Exhibit W - USS-6 Test Report.pdf

Prepared By:

Chris Espartero Sr Field Service Representative

North America Service Operations

Houston, TX

USS-6 Substation PM

April 21, 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-6 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-6 Main Breaker ground fault test trip time on A and B Phase is slightly higher than the maximum expected trip time of 2.42 seconds.

If there are any questions or concerns, please contact:

Chris Espartero

832-205-1547

Christopher.Espartero@se.com

USS-6_876101-G1_XD

Report Source DryTypeTransformer 4/20/2021 6:35:32 PMSession Test Date

Nameplate Company VA Medical Center Serial Number 876101-G1 Location 2002 Holcombe Blvd Houston, Texas Special ID USS-6

77030 Division Houston Circuit Designation USS-6 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 4/20/2021 Test Time: 6:35 PM Weather Indoors Air Temperature 22.8°C Apparatus * Humidity 50 %

Temperature Tester C.Espartero Work Order Date Last Tested Verified Test Set Type M4000 Date Retested Verification Date 4/20/2021 Set Top Serial # Reason ROUTINE Last Sheet # Set Bottom Serial # Travel Time Purchase Order Ins. Book # Duration Copies Sheet # Crew Size 1

876101-G1 1 - 6

Session Notes

876101-G1 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-G1 3 - 6

# Insulation

CH+CHL

CH

CHL(UST)

CHL

CL+CHL

CL

CHL(UST)

CHL

Test kV 2.000 8.000 1.999

1.000 1.000 0.999 mA Watts 0.040 0.027 0.010 0.013 0.077 0.053 0.011 0.023

% PF Meas.

0.117 0.348 0.036 0.050 0.119 0.140 0.043 0.087

Cap (pF) 905.034 203.570 701.622 701.464 1713.918 1012.614 701.735 701.304

IR Man.

Good Good Good Good Good Good Good Good

3.412 0.767 2.645 2.644 6.461 3.818 2.646 2.644

LSR

LSR

LSR

LSR

LSR

LSR

LSR

LSR

mA: 3.412/3.412, 1/1 mA: 0.767/0.767, 1/1 mA: 2.645/2.645, 1/1 mA: 2.644/2.644, 1/1 mA: 6.461/6.461, 1/1 mA: 3.818/3.818, 1/1 mA: 2.646/2.646, 1/1 mA: 2.644/2.644, 1/1

Watts: 0.040/0.040, 1/1 Watts: 0.027/0.027, 1/1 Watts: 0.010/0.010, 1/1 Watts: 0.013/0.013, 1/1 Watts: 0.077/0.077, 1/1 Watts: 0.053/0.053, 1/1 Watts: 0.011/0.011, 1/1 Watts: 0.023/0.023, 1/1

Cap (pF): 905.034/905.034, 1/1 Cap (pF): 203.570/203.570, 1/1 Cap (pF): 701.622/701.622, 1/1 Cap (pF): 701.464/701.464, 1/1 Cap (pF): 1713.918/1713.918, 1/1 Cap (pF): 1012.614/1012.614, 1/1 Cap (pF): 701.735/701.735, 1/1 Cap (pF): 701.304/701.304, 1/1

Δ-

USS-6_876101-G1_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 308.6 milli Ohms * * * * 3 B 310 milli Ohms * * * * 3 C 303.5 milli Ohms * * * *

Low Voltage DETC LTC Phase Resistance Units Calculated Correction Corrected Percentage

Resistance Factor Resistance Deviation 3 A 577.2 micro Ohms * * * * 3 B 591.5 micro Ohms * * * * 3 C 582.1 micro Ohms * * * *

876101-G1 4 - 6

# Insulation

CH+CHL

CH

CHL(UST)

CHL

CL+CHL

CL

CHL(UST)

CHL

Test kV 10.005 10.004 10.004

0.999 1.000 1.000 mA Watts 0.041 0.026 0.011 0.015 0.070 0.050 0.011 0.019

% PF Meas.

0.122 0.345 0.041 0.057 0.108 0.132 0.040 0.072

Cap (pF) 904.515 203.406 701.318 701.108 1713.890 1012.601 701.711 701.290

Tip UP

-0.003 0.005

-0.008 -0.003

FRANK IR Man.

3.410 0.767 2.644 2.643 6.461 3.817 2.645 2.644

Good Investigate

Good

Investigate

LSR

LSR

LSR

LSR

LSR

LSR

LSR

LSR

mA: 3.410/3.410, 1/1 mA: 0.767/0.767, 1/1 mA: 2.644/2.644, 1/1 mA: 2.643/2.643, 1/1 mA: 6.461/6.461, 1/1 mA: 3.817/3.817, 1/1 mA: 2.645/2.645, 1/1 mA: 2.644/2.644, 1/1

Watts: 0.041/0.041, 1/1 Watts: 0.026/0.026, 1/1 Watts: 0.011/0.011, 1/1 Watts: 0.015/0.015, 1/1 Watts: 0.070/0.070, 1/1 Watts: 0.050/0.050, 1/1 Watts: 0.011/0.011, 1/1 Watts: 0.019/0.019, 1/1

Cap (pF): 904.515/904.515, 1/1 Cap (pF): 203.406/203.406, 1/1 Cap (pF): 701.318/701.318, 1/1 Cap (pF): 701.108/701.108, 1/1 Cap (pF): 1713.890/1713.890, 1/1 Cap (pF): 1012.601/1012.601, 1/1 Cap (pF): 701.711/701.711, 1/1 Cap (pF): 701.290/701.290, 1/1

LSR mA: 91.964/91.964, 1/1 Watts: 708.248/708.248, 1/1 Cap (pF): */*, 1/1 LSR mA: 91.736/91.736, 1/1 Watts: 709.370/709.370, 1/1 Cap (pF): */*, 1/1 LSR mA: 41.829/41.829, 1/1 Watts: 339.631/339.631, 1/1 Cap (pF): */*, 1/1

USS-6_876101-G1_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 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 45.123 45.126 45.139 44.772 45.222 Good Good

876101-G1 5 - 6

DETC

LTC Test kV mA 91.964

H3 H1 Watts

708.248 X L

mA 91.736

H1 H2 Watts

709.370 X L

mA 41.829

H2 H3 Watts X

L FRANK Manual

Good339.631

Exciting Current Plot

876101-G1 6 - 6

TWO-WINDING DRY-TYPE TRANSFORMER

TEMPERATURE 73 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-6DESIGNATION

SUBSTATION BUILDING 100

4/20/2021 50

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

DRY TYPE TRANSFORMER

Chris Espartero

0086, 3137

N/A

N/A

VA Hospital WO-08391081

Acceptable

CONDITIONDescription CLEAN/LUBEDescription

N/A

Torqued

N/A 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

N/A

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-G1SERIAL NO.

kVA/

THERMAL RATINGS

DELTA

kV SEC.

IMPEDANCE

YEAR OF MANUF.N/A 1988

MANUFACTURER

SPECIFICATION NO. MANUF. LOCATION

TYPE AA K FACTOR N/A °CTEMPERATURE RISE

U.S.A

805.8

B.I.L. RATINGWINDING MATERIAL Cu

LB

DELTA480

TAP VOLTAGES

WINDING POLARITY SUBTRACTIVE

WYE

750 / 750

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

DIELECTRIC

ABSORPTION

RATIO

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF 1.14

5,000

1,000

5,000

1,211,000 1,380,540 1,342,000 1,529,880

1,445,5201,268,0001,063,620933,000.0

445,000.0 507,300.0 644,000.0 734,160.0

1.11

1.36

1.45

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

H1 - H3 H2 - H1 H3 - H2

X3 - X0

TAP TO

TEST

3 45.123 45.126 45.1390.29 % PASS 0.32 % PASSPASS44.996 0.28 %12,470 277

TWO-WINDING DRY-TYPE TRANSFORMER

PAGEDRY TYPE TRANSFORMERDEVICE N/ADBID

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)

3 308.600 371.208 310.000 372.892 303.500 365.073 0.577 0.694 0.591 0.711 0.582 0.7001

Primary Secondary

TECH NOTE(S):

COMMENTS: All results are satisfactory at this time.

DEFICIENCIES:

ZONE INTLK

BREAKER TYPE

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-6DESIGNATION

SUBSTATION BUILDING 100

05/22/2021 96

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT A

David Gordon

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

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

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

2 IN

10 7 10

.2

1 IN

.9

4 IN

2 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

5,616

2.008

0.545

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

8.971

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:

SE SWITCHBOARD / SWITCHGEAR INSPECTION

TEMPERATURE 73 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-6DESIGNATION

SUBSTATION BUILDING 100

04/24/2014 65

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

480 VOLT SWITCHGEAR

Chris Espartero

3230,3226

VA Hospital WO-08391081

480/277

N/A

MANUFACTURER

1600 AMP

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 Cleaned

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

45-08000-62S

INSPECTION

Acceptable

PT'S AND CT'S

Acceptable Cleaned AcceptablePOWER CABLES

N/A 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

CleanedINTERIOR SECTIONS / CUBICLES

N/A

PHASE BARRIERS

SEQUENCE OF OPERATION

Description

N/A

N/A

Cleaned

N/A

N/A

Square D

RANGE

BARRIERS / SHUTTERS

@1000VMEG-OHMS 20°C

1,276.0 1,454.6

TEST 1

TEST 2

INSULATION RESISTANCE IN: PHASE-PHASE

1,838.81,613.0

20°CACTUALACTUAL

A - B A-GND

PHASE-GROUND

B-GND

C-GND

B - C

C - A

1,712.0

1,027.0

450.0

1,019.0

513.0

1,951.7

1,170.8 1,161.7TEST 3

N-GNDTEST 4

1.14TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

INSULATION RESISTANCE TEST

SECTION 1 SECTION 2 16 15 16 15

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 °C

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-6DESIGNATION

SUBSTATION BUILDING 100

05/22/2021 96

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MV AIR SWITCH -RA

David Gordon

VA Hospital WO-08391081

C & L

C & L 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

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable Cleaned

N/AAUXILIARY DEVICES

ARC CHUTES Acceptable Cleaned CleanedINTERLOCKS 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

44035-233-51

N/A

15 kv

N/A

SN / SO NO.

RATED VOLTAGE

CATALOG NO.

MAX. VOLTAGE BIL RATING

TYPE / STYLE POWER ZONE

95 KA

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 AMPS9F60BHH905FUSE MFG. GOUND FUSE CAT. NO. .5 amp

@1000VGIG-OHMS 20°C

0.0 0.0

TEST 1

TEST 3

17.48TEMPERATURE 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

SQUARED

65KV

RANGE

(µ-ohms) 34

POLE 2 POLE 3CONTACT RESISTANCE MEASUREMENTS

BYPASS CONTACT RESISTANCE at 10 A

POLE 1

36 30

10 AFUSE RESISTANCE at (m-ohms)

TECH NOTE(S): Did not test insulation resistance in the closed position 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-6DESIGNATION

SUBSTATION BUILDING 100

05/22/2021 96

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MV AIR SWITCH -A1

David Gordon

VA Hospital WO-08391081

C & L

C & L 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

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable Cleaned

N/AAUXILIARY DEVICES

ARC CHUTES Acceptable Cleaned CleanedINTERLOCKS 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

44035-234-51

N/A

15 kv

N/A

SN / SO NO.

RATED VOLTAGE

CATALOG NO.

MAX. VOLTAGE BIL RATING

TYPE / STYLE POWER ZONE

95 KA

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

800 AMP

FUSE AMPSA155F2DORO-65EFUSE MFG. FERRAZ SHAWMUT FUSE CAT. NO. 65E AMP

@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

SQUARED

65 KA

RANGE

(m-ohms) 29

POLE 2 POLE 3CONTACT RESISTANCE MEASUREMENTS

BYPASS CONTACT RESISTANCE at

POLE 1

49 34

21.4 21.221FUSE RESISTANCE at (m-ohms)

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

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-6DESIGNATION

SUBSTATION BUILDING 100

05/22/2021 96

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT C

David Gordon

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

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 Cleaned 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

7 7 7

.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: 600RATING PLUG:800 800

Overcurrent Settings

CT / SENSOR RATINGS:

1 IN 4 IN

.4.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

2.022

0.536

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

8.930

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

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.

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-6DESIGNATION

SUBSTATION BUILDING 100

05/22/2021 96

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

BUS DUCT B

David Gordon

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

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

2 IN

10 7 10

.2

1 IN

.9

4 IN

2 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:

1 IN 4 IN

.4.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

4,189

1.983

0.543

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

8.928

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

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.

TRIP UNIT TYPE

27Y2887

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 76 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-6DESIGNATION

SUBSTATION BUILDING 100

4/20/21 45

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MAIN BREAKER

Javier Rojas, David Gordon

3230,3115,01025

VA Hospital WO-08391081

1600 AMP

Cleaned

C & L Cleaned

MATCHES DWG OR SPEC

GROUND CONNECTION

ONDS416

50 KVA

MANUFACTURER

FUSE MFR.

BKR CATALOG NO. N/A

N/AFUSE CAT. NO.

1600 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 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.Westinghouse

AC PRO N/A

COUNTER READING AL N/A

FUSE AMPS N/A

COUNTER READING AF

RANGE

Volts

ADDITIONAL INFO ADDITIONAL INFO ADDITIONAL INFO

PICKUP VOLTS PICKUP VOLTS PICKUP VOLTS

ADDITIONAL INFO

VOLT RANGE

N/A

N/AVOLT RANGE N/AVOLT RANGE

PICKUP VOLTS

VOLT RANGE

VOLT RANGE

ADDITIONAL INFO

DROP-OUT VOLTS

CHARGING MOTOR INFORMATION

N/A

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

N/A

TRIP COIL (1) INFORMATION

N/A

N/A

N/A

TRIP COIL (2) INFORMATION

N/A

N/A

Volts

UNDERVOLTAGE COIL INFORMATION

Volts

PICKUP VOLTS

Volts Volts

NT

CONTROL WIRING

20°C

INSULATION RESISTANCE IN:

MEG-OHMS @500V

@1000VGIG-OHMS 20°C

362.0 441.6

294.0 358.7

TEST 1

TEST 3

1.22TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

390.4320.0

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

262.0

282.0

265.0

283.0

392.0

367.0323.3

319.6

447.7

344.0 345.3

478.2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

7.0

.2

OFF 4000 OFF

.2

0.2

7.0

.2

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:

.2 0.4

480390

LOW VOLTAGE POWER CIRCUIT BREAKER

PAGEMAIN BREAKERDEVICE DBID

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

AS FOUND

RANGE

MINIMUM MAXIMUM

4,232

0.42

2.7

4,232

0.42

6,420

2.7

4,233

0.45

6,425

2.6

4,233

0.45

6,425

2.6

4,100

0.45

5,938

2.1

4,100

0.45

5,938

2.1

9,600 0.4 0.5

960 2 2.42

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

3 8.25 7.2 7.2 7.5 7.5

1,634 1,640 1,640 1,710 1,710

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 10 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

4,800 6

1,634

8.25

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

1,440 A A1,760

A A

AA

A A

5,760 7,040

4,4003,600

452 528

POLE 1

FUNCTION

POLE 2TEST RESULTS BY PRIMARY INJECTION

TECH NOTE(S):

COMMENTS: Ground Fault test for A & B Phase is slightly higher than the maximum expected trip time.