Exhibit AB - USS-11 Test Report.pdf

Prepared By:

Chris Espartero Sr Field Service Representative

North America Service Operations

Houston, TX

USS-11 Substation PM

May 17, 2021

Work Order: 08391081

2 | P a g e

EXECUTIVE SUMMARY

Schneider Electric Services perform Transformer and Switchboard PM in accordance with project specification and applicable industry standard on USS-11 Substation located at VA loading duct tunnel 2002 Holcombe Blvd Houston, Texas 77030. The site contact for this project was Joe

Ceasar of VA Medical Center Electrical Power Distribution Department (713)806-7506.

USS-11 Main Breaker ground fault pick up is slightly above the expected value. All other results are satisfactory at this time.

If there are any questions or concerns, please contact:

Chris Espartero

832-205-1547

Christopher.Espartero@se.com

USS-11_876101-C3_XD

Report Source DryTypeTransformer 5/12/2021 7:06:16 PMSession Test Date

Nameplate Company VA Medical Center Serial Number 876101-C3 Location 2002 Holcombe Blvd Houston, Texas Special ID USS-11 XFMR

77030 Division Houston Circuit Designation USS-11 SUBSTATION Manufacturer Square D Electric Class Year Manufactured Type DryTypeTransformer Mfr Location USA Winding Insulation Open-Wound Coolant Select Coolant Weight 11000 Tank Type Select Tank Type BIL 110 kV Dry Tank Type Ventilated VA Rating 750 kV 12.47,0.48,* Insulation Material Epoxy Mica

Administration Test Date 5/12/2021 Test Time: 7:06 PM Weather Indoors Air Temperature 26.1°C Apparatus * Humidity 67 %

Temperature Tester C.Espartero Work Order Date Last Tested Verified Test Set Type M4000 Date Retested Verification Date 5/12/2021 Set Top Serial # Reason ROUTINE Last Sheet # Set Bottom Serial # Travel Time Purchase Order Ins. Book # Duration Copies Sheet # Crew Size 1

876101-C3 1 - 6

Session Notes

876101-C3 2 - 6

Bushing Nameplate Designation Serial # Manufacturer Type C1 %PF C1 Cap C2 %PF C2 Cap Rated kV Amps

H1 H1 * * * * * * H2 H2 * * * * * * H3 H3 * * * * * *

Overall Tests - 2K

876101-C3 3 - 6

# Insulation

CH+CHL

CH

CHL(UST)

CHL

CL+CHL

CL

CHL(UST)

CHL

Test kV 2.000 8.000 2.000

1.000 1.000 1.000 mA Watts 0.021 0.006 0.012 0.015 0.068 0.049 0.009 0.019

% PF Meas.

0.053 0.065 0.041 0.050 0.090 0.107 0.029 0.063

Cap (pF) 1032.606 245.334 787.356 787.271 2003.910 1217.190 787.242 786.721

IR Man.

Good Good Good Good Good Good Good Good

3.893 0.925 2.968 2.968 7.555 4.589 2.968 2.966

LSR

LSR

LSR

LSR

LSR

LSR

LSR

LSR

mA: 3.893/3.893, 1/1 mA: 0.925/0.925, 1/1 mA: 2.968/2.968, 1/1 mA: 2.968/2.968, 1/1 mA: 7.555/7.555, 1/1 mA: 4.589/4.589, 1/1 mA: 2.968/2.968, 1/1 mA: 2.966/2.966, 1/1

Watts: 0.021/0.021, 1/1 Watts: 0.006/0.006, 1/1 Watts: 0.012/0.012, 1/1 Watts: 0.015/0.015, 1/1 Watts: 0.068/0.068, 1/1 Watts: 0.049/0.049, 1/1 Watts: 0.009/0.009, 1/1 Watts: 0.019/0.019, 1/1

Cap (pF): 1032.606/1032.606, 1/1 Cap (pF): 245.334/245.334, 1/1 Cap (pF): 787.356/787.356, 1/1 Cap (pF): 787.271/787.271, 1/1 Cap (pF): 2003.910/2003.910, 1/1 Cap (pF): 1217.190/1217.190, 1/1 Cap (pF): 787.242/787.242, 1/1 Cap (pF): 786.721/786.721, 1/1

Δ-

USS-11_876101-C3_XD

Overall Tests - LG

Winding Resistance

Winding Manufacturer Serial Number Configuration Winding Temperature Factory Factory

Temperature Rise Resistance Temperature (Ohms)

Y * * * *

High Voltage DETC LTC Phase Resistance Units Calculated Correction Corrected Percentage

Resistance Factor Resistance Deviation 3 A 199.7 milli Ohms * * * * 3 B 192.6 milli Ohms * * * * 3 C 195.8 milli Ohms * * * *

Low Voltage DETC LTC Phase Resistance Units Calculated Correction Corrected Percentage

Resistance Factor Resistance Deviation 3 A 190.3 micro Ohms * * * * 3 B 193 micro Ohms * * * * 3 C 189.1 micro Ohms * * * *

876101-C3 4 - 6

# Insulation

CH+CHL

CH

CHL(UST)

CHL

CL+CHL

CL

CHL(UST)

CHL

Test kV 10.005 10.005 10.004

0.999 1.000 0.999 mA Watts 0.021 0.006 0.016 0.015 0.068 0.048 0.009 0.020

% PF Meas.

0.054 0.064 0.053 0.051 0.090 0.105 0.030 0.067

Cap (pF) 1032.268 245.276 787.076 786.992 2003.836 1217.147 787.206 786.688

Tip UP

-0.001 0.012

-0.002 0.000

FRANK IR Man.

3.892 0.925 2.967 2.967 7.554 4.589 2.968 2.966

Good Investigate

Good

Investigate

LSR

LSR

LSR

LSR

LSR

LSR

LSR

LSR

mA: 3.892/3.892, 1/1 mA: 0.925/0.925, 1/1 mA: 2.967/2.967, 1/1 mA: 2.967/2.967, 1/1 mA: 7.554/7.554, 1/1 mA: 4.589/4.589, 1/1 mA: 2.968/2.968, 1/1 mA: 2.966/2.966, 1/1

Watts: 0.021/0.021, 1/1 Watts: 0.006/0.006, 1/1 Watts: 0.016/0.016, 1/1 Watts: 0.015/0.015, 1/1 Watts: 0.068/0.068, 1/1 Watts: 0.048/0.048, 1/1 Watts: 0.009/0.009, 1/1 Watts: 0.020/0.020, 1/1

Cap (pF): 1032.268/1032.268, 1/1 Cap (pF): 245.276/245.276, 1/1 Cap (pF): 787.076/787.076, 1/1 Cap (pF): 786.992/786.992, 1/1 Cap (pF): 2003.836/2003.836, 1/1 Cap (pF): 1217.147/1217.147, 1/1 Cap (pF): 787.206/787.206, 1/1 Cap (pF): 786.688/786.688, 1/1

LSR mA: 165.218/165.218, 1/1 Watts: 1329.980/1329.980, 1/1 Cap (pF): */*, 1/1 LSR mA: 76.237/76.237, 1/1 Watts: 606.257/606.257, 1/1 Cap (pF): */*, 1/1 LSR mA: 165.933/165.933, 1/1 Watts: 1323.210/1323.210, 1/1 Cap (pF): */*, 1/1

USS-11_876101-C3_XD

Exciting Current Tests Manufacturer Type Steps Boost % Buck % Position Found Position Left Oil Volume

DETC 3 3 *

Turns Ratio Tests Serial Number HV Winding LV Winding

Delta Wye Connections - - -

Tap NP Volt Tap NP Volt Cal Ratio 1 Ratio 2 Ratio 3 Min. Lim Max. Lim FRANK Manual

3 12470 3 480 44.997 44.975 44.934 44.94 44.772 45.222 Good Good

876101-C3 5 - 6

DETC

LTC Test kV mA 165.218

H3 H1 Watts

1329.980 X L

mA 76.237

H1 H2 Watts

606.257 X L

mA 165.933

H2 H3 Watts X

L FRANK Manual

Good1323.210

Exciting Current Plot

876101-C3 6 - 6

ZONE INTLK

BREAKER TYPE

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-11DESIGNATION

SUBSTATION BUILDING 100

05/12/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT A

Mike Danford

0030, 0248

N/A

N/A

VA Hospital WO-08391081

800 AMP

N/A

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

ONME

65K

MANUFACTURER

FUSE MFR.

BKR CATALOG NO. MEF836LSIG

N/AFUSE CAT. NO.

800 AMP Off

B.I.

THERMAL MEMORY

SENSOR TAPS

FRAME SIZE

MAIN / ARCING CONTACTS

BATTERY STATUS

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

N/A

N/A

Acceptable

N/A

N/A

ARC CHUTES

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

C & L

N/AOPERATING MECHANISM Cleaned

PHASE BARRIERS Acceptable N/A

N/AAUXILIARY DEVICES

BLOWN FUSE INDICATOR N/A N/A N/AINTERLOCKS

OVERALL CONDITION Acceptable

CONDITION

N/A

N/A

N/A

Acceptable

N/A

BREAKER NAMEPLATE

INSPECTION

TARGETS

03001, REVISED 10/19/2020(888) 778-2733 www.schneider-electric.us

D.O.

N/A

N/A

N/A

N/AMFR. DATE / CODE N/A

SN / SO NO.Square D

Micrologic N/A

COUNTER READING AL N/A

FUSE AMPS N/A

COUNTER READING AF

RANGE

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

1 IN

10 7 10

.2

1 IN

.9

4 IN

1 IN

LONG TIME DELAY

SHORT TIME PICKUP

SHORT TIME DELAY

INSTANTANEOUS PICKUP

GROUND FAULT PICKUP

GROUND FAULT DELAY

LONG TIME PICKUP

AS FOUND

SETTING

AS TESTED

SETTING

AS LEFT

SETTING I2T ON

AS TESTED

SETTING

AS LEFT

SETTING I*2 T ON

AS FOUND

SETTING

CT / SENSOR TAP: 800RATING PLUG:800 800

Overcurrent Settings

CT / SENSOR RATINGS:

1 IN 4 IN

.4.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

5,584

1.982

0.544

NT NT NT NT NT

4,200 1.6 2.6

800 0.5 0.6

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 15 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

3,200

8.936

SHORT TIME PICKUP

SHORT TIME DELAY 1.05

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 2.5

sec sec sec sec sec sec

AS LEFT

720 A A880

A A

AA

A A

3,600 4,400

6,1605,040

288 352

POLE 1

FUNCTION

POLE 2TEST RESULTS BY SECONDARY INJECTION

TECH NOTE(S): Did not perform insulation resistance test due to other electrical equipment, cables or bus duct connected to breaker.

All tested functions passed at this time.

COMMENTS:

DEFICIENCIES:

TRIP UNIT TYPE

6616C36G04

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 75 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-11DESIGNATION

SUBSTATION BUILDING 100

5/12/21 45

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MAIN BREAKER

Javier Rojas

3230,3115,01025

VA Hospital WO-08391081

3200 AMP

Cleaned

C & L Cleaned

MATCHES DWG OR SPEC

GROUND CONNECTION

ONDS 632

65 KVA

MANUFACTURER

FUSE MFR.

BKR CATALOG NO. N/A

N/AFUSE CAT. NO.

3200 AMP Off

B.I.

THERMAL MEMORY

SENSOR TAPS

FRAME SIZE

MAIN / ARCING CONTACTS

BATTERY STATUS

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

N/A

Cleaned

ARC CHUTES

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

CleanedAcceptable

Description

Cleaned

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable Cleaned

N/AAUXILIARY DEVICES

BLOWN FUSE INDICATOR N/A N/A N/AINTERLOCKS

OVERALL CONDITION Acceptable

CONDITION

N/A

Acceptable

Acceptable

Comment

N/A

BREAKER NAMEPLATE

INSPECTION

TARGETS

03001, REVISED 10/19/2020(888) 778-2733 www.schneider-electric.us

D.O.

N/A

N/A

N/A

N/AMFR. DATE / CODE N/A

SN / SO NO.Westinghouse

Carriere N/A

COUNTER READING AL N/A

FUSE AMPS N/A

COUNTER READING AF

RANGE

@1000VGIG-OHMS 20°C

2,100.0 2,509.5

1,768.0 2,112.8

TEST 1

TEST 3

1.195TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

3,047.32,550.0

20°C ACTUAL

PH A

ACTUALACTUAL

A - B A-GND

CLOSED: POLE-GROUND OPEN: LINE-LOAD

20°C

PH B

PH C

B-GND

C-GND

B - C

C - A

2,210.0

2,330.0

1,391.0

774.0

1,544.0

695.01,662.2

2,641.0

830.5

2,784.4 924.9

1,845.1

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

1.0

7.5

5.0

.4

2 2 2

.3

.4

1.0

2.5

2.5

.15

1.0

7.5

5.0

.4

LONG TIME DELAY

SHORT TIME PICKUP

SHORT TIME DELAY

INSTANTANEOUS PICKUP

GROUND FAULT PICKUP

GROUND FAULT DELAY

LONG TIME PICKUP

AS FOUND

SETTING

AS TESTED

SETTING

AS LEFT

SETTING I2T ON

AS TESTED

SETTING

AS LEFT

SETTING I*2 T ON

AS FOUND

SETTING

CT / SENSOR TAP: 3200 AMPRATING PLUG:3200 AMP 3200 AMP

Overcurrent Settings

CT / SENSOR RATINGS:

.4 .4

.4.3

AS FOUND

RANGE

MINIMUM MAXIMUM

6,645

0.18

0.46

1,460

6,645

0.18

8,040

0.46

1,460

6,525

0.18

8,300

0.46

1,462

6,525

0.18

8,300

0.46

1,427

6,800

0.17

8,320

0.46

1,438

6,800

0.17

8,320

0.46

1,438

12,000 0.08 0.18

1,920 0.38 0.5

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

3 9.30 8.25 8.25 9.20 9.20

3,411 3,010 3,010 3,220 3,220

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 12 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

9,600 7

3,411

9.30

SHORT TIME PICKUP

SHORT TIME DELAY 1.5

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 1.5

sec sec sec sec sec sec

AS LEFT

2,880 A A3,520

A A

AA

A A

7,200 8,800

7,0405,760

1,152 1,408

POLE 1

FUNCTION

POLE 2TEST RESULTS BY PRIMARY INJECTION

TECH NOTE(S): Inst OFF

COMMENTS: Breaker placed back in service.

DEFICIENCIES: Ground fault pick up outside of range

SE SWITCHBOARD / SWITCHGEAR INSPECTION

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-11DESIGNATION

SUBSTATION BUILDING 100

05/12/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

480 VOLT SWITCHGEAR

Mike Danford

0248, 0115

N/A

N/A

VA Hospital WO-08391081

480/277

20 KA

MANUFACTURER

BUS CONNECTIONS

EXTERIOR CONDITION

CLEAN/LUBE CLEAN/LUBECONDITION

Acceptable

Acceptable

N/A

Acceptable

Cleaned

CONDITION

N/A

Description

Cleaned

N/A

INDICATORS / LAMPS

N/A

MATCHES DWG OR SPEC N/A

FUNCTIONAL CHECKS

BUS INSULATION N/A N/A N/A

KEY / MECH. INTERLOCKS

N/A

PLC's / HMI's N/A

CONDITION

N/A

Acceptable

N/A

N/A

Acceptable

NAMEPLATE

21001, REVISED 10/20/2020(888) 778-2733 www.schneider-electric.us

WITHSTAND RATING

TYPE / STYLECURRENT RATING QED

SN / SO NO. SYSTEM VOLTAGE

MODEL / CATALOG

N/A

45-08000-45S

INSPECTION

New

PT'S AND CT'S

Acceptable N/A AcceptablePOWER CABLES

N/A N/A N/A INTERCONNECT WIRING Not CheckedRACKING / LIFTING MECHANISMS

Acceptable N/ADOORS / COVERS / GASKETS

CPT AND CPT XFER CKT. ANCHORAGE

GROUNDING

PHASING CHECK

CONTROL WIRING

SPACE HEATERS

Description

N/A

C & LINTERIOR SECTIONS / CUBICLES

N/A

PHASE BARRIERS

SEQUENCE OF OPERATION

Description

N/A

N/A

Cleaned

N/A

N/A

SQUARED

RANGE

BARRIERS / SHUTTERS

@1000VGIG-OHMS 20°C

54.8 68.5

TEST 1

TEST 2

INSULATION RESISTANCE IN: PHASE-PHASE

158.5126.8

20°CACTUALACTUAL

A - B A-GND

PHASE-GROUND

B-GND

C-GND

B - C

C - A

122.1

175.9

87.9

114.7

109.9

152.6

219.9 143.4TEST 3

N-GNDTEST 4

1.25TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

INSULATION RESISTANCE TEST

SECTION 1

SECTION 2 SECTION 3

SECTION 2

24 25

NBAFROM TO

BUS SECTION TESTED RESISTANCE IN MICRO-OHMS

C

RESISTANCE IN MICRO-OHMS

G

N

BUSWORK CONNECTION RESISTANCE

CBAFROM TO

BUS SECTION TESTED

G

TECH NOTE(S):

COMMENTS: All results are satisfactory at this time.

TWO-WINDING DRY-TYPE TRANSFORMER

TEMPERATURE 79 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-11DESIGNATION

SUBSTATION BUILDING 100

5/12/2021 67

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

DRY TYPE TRANSFORMER

Chris Espartero

M4K

VA Hospital WO-08391081

Acceptable

CONDITIONDescription CLEAN/LUBEDescription

N/A

Torqued

Acceptable N/A

N/A

N/A N/A

FANS

N/AAcceptable

Acceptable

N/A N/A N/A

N/A

N/AVENTILATION / FILTERS

N/A

PAINT Acceptable

INDOOR

CleanedAcceptable

N/A

MATCHES DWG OR SPEC

WEATHER

Cleaned

ENVIRONMENT

Acceptable

N/A

GAUGES

SUPPORT INSULATORS

N/ATorqued

Acceptable

Windings

Acceptable

N/A CABINET HEATERS

AUXILIARY DEVICES N/ATorqued

PRIMARY CONNECTIONS

TANK / FRAME GROUND

NEUTRAL GROUND

Description CONDITION

SEC. CONNECTIONS Acceptable

N/A

N/A

Acceptable

N/A Torqued

ARRESTERS

CORE GROUND

ALARMS / ANNUNCIATOR

CONTROLS

BUSHINGS

CLEAN/LUBE CLEAN/LUBECONDITION

TEMPERATURE GAUGES WERE RESETunavailable °CMAXIMUM WINDING TEMPERATURE (1)°CunavailableWINDING TEMPERATURE (1)

GAUGES

N/A

CLEAN

23210, REVISED 10/20/2020(888) 778-2733 www.schneider-electric.us

69 69

1,8041,8041,804

NAMEPLATE DATA

RATED CURRENT

RATED CURRENT

AMPERES

AMPERES/

11,846

3 4 5 kV PRI.

PRIMARY VOLTAGE

SECONDARY VOLTAGE 277 WYE

13,094

TAP POSITION/CONNECTION

12,782 12,158

1,500

CLASS

12,470

Phase 3876101-C3SERIAL NO.

kVA/

THERMAL RATINGS

DELTA

kV SEC.

IMPEDANCE

11000

YEAR OF MANUF.NA 1988

MANUFACTURER

SPECIFICATION NO. MANUF. LOCATION

TYPE AA/FA K FACTOR N/A °CTEMPERATURE RISE

USA

305.5

B.I.L. RATINGWINDING MATERIAL Cu

LB

DELTA480

TAP VOLTAGES

WINDING POLARITY SUBTRACTIVE

WYE

1,500 / 1,500

12,470

TOTAL WEIGHT

Dry

Square D

RANGE

INSPECTION

INSULATION RESISTANCE TEST

TESTED

PRIMARY TO

SECONDARY AND GROUND

SECONDARY TO

PRIMARY AND GROUND

VOLTAGE

(VOLTS DC)

(MEGOHMS)

Windings TEST RESISTANCE

PRIMARY TO

SECONDARY

1.0 MINUTE0.5 MINUTE 0.5 MIN. 20C 1.0 MIN. 20C

Acceptable

Acceptable

Acceptable

DIELECTRIC

ABSORPTION

RATIO

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF 1.3226

5,000

1,000

5,000

179,200.0 237,009.9 204,000.0 269,810.4

1,891,3181,430,0001,341,1161,014,000

344,000.0 454,974.4 424,000.0 560,782.4

1.14

1.41

1.23

Calculated PASS/FAIL Calculated

PASS/FAIL

TO

% DEVIATIONMeasured

TRANSFORMER TURNS RATIO TESTS

Calculated PASS/FAIL

CALC.

RATIO

Secondary

VOLTAGE

ENTER Primary

VOLTAGE

X1 - X0 X2 - X0

H3 - H1 H1 - H2 H2 - H3

X3 - X0

TAP TO

TEST

3 44.975 44.934 44.9400.14 % PASS 0.12 % PASSPASS44.996 0.05 %12,470 277

TWO-WINDING DRY-TYPE TRANSFORMER

PAGEDRY TYPE TRANSFORMERDEVICE DBID

23210, REVISED 10/20/2020(888) 778-2733 www.schneider-electric.us

H3-H1 X0-X3X0-X1

WINDING RESISTANCE

H2-H3

Meas. Corr.

TAP

POSITION

TEST

# (milliohms)H1-H2 (milliohms) (milliohms)

Corr.Meas. Corr.Meas.

(milliohms)

Corr. Corr.Meas. Corr.Meas.Meas.

X0-X2 (milliohms) (milliohms)

WINDING TESTED

(t = Equipment Temperature)

Values Corrected to: °C75

Aluminum windings

R(Corr) = R(Meas) * (234.5 + c) / (234.5 + t)Copper windings

R(Corr) = R(Meas) * (226 + c) / (226 + t)

(c = Corrected Temperature)

3 199.700 237.172 192.600 228.740 195.800 232.541 0.190 0.226 0.193 0.229 0.189 0.2241

Primary Secondary

TECH NOTE(S):

COMMENTS: All results are satisfactory at this time.

20°C

MEDIUM VOLTAGE AIR SWITCH

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-11DESIGNATION

SUBSTATION BUILDING 100

05/22/2021 96

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MV AIR SWITCH RB

Steve O'Keefe

VA Hospital WO-08391081

C & L

Cleaned N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

NA NA NA

COUNTER READING AF/AL

ARCING CONTACTS

HEATER CIRCUIT

MAIN CONTACTS

CUBICLE

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

N/A

N/A

CONTROL CIRCUIT

FUSE HOLDERS

CONDITIONDescription CLEAN/LUBE

N/AN/A

Description

C & L

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable Cleaned

N/AAUXILIARY DEVICES

ARC CHUTES Acceptable Cleaned N/AINTERLOCKS Acceptable CleanedINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

N/A

N/A

Acceptable

Acceptable

Acceptable

SWITCH NAMEPLATE

INSPECTION

CONTROL WIRING

MEG-OHMS

06060, REVISED 10/19/2020(888) 778-2733 www.schneider-electric.us

@500V

INSULATION RESISTANCE IN:

N/A

MANUFACTURER

RATED CURRENT INT. RATING

NA

NA

15 kv

NA

SN / SO NO.

RATED VOLTAGE

CATALOG NO.

MAX. VOLTAGE BIL RATING

TYPE / STYLE Power Zone

95 kV

N/A

ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE NAVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

N/A

NA

NA

NA

CLOSE COIL INFORMATION

NA

NA

NA

N/A

NA

NA

N/A VoltsVolts

PICKUP VOLTS

Volts

TRIP COIL INFORMATION

Volts

ADDITIONAL INFO

VOLT RANGE

N/A

NA

NA

NA

NA

UNDERVOLTAGE COIL INFORMATION

TEST RESULTS

MANUF. DATE

600 Amps

FUSE AMPSNAFUSE MFG. NA FUSE CAT. NO. NA

@5000VGIG-OHMS 20°C

0.0 0.0

TEST 1

TEST 3

1.4348TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

20°C ACTUAL

PH A

ACTUALACTUAL

A - B A-GND

CLOSED: POLE-GROUND OPEN: LINE-LOAD

20°C

PH B

PH C

B-GND

C-GND

B - C

C - A

0.0

0.0 0.0

0.0

15 kv

Square D

600 Amps

RANGE

(µ-ohms) 0

POLE 2 POLE 3CONTACT RESISTANCE MEASUREMENTS

BYPASS CONTACT RESISTANCE at

POLE 1

0 0

10 A 70 6880POLE CONTACT RESISTANCE at (µ-ohms)

TECH NOTE(S): Did not test insulation resistance due to feeder cables connected to the switch.

20°C

MEDIUM VOLTAGE AIR SWITCH

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-11DESIGNATION

SUBSTATION BUILDING 100

05/22/2021 96

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MV AIR SWITCH B2

Steve O'Keefe

VA Hospital WO-08391081

C & L

Cleaned N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

COUNTER READING AF/AL

ARCING CONTACTS

HEATER CIRCUIT

MAIN CONTACTS

CUBICLE

CLEAN/LUBE Description CLEAN/LUBECONDITION

Dirty

Acceptable

Acceptable

N/A

C & L

CONTROL CIRCUIT

FUSE HOLDERS

CONDITIONDescription CLEAN/LUBE

N/AN/A

Description

Cleaned

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable Cleaned

N/AAUXILIARY DEVICES

ARC CHUTES Acceptable Cleaned N/AINTERLOCKS Acceptable CleanedINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

N/A

Acceptable

Acceptable

Acceptable

Acceptable

SWITCH NAMEPLATE

INSPECTION

CONTROL WIRING

MEG-OHMS

06060, REVISED 10/19/2020(888) 778-2733 www.schneider-electric.us

@500V

INSULATION RESISTANCE IN:

N/A

MANUFACTURER

RATED CURRENT INT. RATING

NA

NA

15 kv

NA

SN / SO NO.

RATED VOLTAGE

CATALOG NO.

MAX. VOLTAGE BIL RATING

TYPE / STYLE Power Zone

95 kV

N/A

ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE NAVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

N/A

NA

NA

NA

CLOSE COIL INFORMATION

NA

NA

NA

N/A

NA

NA

N/A VoltsVolts

PICKUP VOLTS

Volts

TRIP COIL INFORMATION

Volts

ADDITIONAL INFO

VOLT RANGE

125 VDC

NA

NA

NA

NA

OPTIONAL INFORMATION

TEST RESULTS

MANUF. DATE

600 Amps

FUSE AMPSA1550X100E-1DFUSE MFG. Gould FUSE CAT. NO. 100 Amps

@5000VGIG-OHMS 20°C

0.0 0.0

TEST 1

TEST 3

1.4348TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

20°C ACTUAL

PH A

ACTUALACTUAL

A - B A-GND

CLOSED: POLE-GROUND OPEN: LINE-LOAD

20°C

PH B

PH C

B-GND

C-GND

B - C

C - A

0.0

0.0 0.0

0.0

15 kv

Square D

600 Amps

RANGE

(µ-ohms) 64

POLE 2 POLE 3CONTACT RESISTANCE MEASUREMENTS

BYPASS CONTACT RESISTANCE at 10 A

POLE 1

84 66

10 AFUSE RESISTANCE at (µ-ohms)

TECH NOTE(S): Did not test insulation resistance due to feeder cables connected to the switch.

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-11DESIGNATION

SUBSTATION BUILDING 100

05/12/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT B

Mike Danford

0030, 0248

N/A

N/A

VA Hospital WO-08391081

N/A

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

ONME

65K

MANUFACTURER

FUSE MFR.

BKR CATALOG NO. MEF436LSIG

N/AFUSE CAT. NO.

400 AMP Off

B.I.

THERMAL MEMORY

SENSOR TAPS

FRAME SIZE

MAIN / ARCING CONTACTS

BATTERY STATUS

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

N/A

N/A

Acceptable

N/A

N/A

ARC CHUTES

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable N/A

N/AAUXILIARY DEVICES

BLOWN FUSE INDICATOR N/A N/A N/AINTERLOCKS

OVERALL CONDITION Acceptable

CONDITION

N/A

N/A

N/A

Acceptable

N/A

BREAKER NAMEPLATE

INSPECTION

TARGETS

03001, REVISED 10/19/2020(888) 778-2733 www.schneider-electric.us

D.O.

N/A

N/A

N/A

N/AMFR. DATE / CODE N/A

SN / SO NO.Square D

Micrologic N/A

COUNTER READING AL N/A

FUSE AMPS N/A

COUNTER READING AF

RANGE

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

1 IN

9 7 9

.2

1 IN

.9

4 IN

1 IN

LONG TIME DELAY

SHORT TIME PICKUP

SHORT TIME DELAY

INSTANTANEOUS PICKUP

GROUND FAULT PICKUP

GROUND FAULT DELAY

LONG TIME PICKUP

AS FOUND

SETTING

AS TESTED

SETTING

AS LEFT

SETTING I2T ON

AS TESTED

SETTING

AS LEFT

SETTING I*2 T ON

AS FOUND

SETTING

CT / SENSOR TAP: 400RATING PLUG:400 400

Overcurrent Settings

CT / SENSOR RATINGS:

1 IN 4 IN

.4.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

2,796

1.983

0.543

NT NT NT NT NT

2,100

400 0.5 0.6

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 15 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

1,600

8.937

SHORT TIME PICKUP

SHORT TIME DELAY 1.05

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 2.5

sec sec sec sec sec sec

AS LEFT

360 A A440

A A

AA

A A

1,600 2,400

3,0802,520

144 176

POLE 1

FUNCTION

POLE 2TEST RESULTS BY SECONDARY INJECTION

TECH NOTE(S): Did not perform insulation resistance test due to other electrical equipment, cables or bus duct connected to breaker.

All tested functions passed at this time.

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-11DESIGNATION

SUBSTATION BUILDING 100

05/12/2021 47

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT C

Mike Danford

0030, 0248

N/A

N/A

VA Hospital WO-08391081

2000 AMP

N/A

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

ONPEL

100KA

MANUFACTURER

FUSE MFR.

BKR CATALOG NO. PEF36200LIG

N/AFUSE CAT. NO.

2000 AMP Off

B.I.

THERMAL MEMORY

SENSOR TAPS

FRAME SIZE

MAIN / ARCING CONTACTS

BATTERY STATUS

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

N/A

Acceptable

N/A

N/A

ARC CHUTES

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

Cleaned

N/AOPERATING MECHANISM N/A

PHASE BARRIERS Acceptable N/A

N/AAUXILIARY DEVICES

BLOWN FUSE INDICATOR N/A N/A N/AINTERLOCKS

OVERALL CONDITION Acceptable

CONDITION

N/A

N/A

N/A

Acceptable

N/A

BREAKER NAMEPLATE

INSPECTION

TARGETS

03001, REVISED 10/19/2020(888) 778-2733 www.schneider-electric.us

D.O.

N/A

N/A

N/A

N/AMFR. DATE / CODE N/A

SN / SO NO.Square D

Micrologic N/A

COUNTER READING AL N/A

FUSE AMPS N/A

COUNTER READING AF

RANGE

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

N/A

N/A

6 5 6

640AMP

.2 OUT

N/A

N/A

N/A

N/A

LONG TIME DELAY

SHORT TIME PICKUP

SHORT TIME DELAY

INSTANTANEOUS PICKUP

GROUND FAULT PICKUP

GROUND FAULT DELAY

LONG TIME PICKUP

AS FOUND

SETTING

AS TESTED

SETTING

AS LEFT

SETTING I2T ON

AS TESTED

SETTING

AS LEFT

SETTING I*2 T ON

AS FOUND

SETTING

CT / SENSOR TAP: 2000RATING PLUG:2000 2000

Overcurrent Settings

CT / SENSOR RATINGS:

.2 OUT .2 OUT

880640AMP

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

10,200

NT

NT

0.161

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

2,000 1.4 2

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 8.5 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

6,000

2,200

7.251

SHORT TIME PICKUP

SHORT TIME DELAY

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 2.27

sec sec sec sec sec sec

AS LEFT

1,800 A A2,200

A A

AA

A A

15,40012,600

792 960

POLE 1

FUNCTION

POLE 2TEST RESULTS BY SECONDARY INJECTION

TECH NOTE(S): Did not perform insulation resistance test due to other electrical equipment, cables or bus duct connected to breaker.

All tested functions passed at this time.