S06-657A4-25-107-FINAL STL22279-250 VA Hospital-Poplar Bluff MO Report.pdf

PDF 6 MB Posted Oct 10, 2025

Attached to: H259--657A4-25-107, Triennial Electrical Testing
Solicitation number: 36C25525R0136
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

Written by GovTribe AI · Oct 10, 2025

This document is an Electrical Equipment Test Report prepared by Electric Power Systems for S & B Services, documenting preventive maintenance testing performed at the VA Hospital in Poplar Bluff, Missouri. The report covers testing of nine automatic transfer switches, with a comprehensive infrared (IR) scan of electrical equipment to assess functionality, safety, and reliability. No significant electrical defects were identified during the inspection, though one recommendation was made to eliminate a contactor and wire directly to the breaker for a hot water pump system.

The related federal contract opportunity is Solicitation Number 36C25525R0136 for Project 657A4-25-107, which involves Triennial Electrical Testing at the John J. Pershing VA Medical Center. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15, located at 1500 North Westwood Blvd., Poplar Bluff, Missouri 63901. The project encompasses electrical system testing, with multiple amendments providing updates to the Statement of Work, bidder questions, and pre-bid conference information.

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S & B Services VA Hospital / Poplar Bluff, MO

STL22279-250

ELECTRICAL EQUIPMENT TEST REPORT

ST. LOUIS OFFICE

Charles Moses – Operations Manager 21 Millpark Ct. Maryland Heights, MO.

P: (314) 890-9999 www.epsii.com

1 | P a g e

Electric Power Systems 21 Millpark Ct.

Maryland Heights, Missouri 63043

(314) 890-9999

Stephen Sanders S & B Services 7 Summit Dr.

Canyon, TX 79015

SUBJECT: Electrical Equipment Test Report.

EPS JOB: STLSTL22279-250

Mr. Stephen Sanders, This report summarizes the preventive maintenance testing at the VA Hospital located in Poplar Bluff, MO. It has been Electric Power Systems pleasure in providing testing services to S & B Services. If there are any questions, comments or concerns please do not hesitate to contact us directly at our St. Louis Area Office.

Report Prepared by: Report Approved by:

Walter Bahr Charles Moses Senior Field Technician Operations Manager, STL Electrical Power Systems Electrical Power Systems St. Louis, MO St. Louis, MO

(314) 890-9999 (314) 890-9999

2 | P a g e

Table of Contents

Purpose Page 3

Equipment Tested Page 3

Procedures Page 4 - 10

Summary Page 11 - 13

Test Data Sheets See Attached

3 | P a g e

Purpose:

Electrical systems begin to degrade at the onset of installation and operation. There are many factors, such as design intent, environmental conditions, shipping / handling and installation practices to consider regarding electrical equipment related to power system safety and reliability. Maintenance testing of electrical equipment and apparatus is a useful tool in determining the continued condition of electrical equipment and systems.

Maintenance testing procedures aid in providing critical information as to the functionality, safety and reliability of electrical equipment and systems as a whole, as well as providing baselines for continued monitoring of the lifetime of the electrical equipment. This will aid in planning for future replacement or upgrading.

The equipment and components listed in 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

Equipment Tested:

(9) Automatic Transfer Switches

(18) <600V Distribution/Service Panelboards/Switchgear/MCC & Unit Substations

(24) Low Volt Circuit Breakers

(11) Oil Filled Transformers

(1) Dry Type Transformer

(52) Fused/Non-Fused Disconnects

(9) Low Volt Air Switches

(8) Bus Duct Runs including Cables Feeding Bus Ducts From ATSs

(10) Medium Volt Vacuum Breakers

(10) Relays

IR Scanning

All equipment on site was IR scanned.

4 | P a g e

Procedures:

Switchgear and Switchboard Assemblies

A. Visual and Mechanical Inspection

1. Compare equipment nameplate data with drawings and specifications.

2. Inspect physical and mechanical condition.

3. Verify appropriate anchorage, required area clearances, physical damage, and correct alignment.

4. Inspect all doors, panels, and sections for corrosion, dents, scratches, fit, and missing hardware.

5. Verify that the fuse and/or circuit breaker sizes and types correspond to drawings and coordination study as well as to the circuit breaker’s address for microprocessor-communication packages.

6. Verify tightness of accessible bolted electrical connections.

7. Verify that current and potential transformer ratios correspond to drawings.

8. Compare equipment nameplate data and latest one-line diagram when available.

9. Confirm correct operation and sequencing of electrical and mechanical interlock systems.

a. Attempt closure on locked-open devices. Attempt to open locked-closed devices.

b. Make key exchange with devices operated in off-normal positions.

10. Lubrication.

a. Verify appropriate contact lubricant on moving current-carrying parts

b. Verify appropriate lubrication on moving and sliding surfaces.

11. Inspect insulators for evidence of physical damage or contaminated surfaces.

12. Verify correct barrier and shutter installation and operation.

13. Exercise all active components.

14. Inspect all mechanical indicating devices for correct operation.

15. Verify that filters are in place and/or vents are clear.

16. Perform visual and mechanical inspection on all instrument transformers.

17. Inspect control power transformers

a. Inspect physical damage, cracked insulation, broken leads, tightness of connections, defective wiring, and overall general condition.

b. Verify that primary and secondary fuse ratings or circuit breakers match drawings.

c. Verify correct functioning of draw out disconnecting and grounding contacts and interlocks.

B. Electrical Test

1. Perform tests on all instrument transformers.

2. Perform ground-resistance test.

3. Perform resistance tests through all bus joints with a low-resistance ohmmeter, if applicable.

4. Perform insulation-resistance tests on each bus section, phase-to-phase and phase-to-ground, for one minute.

5. Perform an over potential test on each bus section, each phase to ground with phases not under test grounded.

6. Perform insulation-resistance test on control wiring not connected to solid state components.

7. Perform control wiring performance test

8. Perform current injection tests on all secondary current circuits in each section of switchgear, by primary or secondary injection.

9. Determine accuracy of all meters an calibrate watt-hour meters.

10. Perform phasing check on double-ended switchgear to insure correct bus phasing from each source.

5 | P a g e

11. Control Power Transformers

a. Perform insulation-resistance tests. Perform measurements from winding-to-winding and each winding-to-ground.

b. Perform secondary wiring integrity test.

c. Verify correct secondary voltage by energizing primary winding with system voltage.

Measure secondary voltage with the secondary wiring disconnected.

d. Verify correct function of control transfer relays located in switchgear with multiple power sources.

12. Voltage Transformers

a. Perform insulation-resistance tests. Perform measurements from winding-to-winding and each winding-to-ground.

b. Perform secondary wiring integrity test. Confirm correct potential at all devices.

c. Verify secondary voltages.

13. Verify operation of switchgear/switchboard heaters.

Transformer, Dry-Type, Air Cooled Low Voltage Small and Large

A. Visual and Mechanical Inspection.

3. Verify that control and alarm settings on temperature indicators are as specified.

4. Verify that cooling fans operate correctly and that fan motors have correct overcurrent protection.

5. Perform specific inspections and mechanical tests as recommended by manufacturer.

6. Make a close examination for shipping brackets or fixtures that may not have been removed during installation. Ensure that resilient mounts are free.

7. Verify that winding core, frame, and enclosure groundings are correct.

8. Verify that as-left tap connections are as specified.

1. Perform insulation-resistance tests, winding-to-winding and each winding-to-ground.

2. Perform power-factor or dissipation-factor tests.

3. Perform a turns-ratio test on all tap connections. Verify that winding polarities are in accordance with nameplate.

4. Perform an excitation-current test on each phase.

5. Measure the resistance of each winding at each tap connection.

6. Verify that core is solidly grounded. If core is insulated and a removable core ground strap is available, perform core insulation-resistance test at 500 volts dc.

7. Verify correct secondary voltage phase-to-phase and phase-to-neutral after energization and prior to loading.

Transformers, Liquid-Filled, All

3. Verify removal of any shipping bracing after final placement.

4. Inspect impact recorder prior to unloading, if applicable.

5. Verify that alarm, control, and trip settings on temperature indicators are as specified.

6 | P a g e

6. Verify that cooling fans and pumps operate correctly, and that fan and pump motors have correct overcurrent protection.

7. Verify operation of all alarm, control, and trip circuits from temperature and level indicators, pressure relief device, and fault pressure relay.

8. Verify correct liquid level in all tanks and bushings.

9. Verify that positive pressure is maintained on nitrogen-blanketed transformers.

10. Perform specific inspections and mechanical tests as recommended by manufacturer.

11. Verify correct equipment grounding.

12. Test load tap-changer in accordance with Section 7-12 if applicable.

13. Verify tightness of accessible bolted electrical connections.

14. Verify the presence of transformer surge arrestors.

1. Perform insulation-resistance tests, winding-to-winding and each winding-to-ground.

2. Perform a turns-ratio test on all no-load tap-changer positions and all load tap-changer positions.

Verify that tap setting is as specified. Verify that winding polarities are in accordance with nameplate.

3. Perform insulation power-factor/dissipation-factor tests on all windings.

4. Perform power-factor/dissipation-factor tests (or hot collar watts-loss tests) on bushings.

5. Perform excitation-current tests.

6. Measure resistance of each high-voltage winding in each no-load tap-changer position. Measure resistance of each low-voltage winding in each load tap-changer position, if applicable.

7. If core ground strap is accessible, measure core insulation resistance at 500 volts dc.

8. Measure the percentage of oxygen in the nitrogen gas blanket.

9. Remove a sample of insulating liquid in accordance with ASTM D-923. Sample shall be tested for the following.

a. Dielectric breakdown voltage: ASTM D-877 and/or ASTM D-1816.

b. Acid neutralization number: ASTM D-374.

c. Specific gravity: ASTM D-1298.

d. Interfacial tension: ASTM D-971 or ASTM D-2285.

e. Color: ASTM D-1500.

f. Visual Condition: ASTM D-1524.

g. Parts per million water: ASTM D-1533. Required on 25 kV or higher voltages and on all silicone-filled units.

h. Measure dissipation factor or power factor in accordance with ASTM D-924.

10. Remove a sample of insulating liquid in accordance with ASTM D-3613 and perform dissolved gas analysis in accordance with ANSI/1EEE C57.104 or ASTM D-3612.

11. Perform tests on all instrument transformers.

Metal-Enclosed Busways

2. Inspect busway for physical damage and correct connection in accordance with single-line diagram.

3. Inspect for appropriate bracing, suspension, alignment, and enclosure ground.

4. Confirm physical orientation in accordance with manufacturer’s labels to insure adequate cooling.

5. Examine outdoor busway for removal of “weep-hole” plugs, if applicable, and the correct installation of joint shield.

6. Verify tightness of accessible bolted electrical connections.

7 | P a g e

1. Measure insulation resistance of each busway, phase-to-phase and phase-to-ground for one minute.

2. Perform an overpotential test on each busway, phase-to-ground with phases not under test grounded.

3. Perform contact-resistance test on each connection point of non-insulated busway. On insulated busway, measure resistance of assembled busway sections and compare values with adjacent phases.

4. Perform phasing test on each busway tie section energized by separate sources. Tests must be performed from their permanent sources.

Air Switches, Low-Voltage

3. Confirm correct application of manufacturer’s recommended lubricants.

4. Verify appropriate equipment grounding.

5. Verify correct blade alignment, blade penetration, travel stops, and mechanical operation.

6. Verify that fuse sizes and types are in accordance with drawings and short-circuit and coordination studies.

7. Verify that each fuse holder has adequate mechanical support.

8. Verify tightness of accessible bolted electrical connections.

9. Test all interlocking systems for correct operation and sequencing.

10. Verify correct phase barrier materials and installation.

11. Inspect all indicating and control devices for correct operation.

1. Perform insulation-resistance tests on each pole.

2. Measure contact-resistance across each switchblade and fuse holder.

3. Measure fuse resistance.

4. Perform insulation resistance tests on all control wiring.

Air Switches, Medium-Voltage, Metal-Enclosed

3. Confirm correct application of manufacturer’s recommended lubricants.

4. Verify appropriate anchorage and required area clearances.

5. Verify appropriate equipment grounding.

6. Verify correct blade alignment, blade penetration, travel stops, and mechanical operation.

7. Verify that fuse sizes and types are in accordance with drawings and short-circuit and coordination studies.

8. Verify that expulsion-limiting devices are in place on all holders having expulsion-type elements.

8 | P a g e

9. Verify that each fuse holder has adequate mechanical support.

10. Verify tightness of accessible bolted electrical connections.

11. Test all interlocking systems for correct operation and sequencing.

12. Verify correct phase-barrier materials and installation.

13. Compare switchblade clearances with industry standards.

14. Inspect all indicating and control devices for correct operation.

1. Perform insulation-resistance tests on each pole.

2. (Optional) Perform an overpotential test on each pole with switch closed. Test each pole-to-ground with all other poles grounded.

3. Measure contact resistance across each switchblade and fuse holder.

4. Measure fuse resistance.

5. Verify heater operation.

Circuit Breakers, Low-Voltage, Insulated Case-Molded Case

2. Inspect circuit breaker for correct mounting.

3. Operate circuit breaker to insure smooth operation.

4. Inspect case for cracks or other defects.

5. Inspect mechanism contacts and arc chutes in unsealed units.

6. Verify tightness of accessible bolted electrical connections.

1. Perform a contact resistance test.

2. Perform an insulation-resistance test at 1000 volts dc from pole-to-pole and from each pole-to ground with breaker closed and across open contacts of each phase.

3. Perform adjustments for final settings in accordance with coordination study supplied by owner.

4. Perform long-time delay time-current characteristic tests by passing 300 percent rated current through each pole separately unless series testing is required to defeat ground fault functions.

5. Determine short-time pickup and delay by primary current injection.

6. Determine ground-fault pickup and time delay by primary current injection.

7. Determine instantaneous pickup current by primary injection using run-up or pulse method.

8. Verify correct operation of any auxiliary features such as trip and pickup indicators, zone interlocking, electrical close and trip operation, trip-free, and anti-pump function.

9. Perform insulation resistance tests on all control wiring.

Circuit Breakers, Low-Voltage, Power

A. Visual and Mechanical Inspection.

3. Confirm correct application of manufacturer’s recommended lubricants.

4. Inspect anchorage, alignment, and grounding. Inspect arc chutes. Inspect moving and stationary contacts for condition, wear, and alignment.

5. Verify that all maintenance devices are available for servicing and operating the breaker.

9 | P a g e

6. Verify that primary and secondary contact wipe and other dimensions vital to satisfactory operation of the breaker are correct.

7. Perform all mechanical operator and contact alignment tests on both the breaker and its operating mechanism.

8. Verify tightness of accessible bolted bus connections.

9. Check cell fit and element alignment.

10. Check racking mechanism.

1. Perform a contact-resistance test.

2. Perform an insulation-resistance test at 1000 volts dc from pole-to-pole and from each pole-to-ground with breaker closed and across open contacts of each phase.

3. Perform an insulation-resistance test at 1000 volts dc on all control wiring.

4. Adjust for the final settings in accordance with the coordination study supplied by the owner.

5. Determine minimum pickup current by primary current injection.

6. Determine long-time delay by primary current injection.

7. Determine short-time pickup and delay by primary current injection.

8. Determine ground-fault pickup and delay by primary current injection.

9. Determine instantaneous pickup value by primary current injection.

10. Activate auxiliary protective devices, such as ground-fault or undervoltage relays, to insure operation of shunt trip devices. Check the operation of electrically operated breakers in their cubicles.

11. Verify correct operation of any auxiliary features such as trip and pickup indicators, zone interlocking, electrical close and trip operation, trip-free, and anti-pump function.

12. Check charging mechanism.

Circuit Breakers, Medium-Voltage, Air

3. Confirm correct application of manufacturer’s recommended lubricants.

4. Inspect anchorage, alignment, and grounding. Inspect arc chutes. Inspect moving and stationary contacts for condition, wear, and alignment.

5. Verify that all maintenance devices are available for servicing and operating the breaker.

6. Verify that primary and secondary contact wipe and other dimensions vital to satisfactory operation of the breaker are correct.

7. Perform all mechanical operator and contact alignment tests on both the breaker and its operating mechanism.

8. Verify tightness of accessible bolted electrical connections.

9. Check cell fit and element alignment.

10. Check racking mechanism.

11. Inspect puffer operation.

12. (Optional) Perform circuit breaker timing tests.

13. Record as-found and as-left operation-counter readings.

2. Measure insulation resistance pole-to-pole, pole-to-ground, and across open poles.

10 | P a g e

3. Perform an insulation-resistance test on all control wiring.

4. With breaker in the test position, make the following test:

a. Trip and close breaker with the control switch.

b. Trip breaker by operating each of its protective relays.

c. Verify trip-free and anti-pump function.

d. Test trip and close circuit at reduced control voltages, if applicable.

5. (Optional) Perform dissipation-factor/power-factor test with breaker in both open and closed positions.

6. (Optional) Perform an overpotential test in accordance with manufacturer’s published data.

7. Measure blow-out coil circuit resistance.

Circuit Breakers, Medium-Voltage, Vacuum

3. Confirm correct application of manufacturer’s recommended lubricants.

4. Inspect anchorage, alignment, and grounding.

5. Perform all mechanical operational tests on both the circuit breaker and its operating mechanism.

6. Measure critical distances such as contact gap as recommended by manufacturer.

7. Record as-found and as-left operation counter readings.

8. Verify tightness of accessible bolted electrical connections.

9. (Optional) Perform timing tests.

2. (Optional) Perform breaker travel and velocity analysis.

3. Perform minimum pickup voltage tests on trip and close coils.

4. Verify trip, close, trip-free, and anti-pump function.

5. Perform insulation-resistance tests pole-to-pole, pole-to-ground, and across open poles at 2500 volts minimum.

6. Perform vacuum bottle integrity (overpotential) test across each vacuum bottle with the breaker in the open position in strict accordance with manufacturer’s instructions.

7. Perform insulation-resistance test on all control wiring at 1000 volts.

8. (Optional) Perform dissipation-factor/power-factor tests on each pole with the breaker open and each phase with the breaker closed.

9. (Optional) Perform dissipation-factor/power-factor tests on each bushing. Use conductive straps and hot collar procedures if bushings are not equipped with a power factor tap.

10. (Optional) Perform an overpotential test in accordance with manufacturer’s instructions.

11. Trip circuit breaker by operation of each protective device.

11 | P a g e

Summary:

The contact resistance creates impedance in the path of current flow. This impediment causes a voltage drop in the circuit. Thus, the receiving end voltage reduces with an increase in contact resistance. Resistance causes some of the electrical energy to turn into heat, so some electrical energy is lost along the way.

The importance of the equipment and the process involved in repair should also be considered when scheduling maintenance shutdowns. The following color codes show the severity of each issue and how soon it needs to be attended.

Red – High priority, Repair immediately Orange – Medium priority, Repair at your convenience or next scheduled shutdown Green – Low Priority, Repair as time permits Blue - Informational

Chiller #1 – The switch contact resistance is high on C phase.

New Switchgear Building – ATS-4 & ATS-MRI breakers have a factory recall on them and will be replaced later by the manufacturer. No testing was performed.

Building 3 - 3A Disconnect – B phase contact and fuse holder resistance is out of tolerance.

3B Disconnect – Multiple contact resistance points are out of tolerance.

Building 4 - 4A Disconnect – Multiple contact resistance points are out of tolerance.

4B Disconnect – Multiple contact resistance points are out of tolerance.

Building 7 - 7P1 Disconnect – When the switch is open, the door is not latched closed. There is a broken door latch that needs to be replaced.

Panel P-1 – This panel does not have a neutral pulled to it and is using the ground bond for all of its neutral connections. This is causing issues downstream and needs to be repaired.

12 | P a g e

Chiller #2 - C phase contact resistance is out of tolerance.

MCC-3 - MCC-3 Disconnect – Contact resistance on A and B phase main contacts are out of tolerance.

Bucket A/C 1 – There is a 14-gauge wire that is fed from a 40 amp breaker. Max 14-gauge protection should be 15 amps.

EMCC-1 – Some equipment downstream from EMCC-1 would not start up and was showing odd voltages. We tested the voltage at EMCC-1 and read AB-207, BC-35 & CA-185. We then tested another panel fed from the same switchboard that EMCC-1 is being fed by and it read correctly (209 vac on all). Checked the breaker feeding EMCC-1 and it was reading wrong. We operated the breaker about 4 times, and it started operating correctly. Recommend replacing the EMCC-1 feeder breaker.

Transformer T3 – There is no pressure gauge or nitrogen top off valve to see the pressure or fill the nitrogen. Recommend adding both. EPS sells and installs a kit for this.

13 | P a g e

Padmount Switch T1, T3, T5 & T7 – This padmount switch has a main switch and 5 feeder switches. The individual switches cannot be shut down without the main switch being shut down.

This is more of a junction box to split to all the transformers. There is nothing wrong with this, this is just a note. Transformer T10 is also fed from this switch box. T10 is still energized but is no longer being used.

ATS-4 – The exhaust fan for the emergency generator is fed from ATS-4. This needs to stay on when the generator is running. Recommend moving this circuit to a UPS to avoid any future issues. ATS-4 was not tested.

Generator 1 Transfer Issue – If Generator 1 is on a load test with any of the ATS switches and a true power outage occurs, the Generator will not shut down automatically, even after all loads have been transferred back to normal power. The generator will have to be manually shut down and reset.

New MV Switchgear After closing the breaker for T1, T3, T5 & T7 after completing the work for the night, we realized the relays were not showing voltage. The PT fuse was plugged in, but it was upside down in the Off position. After flipping it over to the On position, the voltage showed up on all the relays.

MV Breaker T11-T12 – The breaker would not close remotely with safety remote control or with the pistol switch. We found two wires crossed in the gear on a MOC switch.

After swapping the wires, the breaker functioned as expected.

1B Main Preferred Breaker – After racking this breaker out, we noticed that the C phase finger cluster had a bent finger. The cluster was removed from the breaker and the finger was straightened out using a vice and reinstalled on the cluster. The cluster was put back on the breaker for continued service. The breaker was racked in and out to verify that the damage hadn’t occurred in the cell. This most likely happened during shipping or moving.

R T = R M K

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 41 VA Hospital, Poplar Bluff

SUBSTATION

DATE

16B NEW GDP POSITION ATS-1 - ATS

2/25/2023 %AMBIENT TEMPERATURE EQPT. LOCATION56 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

49 50 49

47 48 47

49 50 49

50 51 50

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151955502-10-1 TYPE MPAC 1500

208/120 800A n/a CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

COMMENTS: NOT ABLEL TO OPERATE ATS WITHOUT CONTROL POWER

DEFICIENCIES:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 41 VA Hospital

SUBSTATION

DATE

16B NEW GDP POSITION ATS-1 - BYPASS

2/25/2023 %AMBIENT TEMPERATURE EQPT. LOCATION56 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

41 42 41

44 45 44

49 50 49

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151955502-10-1 TYPE MPAC 1500

208/120 800A n/a CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 41 VA Hospital

SUBSTATION

DATE

16B NEW GDP POSITION ATS-2 ATS

2/25/2023 %AMBIENT TEMPERATURE EQPT. LOCATION56 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

37 38 37

36 37 36

39 40 39

41 42 41

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151955502-10-1 TYPE MPAC 1500

208/120 800A n/a CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 41 VA Hospital

SUBSTATION

DATE

16B NEW GDP POSITION ATS-2 BYPASS

2/25/2023 %AMBIENT TEMPERATURE EQPT. LOCATION56 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

73 74 73

68 69 68

79 80 79

80 81 80

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151955502-10-1 TYPE MPAC 1500

208/120 800A n/a CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 41 VA Hospital

SUBSTATION

DATE

16B NEW GDP POSITION ATS-3 - ATS

2/24/2023 %AMBIENT TEMPERATURE EQPT. LOCATION56 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

266 270 266

194 197 194

935 950 935

460 467 460

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. A334GMHD0022 TYPE MPAC 1500

208/120 400 n/a CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

COMMENTS: NOT ABLE TO RACK OUT ATS WITHOUT CONTROL POWER

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 41 VA Hospital

SUBSTATION

DATE

16B NEW GDP POSITION ATS-3 - BYPASS

2/24/2023 %AMBIENT TEMPERATURE EQPT. LOCATION56 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

262 266 262

191 194 191

920 935 920

453 460 453

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. A334GMHD0022 TYPE MPAC 1500

208/120 400 n/a CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 49 Poplar Bluff, MO

SUBSTATION

DATE

1st Floor - Electrical Closet POSITION ATS-C - ATS

2/23/2023 %AMBIENT TEMPERATURE EQPT. LOCATION58 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

251 255 251

238 242 238

246 250 246

265 269 265

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151627860-0-1 TYPE MPAC-1500

208/120 200

N/A CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

COMMENTS: NO INSULATION RESISTANCE FOR SAFETY

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 49 Poplar Bluff, MO

SUBSTATION

DATE

1st Floor - Electrical Closet POSITION ATS-C - BYPASS

2/23/2023 %AMBIENT TEMPERATURE EQPT. LOCATION58 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

249 253 249

261 265 261

248 252 248

256 260 256

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151627860-0-1 TYPE MPAC-1500

208/120 200

N/A CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 49 Poplar Bluff, MO

SUBSTATION

DATE

1st Floor - Electrical Closet POSITION ATS-E - ATS

2/23/2023 %AMBIENT TEMPERATURE EQPT. LOCATION58 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

213 216 213

228 232 228

226 230 226

231 235 231

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151627859-10-1 TYPE MPAC-1500

208/120 300

N/A CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 49 Poplar Bluff, MO

SUBSTATION

DATE

1st Floor - Electrical Closet POSITION ATS-E - BYPASS

2/23/2023 %AMBIENT TEMPERATURE EQPT. LOCATION58 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

224 228 224

231 235 231

209 212 209

211 214 211

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151627859-10-1 TYPE MPAC-1500

208/120 300

N/A CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 49 Poplar Bluff, MO

SUBSTATION

DATE

1st Floor - Electrical Closet POSITION ATS-L - ATS

2/23/2023 %AMBIENT TEMPERATURE EQPT. LOCATION58 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

229 233 229

245 249 245

251 255 251

239 243 239

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151627858-10-1 TYPE MPAC-1500

208/120 100

N/A CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 49 Poplar Bluff, MO

SUBSTATION

DATE

1st Floor - Electrical Closet POSITION ATS-L - BYPASS

2/23/2023 %AMBIENT TEMPERATURE EQPT. LOCATION58 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

233 237 233

239 243 239

261 265 261

260 264 260

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. 151627858-10-1 TYPE MPAC-1500

208/120 100

N/A CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 49 Poplar Bluff, MO

SUBSTATION

DATE

2nd Floor - Electrical Closet POSITION ELEVATOR - ATS

2/23/2023 %AMBIENT TEMPERATURE EQPT. LOCATION58 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

254 258 254

251 255 251

243 247 243

262 266 262

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. N/A TYPE MPAC-1500

208/120 200

N/A CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

+ T

+ TM

Ductor Brendan WeberTESTED BY:

54100RIC, REVISED 2/11/2021www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 49 Poplar Bluff, MO

SUBSTATION

DATE

2nd Floor - Electrical Closet POSITION ELEVATOR - ATS - BYPASS

2/23/2023 %AMBIENT TEMPERATURE EQPT. LOCATION58 °F

AUTOMATIC TRANSFER SWITCH TESTS

TELEPHONE 469-394-8789

CUSTOMER

ADDRESS 7 Summit Drive; Canyon Texas USA 79015

S&B Services

OWNER VA Hospital - Facility Management; 1500 N Westwood Blvd.; Poplar Bluff Missouri USA 63901

Stephen Sanders

PAGE

JOB # STL22279-250

REPRESENTATIVE

INSULATING MEMBERS

MECHANICAL CONNECTIONS

STRUCTURAL MEMBERS

CUBICLE

RACKING DEVICES

CONTACT FINGERS

MAIN CONTACTS

ARCING CONTACTS

ARC CHUTES

OPERATING MECHANISM

CONTACT SEQUENCE

GROUND CONNECTION

AUXILIARY DEVICES

INSPECTED CONDITION CLEAN/LUBE

LOAD CONDUCTOR NO./ PHASE: CU ALSIZE: KCM:

R M

= TOTAL POLE RESISTANCE AT 85°C

= TOTAL POLE RESISTANCE AT TEST TEMPERATURE

= TEMP. RESISTANCE CONSTANT (°C)

COPPER = 234.5°C

= TEMPERATURE FOR DESIRED RESISTANCE (20°C)

20°C

NORMAL

AS FOUND 20°C AS LEFT 20°C

EMERGENCY

246 250 246

232 236 232

239 243 239

257 261 257

POLE 20°C POLE

16 1.01597°C TEMPERATURE CORRECTION FACTOR 20°C, TCF

Acceptable

C/L

MANUFACTURER

NAMEPLATE DATA

WIRING NO.

SYSTEM VOLTAGE AMPACITY

KOHLER SERIAL NO. N/A TYPE MPAC-1500

208/120 200

N/A CONTROLS TYPE: ELECTROMECHANICAL SOLID STATE MICROPROCESSOR

INSTALLED OPTIONS

N/ACATALOG NO.

Description

= AMBIENT TEMPERATURE

OVERALL CLEANLINESS

EQUIPMENT TEMPERATURE

AS LEFT

LINE-LOADPOLE CLOSED ph-G

AS FOUND

ALL READINGS IN MICRO-OHMS

phB/B-C phA/A-B

INSULATION RESISTANCE

ALL READINGS IN MEG-OHMS

POLE CLOSED ph-G phB/B-C phA/A-B phC/C-AphC/C-A

CONTACT RESISTANCE

CLOSED ph-ph

NORMAL

LINE-LOAD CLOSED ph-ph

EMERGENCY

PASSED ALL NETA MTS SPECIFICATIONSASSESSMENT OF SWITCH:

HUMIDITY 50 Poplar Bluff, MO

SUBSTATION

DATE

6th Floor Substation POSITION H1B

3/2/20…

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File details come from the government source that posted it. Updated Oct 10, 2025.