100A138: 3B3 SQUARE D NQOB-244M
NQ225A138: P1 SQUARE D 29420271440030001
NQOD225A138: L1C2 SQUARE D NQOD442M225
NQOD225A138: L1A SQUARE D NQOB-50416-30GG9
BREAKER 20 WAS MISSING HARDWARE
NQOB100A138: P1A SQUARE D NQOB-50416-27BB
BREAKER 3 WAS TRIPPED, MISSING 1 BREAKER BLANK.
NQOB200A138: L1B1 SQUARE D NQOB-50416-22V
MISSING COVER AND PANEL HARDWARE
NQOB100A138: L1B2 SQUARE D NQOB-50416-22V
NQOB200A138: L2C SQUARE D NQOB-50416-22V
NQOD100A138: P2C SQUARE D NA
SPARES TURNED OFF.
NQOB225A138: P2A SQUARE D NQOB-50416-30GG7
MISSING PANEL HARDWARE.
NQOB225A138: L2A SQUARE D NQOB-50416-30GG8
TURNED OFF SPARES
NA80A138: L3C1A GE NA
NAB225A138: L3C2 GE BR-31508
NQOB100A138: L3C1 SQUARE D NQOB-50416-22V1
TWO OPEN UNUSED HOLES IN BOTTOM OF PANEL.
NQOB200A138: L2B SQUARE D NQOB-50416-22V
NQOB225A138: L3A SQUARE D NQOB-50416-27BB5
TURNED OFF SPARES
138: E48
USER
ADDRESS
CUSTOMER
4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
JOHN HENDRICKS (765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
DATE
SUBSTATION BUILDING #138 PANEL INSPECTIONS-2POSITION
2/10/2023 AMBIENT TEMPERATURE 20 °C HUMIDITY 34 %
ANDY BARNESTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service REVISED 3/16/2023
G =
P =
C =
ITEMS REQUIRING IMMEDIATE CORRECTIVE ACTIONSITEMS FOUND IN POOR CONDITION AND REQUIRE FUTURE CORRECTIVE ACTION
ITEMS FOUND IN SATISFACTORY CONDITION ITEMS FOUND OR CORRECTED AND LEFT IN SATISFACTORY CONDITION
G P C I
THQB225
CURRENT
RATING TYPE
RESULTS
LOCATION / PANEL ID MANUFACTURE
GENERAL ELECTRIC
CATALOG #
THQB
COMMENTS
SEVERAL SPARE, UNWIRED BREAKERS WERE TURNED OFF
PANEL INSPECTION
I =
CONDITIONS - (OVERALL , TORQUE CHECK, CLEANLINESS, CONTINUITY CHECKS)
NQOB200PNL: 138-LBB SQUARE D NQOB-50416-27BB
SEVERAL SPARE, UNWIRED BREAKERS WERE TURNED OFF
MODEL 5600138-MCC1 SQUARE D H668018
TOP 2 BREAKERS ARE SPARES, P-7 ON, P-1 OFF, P-2 OFF
NQOB225138-LBA SQUARE D NQOB-50416-30GG10
SWBD600SWBD 138 MDP-2 SQUARE D 3619176AD
SWBD 138 MDP-2(CB-13) FULL NAME
NQOB100138-LBC2 SQUARE D NQOB-50416-22V
6 SPARE BREAKER TURNED OFF
NQOB225138-PSA SQUARE D NQOB-50416-30GG11
ONLY TWO BREAKERS IN PANEL ARE BEING USED ALL
OTHERS ARE SPARES
NQOB225138-LBC SQUARE D NQOB-50416-30GG12
BREAKER #11 AND 18 ARE SPARES AND WERE TURNED OFF
NQOB225138-LBC 1 SQUARE D NQOB-50416-30GG13
7 SPARE BREAKERS WERE ON AND WE TURNED THEM OFF
481600138-DP2 SQUARE D 42-50416-13
BREAKER 138 P3A IS BROKEN WON'T CLOSE
421600138-DP3 SQUARE D 50416-14
481600138-DP-1 SQUARE D 42-504160-12
5 BREAKERS RING OUT IN OPEN POSITION, 138 LBB
BREAKER REPLACED WENT FROM 200A TO 150 AMP.
NQOB225138-P3A SQUARE D NQOB-50416-27BB4
SEVERAL SPARE BREAKERS ON, TURNED OFF AFTER
INSPECTION
NANA138-P2-BE NA NA
UNABLE TO PERFORM INSPECTIONS AND TESTING.
PANEL WAS ENERGIZED.
NANA138-L1 NA NA
UNABLE TO PERFORM INSPECTIONS AND TESTING.
PANEL WAS ENERGIZED.
NA100A138-E2B SQUARE D NA
NA120A138-E2C SQUARE D MHC-15
PRL1A100A138-E48 EATON 1C96640G01
NQ100A138 (PENTHOUSE) PE SQUARE D 29443429
NEW PANEL. INSTALLED 2-2-2023.
NA225A138-L3A SQUARE D NQ0B-50416-27BB5
NA225A138-RCUI GE BR-12055
TURNED SPARE BREAKERS OFF
NA200A138-RCU GE BR-32054
TURNED OFF SPARE BREAKERS
NLAB225A138-L3B2 GE TXOB
NDP100A138-E3B FPE B2-162968
FOUND SPARE BREAKER IN BOTTOM OF PANEL.
NA100A138-E4A EATON EZ-82048R
SERIES II600A138-EMDP PANEL GE AQF3306MBX
MISSING COVER HARDWARE
NA400A138-EMI SQUARE D 12-3619176B0
TURNED OFF SPARE BREAKERS
NQ0D225A138-EM-2 SQUARE D NQ0D430M225
TURNED OFF SPARE BREAKERS
NA225A138: P48 EATON E2B2072R
NA225A138: PH3 EAST EATON NA
NQOD100A138: E1A SQUARE D NQOD43OL100
NQOD225A138: EBB SQUARE D NQOD442M225
FOUND 10 SPARE BREAKERS IN BOTTOM OF THE PANEL.
NA225A138: P4C EATON E282072R
PNL:138 BBB
NA
CUBICLE CODE
SN / SO NO.SQUARE D
MH36600
NA
600BOLT-IN
FUSE CAT. NO.
THERMAL MAG TRIP
SENSOR TAPS
NA
TRIP UNIT CAT #
MANUFACTURER
Test Amps
% of Setting
Performance Tolerance
Pole 1 Pole 2 Pole 3 Targets
Found/Left Found/Left
Trip Unit SettingTest Criteria
LongTime PU
Long Time Delay
Short Time PU
Short Time Delay
Instant PU
Instant Delay
GRD Fault PU
GRD Fault Delay
NA
NA NA NA
Found/Left
NA
3000 100 NA GOOD
NA NA NA NA
NA NA NA NA
NA NA
NA NA NA NA
NA NA NA NA
NA NA NA NANA
NA
NA NA
NA
NA
NA
NA
Primary/Secondary Current Performance Tests
NANA
5.55.5
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA NA NA
NA NA
NANA
NA
NA
NA
5.5
NA
NA
NA
NA
5.5
NA
NA
NA NA
NANA
NA NA
NANA
NA
5.5
NA
NA
5.5
NA
= AA
X A = A600 600 3,000
3,000X 600
SENSOR TAP 600
DELAY
RATING PLUG
SENSOR TAP
RATING PLUG
I2T ADDI INFO
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
Setting
INST.
GRD. FLT.
SETTINGS AS FOUND
SETTINGS AS LEFT FUNCTION Setting DELAY I2T ADDI INFO
X
X
X
A
A
A
PAGE
USER
ADDRESS
CUSTOMER
LOW VOLTAGE POWER CIRCUIT BREAKER TEST 4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
(765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
JOHN HENDRICKS
DATE
SUBSTATION BUILDING #138
1/18/2023 AMBIENT TEMPERATURE 14 45 %
POSITION
ASSET #: BUILDING 138 PANEL
SWBD MDP 2
HUMIDITY°C
COUNTER END
ANDY BARNESTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service 15200, REVISED 2/24/2023
NA
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
NA
NA
NA
C
NA
C
Description
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
Description
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY CTRIP UNIT
NA
NA
NA
GOOD C
GOOD
GOOD
NA
GOOD
ELECTRICALLY OPERATED
MOUNTING
COUNTER BEGINNING
B.I.
NOYES
FRAME SIZE AMPS V600
Insulation Resistance
POLE TO FRAME
317,000
2,230,000
317,000
2,230,000
954,000
584,400
879,000
10,070
879,000
10,070
1,072,000
799,000
1,767,000
1,072,000
799,000
1,767,000
584,400
LINE TO LOAD 954,000
EQUIPMENT TEMPERATURE TEMPERATURE CORRECTION FACTOR TO 20 °C
20 1°CV °C1,000
POLE 1 (M©) (P1-P2) POLE 2 (M©) (P2-P3)
TEST VOLTAGE
POLE 3 (M©) (P3-P1)
POLE TO POLE
READINGREADING 20°C20°CREADING 20°C
POLE 3
166.0153.0 138.0
POLE 2POLE 1
POLE RESISTANCE (µ©)
561004837362001
CUBICLE CODE
SN / SO NO.GENERAL ELECTRIC
GB530LXXXFXXXX
NA
3000BOLT-IN
FUSE CAT. NO.
ENTELLIGUARD TU
SENSOR TAPS
NA
TRIP UNIT CAT #
MANUFACTURER
Test Amps
% of Setting
Performance Tolerance
Pole 1 Pole 2 Pole 3 Targets
Found/Left Found/Left
Trip Unit SettingTest Criteria
LongTime PU
Long Time Delay
Short Time PU
Short Time Delay
Instant PU
Instant Delay
GRD Fault PU
GRD Fault Delay
0.5
1500 NA NA
Found/Left
NA
9000 NA NA NA
2250 NA NA NA
3375 NA NA NA
NA NA
9000 NA NA NA
NA NA NA NA
NA NA NA NANA
NA
2 6000
NA
NA
NA
1.5
Primary/Secondary Current Performance Tests
15351535
NANA
0.083
NA
NA
NA
0.083
NA
NA
NA
NA NA NA
NA NA
NANA
0.091
NA
0.091
NA
NA
NA NA
NANA
6060 6060
0.0910.091
NA
NA
1.5
1.5
A
AA
X
A
A
A = A3,000
6,000
3,000 1,500
3,000
1,500
1,500
0.113
0.06
X 3,000
SENSOR TAP 3,000
DELAY
0.113
0.06
3,000
RATING PLUG
SENSOR TAP
RATING PLUG
I2T ADDI INFO
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
0.5
0.5
Setting
2,250-
INST.
GRD. FLT.
SETTINGS AS FOUND
3,000
A
SETTINGS AS LEFT FUNCTION Setting DELAY I2T ADDI INFO
6000=
X
X
X
A
A
A
PAGE
USER
ADDRESS
CUSTOMER
LOW VOLTAGE POWER CIRCUIT BREAKER TEST 4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
(765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
JOHN HENDRICKS
DATE
SUBSTATION BUILDING #138
1/19/2023 AMBIENT TEMPERATURE 20 44 %
POSITION
ASSET #: MAIN BREAKER
SWDB 138 MAIN
HUMIDITY°C
COUNTER END
ANDY BYRERTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service 15200, REVISED 2/24/2023
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
NA
NA
NA
C
NA
NA
Description
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
Description
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY CTRIP UNIT
NA
NA
NA
GOOD C
GOOD
NA
NA
GOOD
ELECTRICALLY OPERATED
MOUNTING
COUNTER BEGINNING
B.I.
NA
NOYES
FRAME SIZE AMPS V3,000
Insulation Resistance
POLE TO FRAME
910,000
916,000
910,000
916,000
1,795,000
838,000
995,000
2,140,000
995,000
2,140,000
746,000
1,164,000
1,667,000
746,000
1,164,000
1,667,000
838,000
LINE TO LOAD 1,795,000
EQUIPMENT TEMPERATURE TEMPERATURE CORRECTION FACTOR TO 20 °C
20 1°CV °C1,000
POLE 1 (M©) (P1-P2) POLE 2 (M©) (P2-P3)
TEST VOLTAGE
POLE 3 (M©) (P3-P1)
POLE TO POLE
READINGREADING 20°C20°CREADING 20°C
POLE 3
34.038.5 36.2
POLE 2POLE 1
POLE RESISTANCE (µ©)
USER
ADDRESS
CUSTOMER
4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
JOHN HENDRICKS (765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
DATE
SUBSTATION BUILDING #147 PANEL INSPECTIONSPOSITION
2/9/2023 AMBIENT TEMPERATURE 10 °C HUMIDITY 45 %
Melvin WilliamsTESTED BY:
www.premierpowermaintenance.com24 Hour Emergency Service REVISED 3/16/2023
G =
P =
C =
ITEMS REQUIRING IMMEDIATE CORRECTIVE ACTIONSITEMS FOUND IN POOR CONDITION AND REQUIRE FUTURE CORRECTIVE ACTION
ITEMS FOUND IN SATISFACTORY CONDITION ITEMS FOUND OR CORRECTED AND LEFT IN SATISFACTORY CONDITION
G P C I
Y441400A
CURRENT
RATING TYPE
RESULTS
LOCATION / PANEL ID MANUFACTURE
GE
CATALOG #
AQF330FCTX
COMMENTS
PANEL INSPECTION
I =
CONDITIONS - (OVERALL , TORQUE CHECK, CLEANLINESS, CONTINUITY CHECKS)
Y442125A147: 2LN11-N GE AQF3301MBX
TURNED OFF SPARE BREAKERS
Y441225A147: 2HN4-N GE AEF3302BBX
NA125A147: 2HN7-N GE AEF3301BBX
TURNED OFF SPARE BREAKERS
Y433125A147: 2HN8-N GE AEF3301BBX
NANA147: TN8 (XFMR) EGS NA
GROUND CABLE WAS LOOSE. TIGHTENED.
147: 2LN10-N
NA
CUBICLE CODE
SN / SO NO.GENERAL ELECTRIC
TS20LSIG
NA
800/1200HI BREAK
FUSE CAT. NO.
RMS-9 MICROVERSATRIP
SENSOR TAPS
NA
TRIP UNIT CAT #
MANUFACTURER
Test Amps
% of Setting
Performance Tolerance
Pole 1 Pole 2 Pole 3 Targets
Found/Left Found/Left
Trip Unit SettingTest Criteria
LongTime PU
Long Time Delay
Short Time PU
Short Time Delay
Instant PU
Instant Delay
GRD Fault PU
GRD Fault Delay
NA
NA
NA NA NA
Found/Left
NA
NA NA NA NA
NA NA NA NA
NA NA NA NA
NA NA
NA NA NA NA
NA NA NA NA
NA NA NA NANA
NA
NA NA
NA
NA
NA
NA
Primary/Secondary Current Performance Tests
408408
2.872.87
NA
0.12
NA
NA
0.155
NA
0.12
NA
NA
0.155
0.153 0.156 0.156
242 242
NANA
NA
0.12
NA
2.87
NA
0.12
NA
2.87
0.153
248 248
NANA
NA NA
0.120.12
NA
2.87
NA
2.87
0.2
0.2
MIN
MIN
A
AA
X
A
A
A
A = A
2,800
800 400
0.13
0.13
A
X 800
SENSOR TAP
DELAY
0.13
0.13
RATING PLUG
SENSOR TAP
RATING PLUG
I2T
OUT
OUT
ADDI INFO
MIN
MIN
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
0.5
0.5
Setting
OUT1,600-
INST.
GRD. FLT.
SETTINGS AS FOUND
A
1,200 OUT
SETTINGS AS LEFT FUNCTION Setting DELAY I2T ADDI INFO
2800=
240=
X
X
X
A
A
A
PAGE
USER
ADDRESS
CUSTOMER
LOW VOLTAGE POWER CIRCUIT BREAKER TEST 4035 Championship Drive Indianapolis, IN 46268
317-879-0660
OWNER REPRESENTATIVE TELEPHONE
MARION VA MEDICAL CENTER; 1700 E 38TH ST.; MARION IN USA 46953
(765) 674-3321 x74390
1700 E 38TH ST.; MARION IN USA 46953
MARION VA MEDICAL CENTER
JOB # 220919
JOHN HENDRICKS
DATE
SUBSTATION BUILDING #15
2/7…
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