Exhibit H - CHP Bldg. Test Report.pdf

Prepared By:

Chris Espartero Sr Field Service Representative

North America Service Operations

Houston, TX

CHP Bldg. Substation PM

June 9, 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 CHP Bldg. Substation located at VA Bldg. 102

Power Plant 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.

15KV Switchgear 102A-MVPS

Cubicle D9 MVATS-A1 Breaker MULTILIN 350 protection relay did not have any of the protection elements turned on. This relay did not have a test sticker and could have been a unit that was replaced and never had the settings loaded into it. After discussing with the customer, the customer then decides to copy the settings from one of the MVATS breaker protection relays and load the same settings to MVATS-A1 breaker MULTILIN 350 protection relay.

15KV Switchgear 102A-MVPS

Several cubicle breaker position indicators hung up when breaker is racked out. The position indicator was then cleaned and lubed and was exercised multiple times to ensure the breaker position indicator was functioning properly.

3 | P a g e

If there are any questions or concerns, please contact:

Chris Espartero

832-205-1547

Christopher.Espartero@se.com

SE SWITCHBOARD / SWITCHGEAR INSPECTION

TEMPERATURE 76 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/8/2021 58

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

21001 - SE Switchboard / Switchgear Inspection

Cuong Ho, Chris Espartero

VA Hospital WO-08391081

12.47KVMANUFACTURER

BUS CONNECTIONS

EXTERIOR CONDITION

CLEAN/LUBE CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

N/A

CONDITION

N/A

Description

N/A

N/A

INDICATORS / LAMPS

N/A

MATCHES DWG OR SPEC Acceptable

FUNCTIONAL CHECKS

BUS INSULATION Acceptable N/A N/A

KEY / MECH. INTERLOCKS

N/A

PLC's / HMI's N/A

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

NAMEPLATE

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

WITHSTAND RATING

TYPE / STYLECURRENT RATING

SN / SO NO. SYSTEM VOLTAGE

MODEL / CATALOG

37412-P-MVPS

INSPECTION

N/A

PT'S AND CT'S

Acceptable N/A AcceptablePOWER CABLES

Acceptable N/A N/A INTERCONNECT WIRING N/ARACKING / LIFTING MECHANISMS

Acceptable N/ADOORS / COVERS / GASKETS

CPT AND CPT XFER CKT. ANCHORAGE

GROUNDING

PHASING CHECK

CONTROL WIRING

SPACE HEATERS

Description

N/A

N/AINTERIOR SECTIONS / CUBICLES

N/A

PHASE BARRIERS

SEQUENCE OF OPERATION

Description

N/A

N/A

N/A

N/A

N/A

RUSSEL ELECTRIC

RANGE

BARRIERS / SHUTTERS

VOLTAGE (kV)

N/AMeg-OhmsMicro-Amps

387.7698

345.45

316.67

B to Ground

C to Ground

A to Ground

N to Ground

(Note: All phases not under test are grounded)

A / C

DIELECTRIC WITHSTAND TEST

D / C

@1000VMEG-OHMS 20°C

39.0 47.6

TEST 1

TEST 2

INSULATION RESISTANCE IN: PHASE-PHASE

59.849.0

20°CACTUALACTUAL

A - B A-GND

PHASE-GROUND

B-GND

C-GND

B - C

C - A

42.0

48.0

44.0

48.0

53.7

51.2

58.6 58.6TEST 3

N-GNDTEST 4

1.22TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

INSULATION RESISTANCE TEST

TIE

TIE D1

D13

118 108

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.

DEFICIENCIES:

EQUIPMENT TEMPERATURE

NO.

NO.

SIZE

SIZE

CLASS

NAMEPLATE RATIO

TYPE

TYPE

kVA

TYPE

SECONDARY VOLTAGE

MANUFACTURER

MANUFACTURER

Other

PRIMARY VOLTAGE

MANUFACTURER

Christopher EsparteroTESTED BY:

27200, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

TEST EQUIPMENT USED:

VOLTAGE TRANSFORMER TEST

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/8/2021 72

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D1 GENERATOR #1

SUB-ELEMENT

DEVICE

EQUIPMENT USED

27200 - VOLTAGE TRANSFORMER TEST

Christopher Espartero

VA Hospital WO-08391081

JVM-5

1.5

°C

CONNECTIONS H H x x 1

20°C

1 2

0.01

Error %

CONNECTIONS H H x x

20°C

CONNECTIONS H H x x

20°C

1 2

0.14

2.5

2.5

1 2

VT CONNECTION: 1 PHASE 3 PHASE

77 14.2

1,097,660

55,600.0 789,520.0

24,300.0 345,060.0

99,800.0 1,417,160

101,300.0 1,438,460

65,100.0 924,420.0

99.991

99.992

0.01

0.01

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

PRIMARY FUSE:

PRIMARY: SECONDARY:

NAMEPLATE DATA

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

POLARITY

POLARITY

POLARITY

100 1

12,000

DELTAWYEDELTAWYE

Error kVDC kVDC

MEGOHMS

MEGOHMS

MEGOHMS

RDG.

SERIAL NUMBER:

@ 1 kVDC kVDC kVDC

RDG.

MEGOHMS

MEGOHMS

MEGOHMS

INSULATION TEST

INSULATION TEST

INSULATION TEST

SERIAL NUMBER:

MEGOHMS

MEGOHMS

RDG.

kVDC kVDC kVDC

SERIAL NUMBER:VT IDENTIFICATION:

VT IDENTIFICATION:

TURNS RATIO TEST

Error

TURNS RATIO TEST

TURNS RATIO TEST

VT IDENTIFICATION:

SECONDARY FUSE:

2.5

2.5 kVDC

MEGOHMSPRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

77,300.0

765X021029CATALOG NO.General Electric

TECH NOTE(S):

MEDIUM VOLTAGE VACUUM CIRCUIT BREAKER

TEMPERATURE 70 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/20/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D1 GENERATOR #1

SUB-ELEMENT

DEVICE

EQUIPMENT USED

03058 - SE MV VACUUM CKT. BKR.

Cuong Ho

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83571

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 403

COUNTER READING AF 401

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/A N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

N/A

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

718.0 757.5

513.0 541.2

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

750.1711.0

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

587.0

555.0

608.0

501.0

685.0

642.0641.4

619.3

677.3

585.5 528.6

722.7

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

1.8

N/AMEG-OHMSMICRO-AMPSCLOSED

380010

19000

21111.11

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

COMMENTS: BREAKER TEST SASTISFACTORY READY FOR SERVICE

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/20/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D10

SUB-ELEMENT

DEVICE

EQUIPMENT USED

SPARE TOP

Cuong Ho

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83575

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 117

COUNTER READING AF 115

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/A N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

N/A

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

1,670.0 1,761.8

1,650.0 1,740.8

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

2,131.12,020.0

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

1,850.0

1,890.0

1,980.0

1,900.0

1,450.0

1,520.02,088.9

1,951.7

1,603.6

1,993.9 2,004.5

1,529.8

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

2.3

1.6

N/AMEG-OHMSMICRO-AMPSCLOSED

47508

16521.74

23750

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/08/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D10

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MVATS-RA

CUONG HO,JAVIER ROJAS

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83565

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 103

COUNTER READING AF 101

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/A N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

N/A

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

172.0 181.5

215.0 226.8

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

234.2222.0

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

235.0

193.0

211.0

172.0

215.0

211.0222.6

247.9

222.6

203.6 181.5

226.8

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

1.1

2.5

N/AMEG-OHMSMICRO-AMPSCLOSED

34545.451.1

34545.45

15200

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

NO.

SIZE

SIZE

CLASS

NAMEPLATE RATIO

TYPE

TYPE

kVA

TYPE

SECONDARY VOLTAGE

MANUFACTURER

MANUFACTURER

Other

PRIMARY VOLTAGE

MANUFACTURER

Christopher EsparteroTESTED BY:

27200, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

TEST EQUIPMENT USED:

VOLTAGE TRANSFORMER TEST

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/8/2021 72

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D11 GENERATOR #5

SUB-ELEMENT

DEVICE

EQUIPMENT USED

27200 - VOLTAGE TRANSFORMER TEST

Christopher Espartero

VA Hospital WO-08391081

JVM-5

1.5

°C

CONNECTIONS H H x x 1

20°C

1 2

0.111

Error %

CONNECTIONS H H x x

20°C

CONNECTIONS H H x x

20°C

7600747

1 2

0.110

2.5

2.5

1 2

VT CONNECTION: 1 PHASE 3 PHASE

77 14.2

2,409,740

110,100.0 1,563,420

98,700.0 1,401,540

135,400.0 1,922,680

156,700.0 2,225,140

99,300.0 1,410,060

99.998

99.997

0.00

0.00

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

PRIMARY FUSE:

PRIMARY: SECONDARY:

NAMEPLATE DATA

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

POLARITY

POLARITY

POLARITY

100 1

12,000

DELTAWYEDELTAWYE

Error kVDC kVDC

MEGOHMS

MEGOHMS

MEGOHMS

RDG.

SERIAL NUMBER:

@ 1 kVDC kVDC kVDC

RDG.

MEGOHMS

MEGOHMS

MEGOHMS

INSULATION TEST

INSULATION TEST

INSULATION TEST

SERIAL NUMBER:

MEGOHMS

MEGOHMS

RDG.

kVDC kVDC kVDC

SERIAL NUMBER:VT IDENTIFICATION:

VT IDENTIFICATION:

TURNS RATIO TEST

Error

TURNS RATIO TEST

TURNS RATIO TEST

VT IDENTIFICATION:

SECONDARY FUSE:

2.5

2.5 kVDC

7600748

MEGOHMSPRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

169,700.0

765X021029CATALOG NO.General Electric

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/20/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D11 GENERATOR #5

SUB-ELEMENT

DEVICE

EQUIPMENT USED

GENERATOR #5

JONATHAN DERDARI

3228,2701,3230

VA Hospital WO-08391081

25KA

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83564

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 316

COUNTER READING AF 313

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

C & L N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable Cleaned N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

Cleaned

Schneider Electric

N/ARANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

800.0 844.0

753.0 794.4

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

1,276.61,210.0

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

1,020.0

1,460.0

651.0

724.0

725.0

1,256.0686.8

1,076.1

1,325.1

1,540.3 763.8

764.9

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

1.3

N/AMEG-OHMSMICRO-AMPSCLOSED

27142.861.4

29230.77

38000

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

TEMPERATURE 73 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/21/2021 52

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D12 GENERATOR #4

SUB-ELEMENT

DEVICE

EQUIPMENT USED

GENERATOR #4

Cuong Ho

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 63570

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 349

COUNTER READING AF 347

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/A N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

N/A

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

3,000.0 3,420.0

2,450.0 2,793.0

TEST 1

TEST 3

1.14TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

3,420.03,000.0

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

3,000.0

2,460.0

2,290.0

2,100.0

3,000.0

3,000.02,610.6

3,420.0

3,420.0

2,804.4 2,394.0

3,420.0

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

3.4

7.2

N/AMEG-OHMSMICRO-AMPSCLOSED

6551.725.8

11176.47

5277.78

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

NO.

SIZE

SIZE

CLASS

NAMEPLATE RATIO

TYPE

TYPE

kVA

TYPE

SECONDARY VOLTAGE

MANUFACTURER

MANUFACTURER

Other

PRIMARY VOLTAGE

MANUFACTURER

Christopher EsparteroTESTED BY:

27200, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

TEST EQUIPMENT USED:

VOLTAGE TRANSFORMER TEST

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/8/2021 72

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D12 GENERATOR #4

SUB-ELEMENT

DEVICE

EQUIPMENT USED

27200 - VOLTAGE TRANSFORMER TEST

Christopher Espartero

VA Hospital WO-08391081

JVM-5

1.5

°C

CONNECTIONS H H x x 1

20°C

1 2

0.01

Error %

CONNECTIONS H H x x

20°C

CONNECTIONS H H x x

20°C

7600752

1 2

0.14

2.5

2.5

1 2

VT CONNECTION: 1 PHASE 3 PHASE

77 14.2

2,431,040

105,900.0 1,503,780

89,060.0 1,264,652

78,900.0 1,120,380

66,100.0 938,620.0

24,000.0 340,800.0

99.991

99.997

0.00

0.01

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

PRIMARY FUSE:

PRIMARY: SECONDARY:

NAMEPLATE DATA

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

POLARITY

POLARITY

POLARITY

100 1

12,000

DELTAWYEDELTAWYE

Error kVDC kVDC

MEGOHMS

MEGOHMS

MEGOHMS

RDG.

SERIAL NUMBER:

@ 1 kVDC kVDC kVDC

RDG.

MEGOHMS

MEGOHMS

MEGOHMS

INSULATION TEST

INSULATION TEST

INSULATION TEST

SERIAL NUMBER:

MEGOHMS

MEGOHMS

RDG.

kVDC kVDC kVDC

SERIAL NUMBER:VT IDENTIFICATION:

VT IDENTIFICATION:

TURNS RATIO TEST

Error

TURNS RATIO TEST

TURNS RATIO TEST

VT IDENTIFICATION:

SECONDARY FUSE:

2.5

2.5 kVDC

7600754

MEGOHMSPRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

171,200.0

765X021029CATALOG NO.General Electric

TECH NOTE(S):

TEMPERATURE 73 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/21/2021 52

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D13 GENERATOR #3

SUB-ELEMENT

DEVICE

EQUIPMENT USED

03058 - SE MV VACUUM CKT. BKR.

Cuong Ho

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83574

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 355

COUNTER READING AF 353

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/A N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

N/A

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

2,670.0 3,043.8

2,670.0 3,043.8

TEST 1

TEST 3

1.14TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

3,420.03,000.0

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

3,000.0

2,630.0

3,000.0

3,000.0

3,000.0

1,670.03,420.0

3,420.0

1,903.8

2,998.2 3,420.0

3,420.0

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

2.2

1.2

N/AMEG-OHMSMICRO-AMPSCLOSED

6551.725.8

17272.73

31666.67

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

NO.

SIZE

SIZE

CLASS

NAMEPLATE RATIO

TYPE

TYPE

kVA

TYPE

SECONDARY VOLTAGE

MANUFACTURER

MANUFACTURER

Other

PRIMARY VOLTAGE

MANUFACTURER

Christopher EsparteroTESTED BY:

27200, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

TEST EQUIPMENT USED:

VOLTAGE TRANSFORMER TEST

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/8/2021 72

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D13 GENERATOR #3

SUB-ELEMENT

DEVICE

EQUIPMENT USED

27200 - VOLTAGE TRANSFORMER TEST

Christopher Espartero

VA Hospital WO-08391081

JVM-5

1.5

°C

CONNECTIONS H H x x 1

20°C

1 2

0.01

Error %

CONNECTIONS H H x x

20°C

CONNECTIONS H H x x

20°C

7600752

1 2

0.14

2.5

2.5

1 2

VT CONNECTION: 1 PHASE 3 PHASE

77 14.2

2,431,040

105,900.0 1,503,780

89,060.0 1,264,652

78,900.0 1,120,380

66,100.0 938,620.0

24,000.0 340,800.0

99.991

99.997

0.00

0.01

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

PRIMARY FUSE:

PRIMARY: SECONDARY:

NAMEPLATE DATA

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

POLARITY

POLARITY

POLARITY

100 1

12,000

DELTAWYEDELTAWYE

Error kVDC kVDC

MEGOHMS

MEGOHMS

MEGOHMS

RDG.

SERIAL NUMBER:

@ 1 kVDC kVDC kVDC

RDG.

MEGOHMS

MEGOHMS

MEGOHMS

INSULATION TEST

INSULATION TEST

INSULATION TEST

SERIAL NUMBER:

MEGOHMS

MEGOHMS

RDG.

kVDC kVDC kVDC

SERIAL NUMBER:VT IDENTIFICATION:

VT IDENTIFICATION:

TURNS RATIO TEST

Error

TURNS RATIO TEST

TURNS RATIO TEST

VT IDENTIFICATION:

SECONDARY FUSE:

2.5

2.5 kVDC

7600754

MEGOHMSPRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

171,200.0

765X021029CATALOG NO.General Electric

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/20/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D2 GENERATOR #2

SUB-ELEMENT

DEVICE

EQUIPMENT USED

03058 - SE MV VACUUM CKT. BKR.

Cuong Ho

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83562

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 379

COUNTER READING AF 377

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable Cleaned N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

Torqued

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

1,240.0 1,308.2

1,660.0 1,751.3

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

2,036.11,930.0

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

2,300.0

1,940.0

1,560.0

1,710.0

1,620.0

1,270.01,645.8

2,426.5

1,339.8

2,046.7 1,804.1

1,709.1

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

1.4

N/AMEG-OHMSMICRO-AMPSCLOSED

76005

27142.86

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

NO.

SIZE

SIZE

CLASS

NAMEPLATE RATIO

TYPE

TYPE

kVA

TYPE

SECONDARY VOLTAGE

MANUFACTURER

MANUFACTURER

Other

PRIMARY VOLTAGE

MANUFACTURER

Christopher EsparteroTESTED BY:

27200, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

TEST EQUIPMENT USED:

VOLTAGE TRANSFORMER TEST

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/8/2021 72

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D2 GENERATOR #2

SUB-ELEMENT

DEVICE

EQUIPMENT USED

27200 - VOLTAGE TRANSFORMER TEST

Christopher Espartero

VA Hospital WO-08391081

JVM-5

1.5

°C

CONNECTIONS H H x x 1

20°C

1 2

0.01

Error %

CONNECTIONS H H x x

20°C

CONNECTIONS H H x x

20°C

1 2

0.14

2.5

2.5

1 2

VT CONNECTION: 1 PHASE 3 PHASE

77 14.2

826,440.0

24,600.0 349,320.0

13,300.0 188,860.0

55,800.0 792,360.0

44,200.0 627,640.0

21,600.0 306,720.0

99.971

99.983

0.02

0.03

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

PRIMARY FUSE:

PRIMARY: SECONDARY:

NAMEPLATE DATA

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

POLARITY

POLARITY

POLARITY

100 1

12,000

DELTAWYEDELTAWYE

Error kVDC kVDC

MEGOHMS

MEGOHMS

MEGOHMS

RDG.

SERIAL NUMBER:

@ 1 kVDC kVDC kVDC

RDG.

MEGOHMS

MEGOHMS

MEGOHMS

INSULATION TEST

INSULATION TEST

INSULATION TEST

SERIAL NUMBER:

MEGOHMS

MEGOHMS

RDG.

kVDC kVDC kVDC

SERIAL NUMBER:VT IDENTIFICATION:

VT IDENTIFICATION:

TURNS RATIO TEST

Error

TURNS RATIO TEST

TURNS RATIO TEST

VT IDENTIFICATION:

SECONDARY FUSE:

2.5

2.5 kVDC

MEGOHMSPRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

58,200.0

765X021029CATALOG NO.General Electric

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/20/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D3 GENERATOR #6

SUB-ELEMENT

DEVICE

EQUIPMENT USED

03058 - SE MV VACUUM CKT. BKR.

JONATHAN DERDARI

3228,2701,3230

VA Hospital WO-08391081

25KA

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83569

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 323

COUNTER READING AF 320

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

C & L N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable Cleaned N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

Cleaned

Schneider Electric

N/ARANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

890.0 938.9

753.0 794.4

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

809.2767.0

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

903.0

851.0

741.0

724.0

971.0

959.0781.8

952.7

1,011.7

897.8 763.8

1,024.4

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

2.2

1.7

N/AMEG-OHMSMICRO-AMPSCLOSED

25333.331.5

17272.73

22352.94

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

NO.

SIZE

SIZE

CLASS

NAMEPLATE RATIO

TYPE

TYPE

kVA

TYPE

SECONDARY VOLTAGE

MANUFACTURER

MANUFACTURER

Other

PRIMARY VOLTAGE

MANUFACTURER

Christopher EsparteroTESTED BY:

27200, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

TEST EQUIPMENT USED:

VOLTAGE TRANSFORMER TEST

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/8/2021 72

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D3 GENERATOR #6

SUB-ELEMENT

DEVICE

EQUIPMENT USED

27200 - VOLTAGE TRANSFORMER TEST

Christopher Espartero

VA Hospital WO-08391081

JVM-5

1.5

°C

CONNECTIONS H H x x 1

20°C

1 2

0.01

Error %

CONNECTIONS H H x x

20°C

CONNECTIONS H H x x

20°C

1 2

0.14

2.5

2.5

1 2

VT CONNECTION: 1 PHASE 3 PHASE

77 14.2

1,394,440

87,600.0 1,243,920

50,700.0 719,940.0

82,600.0 1,172,920

77,200.0 1,096,240

38,100.0 541,020.0

99.998

99.994

0.01

0.00

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

PRIMARY FUSE:

PRIMARY: SECONDARY:

NAMEPLATE DATA

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

CALCULATED TURNS RATIO

MEASURED TURNS RATIO

POLARITY

POLARITY

POLARITY

100 1

12,000

DELTAWYEDELTAWYE

Error kVDC kVDC

MEGOHMS

MEGOHMS

MEGOHMS

RDG.

SERIAL NUMBER:

@ 1 kVDC kVDC kVDC

RDG.

MEGOHMS

MEGOHMS

MEGOHMS

INSULATION TEST

INSULATION TEST

INSULATION TEST

SERIAL NUMBER:

MEGOHMS

MEGOHMS

RDG.

kVDC kVDC kVDC

SERIAL NUMBER:VT IDENTIFICATION:

VT IDENTIFICATION:

TURNS RATIO TEST

Error

TURNS RATIO TEST

TURNS RATIO TEST

VT IDENTIFICATION:

SECONDARY FUSE:

2.5

2.5 kVDC

MEGOHMSPRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

PRI - SEC

PRI - GRD

SEC - GRD

98,200.0

765X021029CATALOG NO.General Electric

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/19/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D4

SUB-ELEMENT

DEVICE

EQUIPMENT USED

SPARE TOP

Cuong Ho

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

1783568

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 67

COUNTER READING AF 64

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

Acceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Deficiency N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

48 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

346.0 365.0

522.0 550.7

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

622.4590.0

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

619.0

1,650.0

639.0

536.0

539.0

738.0674.1

653.0

778.6

1,740.8 565.5

568.6

N / A PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

7.5

N/AMEG-OHMSMICRO-AMPSCLOSED

8444.444.5

5066.67

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/19/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D4

SUB-ELEMENT

DEVICE

EQUIPMENT USED

SPARE BOTTOM

Cuong Ho

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83573

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 102

COUNTER READING AF 100

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/A N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

N/A

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

1,080.0 1,139.4

703.0 741.7

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

898.9852.0

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

826.0

520.0

612.0

660.0

449.0548.6

871.4

473.7

1,740.8 645.7

696.3

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

2.6

N/AMEG-OHMSMICRO-AMPSCLOSED

76005

14615.38

12666.67

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/19/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D5

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MVATS-B2

JONATHAN DERDARI

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83577

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 67

COUNTER READING AF 64

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

Schneider Electric

N/ARANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

138.0 145.6

123.0 129.8

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

148.8141.0

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

142.0

121.0

139.0

128.0

116.0

162.0146.6

149.8

170.9

127.7 135.0

122.4

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

3.4

1.6

N/AMEG-OHMSMICRO-AMPSCLOSED

21111.111.8

11176.47

23750

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/19/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D5

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MVATS-B1

JONATHAN DERDARI

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83578

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 77

COUNTER READING AF 74

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

Schneider Electric

N/ARANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

163.0 172.0

168.0 177.2

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

278.5264.0

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

203.0

256.0

255.0

271.0

260.0

323.0269.0

214.2

340.8

270.1 285.9

274.3

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

1.8

1.4

N/AMEG-OHMSMICRO-AMPSCLOSED

237501.6

21111.11

27142.86

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/19/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D6

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MVATS-RB

JONATHAN DERDARI

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83563

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 98

COUNTER READING AF 95

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/A N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

N/A

Schneider Electric

N/ARANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

277.0 292.2

372.0 392.5

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

1,424.31,350.0

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

520.0

1,260.0

173.0

450.0

257.0

477.0182.5

548.6

503.2

1,329.3 474.8

271.1

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

2.5

N/AMEG-OHMSMICRO-AMPSCLOSED

25333.331.5

15200

19000

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

4/19/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D8

SUB-ELEMENT

DEVICE

EQUIPMENT USED

TIE BREAKER

JONATHAN DERDARI

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83567

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 135

COUNTER READING AF 133

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

Schneider Electric

N/ARANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

192.0 202.6

195.0 205.7

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

285.9271.0

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

270.0

214.0

255.0

165.0

182.0

233.0269.0

284.8

245.8

225.8 174.1

192.0

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

N/AMEG-OHMSMICRO-AMPSCLOSED

4222.229

4222.22

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/08/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D9

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MVATS-A2

CUONG HO,JAVIER ROJAS

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83572

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 71

COUNTER READING AF 69

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Cleaned

ANTI-PUMP

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

N/A

AcceptableOPERATING MECHANISM C & L

PHASE BARRIERS N/A N/A

C & LAUXILIARY DEVICES

PUSH / PULL ROD ADJ. Acceptable N/A N/AINTERLOCKS Acceptable C & LINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

INSPECTION

N/A

N/A

Schneider Electric

RANGE

INSULATION RESISTANCE IN:

MEG-OHMS @1000V

ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

125 VDC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE COIL INFORMATION

N/A

N/A

N/A

125 VDC

N/A

N/A

125 VDC VoltsVolts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

OPTIONAL

VOLT RANGE

INFORMATIONTRIP COIL INFORMATION

N/A N/A N/A

POLE 3POLE 2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

@5000VGIG-OHMS 20°C

185.0 195.2

201.0 212.1

TEST 1

TEST 3

1.055TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

193.1183.0

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

233.0

236.0

174.0

204.0

208.0

125.0183.6

245.8

131.9

249.0 215.2

219.4

PASS PASS

POLE 1

PASS

TEST KV

VACUUM INTEGRITY (as per Manufacturer)

POLE 3 POLE 2

A.C. D.C.

DIELECTRIC WITHSTAND TEST

A / C

N/AMEG-OHMSMICRO-AMPSCLOSED

380010

4222.22

B to C, A & GND

C to A, B & GND

A to B, C & GND

D / C

DIELECTRIC WITHSTAND TEST

(Note: All specimens not under test are grounded)

VOLTAGE (kV)

TECH NOTE(S):

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

15KV SWGR 102A-MVPSDESIGNATION

SUBSTATION POWER PLANT BUILDING

6/08/2021 56

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT CUBICLE D9

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MVATS-A1

CUONG HO,JAVIER ROJAS

3228,2701,3230

VA Hospital WO-08391081

25KV

BREAKER NAMEPLATE

MANUFACTURER

INT. RATING

17 83565

V5D6133YJOO

1/15

SN / SO NO.

RATED VOLTAGE MAX. VOLTAGE 15

VR

RATED INT. TIME 3 CYCLE

K FACTOR

N/A

12.47KV

1200RATED CURRENT

TYPE / STYLE

BIL RATING

D.O.

FREQUENCY

MOUNTING

MANUF. DATE

CATALOG NO.

COUNTER READING AL 75

COUNTER READING AF 73

N/A

B.I.

03058, REVISED 9/17/2020(888) 778-2733 www.schneider-electric.us

Cleaned

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTIONCONTACT EROSION

CONTACT WIPE

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

Accepta…