Exhibit AE - USS-14 Test Report.pdf

Prepared By:

Chris Espartero Sr Field Service Representative

North America Service Operations

Houston, TX

USS-14 Substation PM

May 25, 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-14 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-14 Kirk key mechanical interlock key was stock on B2 medium voltage Switch. The risk of breaking the key was highly likely to happened if the key was forced to remove. Without the key we cannot open and perform preventive maintenance on USS-14 RB medium voltage switch.

USS-14 BUS DUCT B feeder breaker contact resistance test on A and B Phase is higher than the acceptable value of 200 micro-Ohms.

If there are any questions or concerns, please contact:

Chris Espartero

832-205-1547

Christopher.Espartero@se.com

USS-14_876101-G2_XD

DryTypeTransformerReport Source

5/19/2021 6:45:30 PMSession Test Date

Nameplate Company VA Medical Center Serial Number 876101-G2

Location 2002 Holcombe Blvd Houston, Texas 77030

Special ID USS-14 XFMR

Division Houston Circuit Designation USS-14 SUBSTATION

Manufacturer Square D Electric Class

Year Manufactured Type DryTypeTransformer

Mfr Location USA Winding Insulation Open-Wound

Coolant Select Coolant Weight 6460

Tank Type Select Tank Type BIL 110 kV

Dry Tank Type Ventilated VA Rating 750 kV 12.47,0.48,* Insulation Material Nomex

Administration Test Date 5/19/2021 Test Time: 6:45 PM Weather Indoors

Air Temperature 26.7°C Apparatus Temperature

* Humidity 67 %

Tester C.Espartero Work Order Date Last Tested

Verified Test Set Type M4000 Date Retested

Verification Date 5/19/2021 Set Top Serial # Reason ROUTINE

Last Sheet # Set Bottom Serial # Travel Time

Purchase Order Ins. Book # Duration

Copies Sheet # Crew Size 1

1 - 6876101-G2

Session Notes

2 - 6876101-G2

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

H1 H1 * * * * * *

H2 H2 * * * * * *

H3 H3 * * * * * *

LSR mA: 3.387/3.387, 1/1 Watts: 0.035/0.035, 1/1 Cap (pF): 898.489/898.489, 1/1

LSR mA: 0.774/0.774, 1/1 Watts: 0.024/0.024, 1/1 Cap (pF): 205.318/205.318, 1/1

LSR mA: 2.614/2.614, 1/1 Watts: 0.006/0.006, 1/1 Cap (pF): 693.394/693.394, 1/1

LSR mA: 2.613/2.613, 1/1 Watts: 0.012/0.012, 1/1 Cap (pF): 693.171/693.171, 1/1

LSR mA: 6.534/6.534, 1/1 Watts: 0.068/0.068, 1/1 Cap (pF): 1733.198/1733.198, 1/1

LSR mA: 3.922/3.922, 1/1 Watts: 0.051/0.051, 1/1 Cap (pF): 1040.287/1040.287, 1/1

LSR mA: 2.614/2.614, 1/1 Watts: 0.006/0.006, 1/1 Cap (pF): 693.340/693.340, 1/1

LSR mA: 2.612/2.612, 1/1 Watts: 0.016/0.016, 1/1 Cap (pF): 692.911/692.911, 1/1

Overall Tests - 2K # Insulation Test kV mA Watts % PF Meas. Cap (pF) IR Man.

1 CH+CHL 1.999 3.387 0.035 0.104 898.489 Good

2 CH 1.999 0.774 0.024 0.306 205.318 Good

3 CHL(UST) 1.999 2.614 0.006 0.024 693.394 Good

4 CHL 0 2.613 0.012 0.044 693.171 Good

5 CL+CHL 1.000 6.534 0.068 0.104 1733.198 Good

6 CL 1.000 3.922 0.051 0.131 1040.287 Good

7 CHL(UST) 1.000 2.614 0.006 0.025 693.340 Good

8 CHL 0 2.612 0.016 0.062 692.911 Good

3 - 6876101-G2

LSR mA: 3.386/3.386, 1/1 Watts: 0.037/0.037, 1/1 Cap (pF): 898.073/898.073, 1/1

LSR mA: 0.774/0.774, 1/1 Watts: 0.024/0.024, 1/1 Cap (pF): 205.265/205.265, 1/1

LSR mA: 2.612/2.612, 1/1 Watts: 0.009/0.009, 1/1 Cap (pF): 692.919/692.919, 1/1

LSR mA: 2.612/2.612, 1/1 Watts: 0.013/0.013, 1/1 Cap (pF): 692.808/692.808, 1/1

LSR mA: 6.534/6.534, 1/1 Watts: 0.068/0.068, 1/1 Cap (pF): 1733.141/1733.141, 1/1

LSR mA: 3.922/3.922, 1/1 Watts: 0.052/0.052, 1/1 Cap (pF): 1040.272/1040.272, 1/1

LSR mA: 2.614/2.614, 1/1 Watts: 0.007/0.007, 1/1 Cap (pF): 693.318/693.318, 1/1

LSR mA: 2.612/2.612, 1/1 Watts: 0.016/0.016, 1/1 Cap (pF): 692.869/692.869, 1/1

Overall Tests - LG # Insulation Test kV mA Watts % PF Meas. Cap (pF) Tip UP FRANK™ IR Man.

1 CH+CHL 10.004 3.386 0.037 0.110 898.073 *

2 CH 10.004 0.774 0.024 0.315 205.265 0.009 Good

3 CHL(UST) 10.004 2.612 0.009 0.035 692.919 0.011 Investigate

4 CHL 0 2.612 0.013 0.049 692.808 *

5 CL+CHL 1.000 6.534 0.068 0.104 1733.141 *

6 CL 1.000 3.922 0.052 0.131 1040.272 0.000 Good

7 CHL(UST) 1.000 2.614 0.007 0.025 693.318 0.000

8 CHL 0 2.612 0.016 0.062 692.869 * Investigate

Winding Resistance

DETC LTC Phase Resistance Units Calculated Resistance

Correction Factor

Corrected Resistance

Percentage Deviation

1 A 325.9 milli Ohms * * * *

1 B 324.8 milli Ohms * * * *

1 C 324.1 milli Ohms * * * *

High Voltage

DETC LTC Phase Resistance Units Calculated Resistance

Correction Factor

Corrected Resistance

Percentage Deviation

1 A 708.1 micro Ohms * * * *

1 B 672 micro Ohms * * * *

1 C 640 micro Ohms * * * *

Low Voltage

Winding

Manufacturer Serial Number Configuration Winding Temperature

Temperature Rise

Factory Resistance

(Ohms)

Factory Temperature

Δ-Y * * * *

4 - 6876101-G2

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

DETC 3 3 *

H3 H1 H1 H2 H2 H3

DETC LTC Test kV mA Watts X mA Watts X mA Watts X FRANK™ Manual

3 5 83.480 677.965 L 42.852 342.315 L 84.651 678.615 L Good

LSR mA: 83.480/83.480, 1/1 Watts: 677.965/677.965, 1/1 Cap (pF): */*, 1/1

LSR mA: 42.852/42.852, 1/1 Watts: 342.315/342.315, 1/1 Cap (pF): */*, 1/1

LSR mA: 84.651/84.651, 1/1 Watts: 678.615/678.615, 1/1 Cap (pF): */*, 1/1

Turns Ratio Tests Serial Number HV Winding LV Winding

Delta Wye

Connections H3 - H1 H1 - H2 H2 - H3

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 45.096 45.033 45.081 44.772 45.222 Good Good

5 - 6876101-G2

Exciting Current Plot

6 - 6876101-G2

ZONE INTLK

BREAKER TYPE

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 77 °C

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-14DESIGNATION

SUBSTATION BUILDING 100

05/19/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT A

C. Llewellyn

3284,3230

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

Acceptable

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

Acceptable

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

.95

1 IN

10 7 10

.2

2 OUT

.9

4 IN

.95

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: 600RATING PLUG:800 800

Overcurrent Settings

CT / SENSOR RATINGS:

2 OUT 4 IN

.4.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

4,206

2.023

0.549

NT NT NT NT NT

3,150 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

2,400

9.144

SHORT TIME PICKUP

SHORT TIME DELAY 5.25

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 1

sec sec sec sec sec sec

AS LEFT

540 A A660

A A

AA

A A

2,700 3,300

4,6203,780

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

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-14DESIGNATION

SUBSTATION BUILDING 100

5/19/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT C

C. Llewellyn

3284,3230

VA Hospital WO-08391081

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

DeficiencyAcceptable

Description

N/A

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable Comment

CleanedAUXILIARY DEVICES

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

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

2 OUT

.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:

2 0UT 4 IN

.4.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

5,568

2.009

0.533

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

8.945

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.

TRIP UNIT TYPE

8IY8027

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-14DESIGNATION

SUBSTATION BUILDING 100

5/19/21 57

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MAIN BREAKER

Cuong Ho

3115, 1797, 01025

10-169390

VA Hospital WO-08391081

1600 A

Cleaned

Cleaned Cleaned

MATCHES DWG OR SPEC

GROUND CONNECTION

ONDS-416

50 KV

MANUFACTURER

FUSE MFR.

BKR CATALOG NO. N/A

N/AFUSE CAT. NO.

1600 A 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 N/A N/A

OVERALL CONDITION Acceptable

CONDITION

N/A

Acceptable

Acceptable

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

AC PRO N/A

COUNTER READING AL N/A

FUSE AMPS N/A

COUNTER READING AF

RANGE

@1000VGIG-OHMS 20°C

1,220.0 1,457.9

570.0 681.2

TEST 1

TEST 3

1.195TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

1,223.71,024.0

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

984.0

1,068.0

300.0

507.0

1,190.0

1,183.0358.5

1,175.9

1,413.7

1,276.3 605.9

1,422.1

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

7.5

.4

OFF OFF OFF

.4

.4

7.5

.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: 1600 AMPRATING PLUG:1600 AMP 1600 AMP

Overcurrent Settings

CT / SENSOR RATINGS:

.4 .4

360360

AS FOUND

RANGE

MINIMUM MAXIMUM

0.42

0.47

0.42

6,400

0.47

0.42

6,422

0.47

0.42

6,422

0.47

0.42

6,419

0.46

0.42

6,419

0.46

9,600 0.4 0.5

720 0.4 0.5

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

3 6.4 6.8 6.8 6.6 6.6

1,232 1,233 1,233 1,228 1,228

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 10 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

4,800 6

1,232

6.4

SHORT TIME PICKUP

SHORT TIME DELAY 1.5

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 2

sec sec sec sec sec sec

AS LEFT

1,080 A A1,320

A A

AA

A A

5,760 7,040

324 396

POLE 1

FUNCTION

POLE 2TEST RESULTS BY PRIMARY INJECTION

TECH NOTE(S): All Test satisfactory ready for service

TWO-WINDING DRY-TYPE TRANSFORMER

TEMPERATURE 81 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-14DESIGNATION

SUBSTATION BUILDING 100

5/19/2021 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

N/A N/A

N/A

Acceptable 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

35 35

902902902

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

CLASS

12,470

Phase 3876101-G2SERIAL NO.

kVA/

THERMAL RATINGS

DELTA

kV SEC.

IMPEDANCE

YEAR OF MANUF.NA 1988

MANUFACTURER

SPECIFICATION NO. MANUF. LOCATION

TYPE FA K FACTOR N/A °CTEMPERATURE RISE

USA

605.8

B.I.L. RATINGWINDING MATERIAL Cu

LB

DELTA480

TAP VOLTAGES

WINDING POLARITY SUBTRACTIVE

WYE

750 / 750

12,470

TOTAL WEIGHT

Dry

SqD

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 1.3952

5,000

1,000

5,000

82,000.00 114,406.4 101,000.0 140,915.2

4,185,6003,000,0004,185,6003,000,000

240,000.0 334,848.0 411,000.0 573,427.2

1.23

1.00

1.71

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

H2 - H1 H3 - H2 H1 - H3

X3 - X0

TAP TO

TEST

3 45.096 45.033 45.0810.08 % PASS 0.19 % PASSPASS44.996 0.22 %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)

3 325.900 385.426 324.800 384.125 324.100 383.297 708.100 837.436 672.000 794.742 640.000 756.8971

Primary Secondary

TECH NOTE(S):

COMMENTS: All results are satisfactory 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-14DESIGNATION

SUBSTATION BUILDING 100

5/19/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT B

C. Llewellyn

3284,3230

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

Acceptable

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

Acceptable

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

146240

.95

1 IN

5 7 5

.2

1 OUT

.9

4 IN

.95

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 OUT 4 IN

.4.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

2,768

1.944

0.539

NT NT NT NT NT

2,100 1.6 2.6

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

8.756

SHORT TIME PICKUP

SHORT TIME DELAY 5

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 1

sec sec sec sec sec sec

AS LEFT

360 A A440

A A

AA

A A

1,800 2,200

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.

DEFICIENCIES: High contact resistance on this breaker. Need to replace.

20°C

MEDIUM VOLTAGE AIR SWITCH

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-14DESIGNATION

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 Cleaned

MATCHES DWG OR SPEC

GROUND CONNECTION

COUNTER READING AF/AL

ARCING CONTACTS

HEATER CIRCUIT

MAIN CONTACTS

CUBICLE

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

N/A

Cleaned

CONTROL CIRCUIT

FUSE HOLDERS

CONDITIONDescription CLEAN/LUBE

N/AN/A

Description

Cleaned

Cleaned

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable Cleaned

N/AAUXILIARY DEVICES

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

OVERALL CONDITION Acceptable

CONDITION

Acceptable

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

44035-231-51

44035-231-51

15 kv

N/A

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 VOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

N/A

CLOSE COIL INFORMATION

N/A N/A VoltsVolts

PICKUP VOLTS

Volts

TRIP COIL INFORMATION

Volts

ADDITIONAL INFO

VOLT RANGE

N/A

OPTIONAL INFORMATION

TEST RESULTS

MANUF. DATE

600 Amp

FUSE AMPSA1550X50E-1FUSE MFG. Shawmut/Gould FUSE CAT. NO. 50 A

@1000VGIG-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 Amp

RANGE

(µ-ohms) 30

POLE 2 POLE 3CONTACT RESISTANCE MEASUREMENTS

BYPASS CONTACT RESISTANCE at 10 A

POLE 1

30 20

10 AFUSE RESISTANCE at (µ-ohms)

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

SE SWITCHBOARD / SWITCHGEAR INSPECTION

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-14DESIGNATION

SUBSTATION BUILDING 100

05/19/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

480 VOLT SWITCHGEAR

C. Llewellyn

3230,1596

VA Hospital WO-08391081

480/277MANUFACTURER

1600 AMP

BUS CONNECTIONS

EXTERIOR CONDITION

CLEAN/LUBE CLEAN/LUBECONDITION

Acceptable

Acceptable

N/A

Acceptable

N/A

CONDITION

N/A

Description

Cleaned

N/A

INDICATORS / LAMPS

N/A

MATCHES DWG OR SPEC N/A

FUNCTIONAL CHECKS

BUS INSULATION Acceptable N/A N/A

KEY / MECH. INTERLOCKS

Not Checked

PLC's / HMI's N/A

CONDITION

Acceptable

N/A

N/A

N/A

N/A

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

45-08000-748

INSPECTION

Acceptable

PT'S AND CT'S

Acceptable N/A AcceptablePOWER CABLES

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

Acceptable Not CheckedDOORS / COVERS / GASKETS

CPT AND CPT XFER CKT. ANCHORAGE

GROUNDING

PHASING CHECK

CONTROL WIRING

SPACE HEATERS

Description

N/A

CleanedINTERIOR SECTIONS / CUBICLES

N/A

PHASE BARRIERS

SEQUENCE OF OPERATION

Description

N/A

N/A

N/A

N/A

N/A

Square D

RANGE

BARRIERS / SHUTTERS

@1000VGIG-OHMS 20°C

15.5 19.4

TEST 1

TEST 2

INSULATION RESISTANCE IN: PHASE-PHASE

100.080.0

20°CACTUALACTUAL

A - B A-GND

PHASE-GROUND

B-GND

C-GND

B - C

C - A

127.0

72.9

20.0

90.0

25.0

158.8

91.1 112.5TEST 3

N-GNDTEST 4

1.25TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

INSULATION RESISTANCE TEST

SECTION 1 SECTION 2 19 17 14 NT

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

20°C

MEDIUM VOLTAGE AIR SWITCH

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-14DESIGNATION

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

N/A

N/A Cleaned

MATCHES DWG OR SPEC

GROUND CONNECTION

COUNTER READING AF/AL

ARCING CONTACTS

HEATER CIRCUIT

MAIN CONTACTS

CUBICLE

CLEAN/LUBE Description CLEAN/LUBECONDITION

N/A

N/A

N/A

N/A

N/A

CONTROL CIRCUIT

FUSE HOLDERS

CONDITIONDescription CLEAN/LUBE

N/AN/A

Description

N/A

N/A

N/AOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

N/AAUXILIARY DEVICES

ARC CHUTES N/A N/A N/AINTERLOCKS N/A N/AINS. LINKAGES / BRACES

OVERALL CONDITION N/A

CONDITION

N/A

N/A

N/A

N/A

Deficiency

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

44035-233-51

44035-233-51

15 kv

SN / SO NO.

RATED VOLTAGE

CATALOG NO.

MAX. VOLTAGE BIL RATING

TYPE / STYLE N/A

95 KV

N/A

ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE VOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

N/A

CLOSE COIL INFORMATION

N/A N/A VoltsVolts

PICKUP VOLTS

Volts

TRIP COIL INFORMATION

Volts

ADDITIONAL INFO

VOLT RANGE

N/A

OPTIONAL INFORMATION

TEST RESULTS

MANUF. DATE

600 Amp

FUSE AMPSN/AFUSE MFG. FUSE CAT. NO. N/A

@1000VGIG-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 Amp

RANGE

(µ-ohms)

POLE 2 POLE 3CONTACT RESISTANCE MEASUREMENTS

BYPASS CONTACT RESISTANCE at

POLE 1

POLE CONTACT RESISTANCE at (µ-ohms)

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

DEFICIENCIES: Unable to remove Kirk key stuck on B2 Switch key will break if RB switch interlock is force to open.