Exhibit Y - USS-8 Test report.pdf

Prepared By:

Chris Espartero Sr Field Service Representative

North America Service Operations

Houston, TX

USS-8 Substation PM

April 27, 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-8 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-8 480V Switchboard

USS-8 480V Switchboard Main Breaker trip unit failed to trip during breaker primary injection testing. The Main Breaker picked up 50% higher than the expected value on long time and it will intermittently trip during primary injection testing on long time delay test, short time delay test, and instantaneous testing. For this switchboard the customer did not have a spare breaker that will match the CT’s and Trip unit settings of USS-8 switchboard main breaker. The customer decided to put the existing main breaker in service. The circuit breaker was then replaced by the circuit breaker taken from USS-7 that was repaired on schneider electric breaker shop.

If there are any questions or concerns, please contact:

Chris Espartero

832-205-1547

Christopher.Espartero@se.com

USS-8_876101-F1_XD

DryTypeTransformerReport Source

4/27/2021 8:13:20 PMSession Test Date

Nameplate Company VA Medical Center Serial Number 876101-F1

Location 2002 Holcombe Blvd Houston, Texas 77030

Special ID USS-8 XFMR

Division Houston Circuit Designation USS-8 SUBSTATION

Manufacturer Square D Electric Class

Year Manufactured Type DryTypeTransformer

Mfr Location USA Winding Insulation Open-Wound

Coolant Select Coolant Weight 7710

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 4/27/2021 Test Time: 8:13 PM Weather Indoors

Air Temperature 20°C Apparatus Temperature

* Humidity 61 %

Tester C.Espartero Work Order Date Last Tested

Verified Test Set Type M4000 Date Retested

Verification Date 4/27/2021 Set Top Serial # Reason ROUTINE

Last Sheet # Set Bottom Serial # Travel Time

Purchase Order Ins. Book # Duration

Copies Sheet # Crew Size 1

1 - 6876101-F1

Session Notes

2 - 6876101-F1

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: 3.381/3.381, 1/1 Watts: 0.042/0.042, 1/1 Cap (pF): 896.759/896.759, 1/1

LSR mA: 0.800/0.800, 1/1 Watts: 0.029/0.029, 1/1 Cap (pF): 212.197/212.197, 1/1

LSR mA: 2.582/2.582, 1/1 Watts: 0.009/0.009, 1/1 Cap (pF): 684.813/684.813, 1/1

LSR mA: 2.581/2.581, 1/1 Watts: 0.014/0.014, 1/1 Cap (pF): 684.562/684.562, 1/1

LSR mA: 6.400/6.400, 1/1 Watts: 0.054/0.054, 1/1 Cap (pF): 1697.638/1697.638, 1/1

LSR mA: 3.820/3.820, 1/1 Watts: 0.037/0.037, 1/1 Cap (pF): 1013.276/1013.276, 1/1

LSR mA: 2.582/2.582, 1/1 Watts: 0.010/0.010, 1/1 Cap (pF): 684.801/684.801, 1/1

LSR mA: 2.580/2.580, 1/1 Watts: 0.017/0.017, 1/1 Cap (pF): 684.362/684.362, 1/1

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

1 CH+CHL 2.000 3.381 0.042 0.126 896.759 Good

2 CH 2.000 0.800 0.029 0.357 212.197 Good

3 CHL(UST) 2.000 2.582 0.009 0.033 684.813 Good

4 CHL 0 2.581 0.014 0.054 684.562 Good

5 CL+CHL 1.000 6.400 0.054 0.085 1697.638 Good

6 CL 0.999 3.820 0.037 0.098 1013.276 Good

7 CHL(UST) 1.000 2.582 0.010 0.039 684.801 Good

8 CHL 0 2.580 0.017 0.065 684.362 Good

3 - 6876101-F1

LSR mA: 3.383/3.383, 1/1 Watts: 0.047/0.047, 1/1 Cap (pF): 897.308/897.308, 1/1

LSR mA: 0.802/0.802, 1/1 Watts: 0.031/0.031, 1/1 Cap (pF): 212.867/212.867, 1/1

LSR mA: 2.581/2.581, 1/1 Watts: 0.011/0.011, 1/1 Cap (pF): 684.548/684.548, 1/1

LSR mA: 2.580/2.580, 1/1 Watts: 0.016/0.016, 1/1 Cap (pF): 684.442/684.442, 1/1

LSR mA: 6.400/6.400, 1/1 Watts: 0.057/0.057, 1/1 Cap (pF): 1697.719/1697.719, 1/1

LSR mA: 3.820/3.820, 1/1 Watts: 0.039/0.039, 1/1 Cap (pF): 1013.318/1013.318, 1/1

LSR mA: 2.582/2.582, 1/1 Watts: 0.009/0.009, 1/1 Cap (pF): 684.835/684.835, 1/1

LSR mA: 2.580/2.580, 1/1 Watts: 0.018/0.018, 1/1 Cap (pF): 684.401/684.401, 1/1

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

1 CH+CHL 10.004 3.383 0.047 0.139 897.308 *

2 CH 10.004 0.802 0.031 0.389 212.867 0.032 Good

3 CHL(UST) 10.004 2.581 0.011 0.044 684.548 0.011 Investigate

4 CHL 0 2.580 0.016 0.062 684.442 *

5 CL+CHL 1.000 6.400 0.057 0.089 1697.719 *

6 CL 1.000 3.820 0.039 0.101 1013.318 0.003 Good

7 CHL(UST) 1.000 2.582 0.009 0.034 684.835 -0.006

8 CHL 0 2.580 0.018 0.070 684.401 * Investigate

Winding Resistance

DETC LTC Phase Resistance Units Calculated Resistance

Correction Factor

Corrected Resistance

Percentage Deviation

3 A 323 milli Ohms * * * *

3 B 319.7 milli Ohms * * * *

3 C 320.3 milli Ohms * * * *

High Voltage

DETC LTC Phase Resistance Units Calculated Resistance

Correction Factor

Corrected Resistance

Percentage Deviation

3 A 607.9 micro Ohms * * * *

3 B 623.9 micro Ohms * * * *

3 C 608 micro Ohms * * * *

Low Voltage

Winding

Manufacturer Serial Number Configuration Winding Temperature

Temperature Rise

Factory Resistance

(Ohms)

Factory Temperature

Δ-Y * * * *

4 - 6876101-F1

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 93.317 717.824 L 86.071 695.763 L 44.132 353.285 L Good

LSR mA: 93.317/93.317, 1/1 Watts: 717.824/717.824, 1/1 Cap (pF): */*, 1/1

LSR mA: 86.071/86.071, 1/1 Watts: 695.763/695.763, 1/1 Cap (pF): */*, 1/1

LSR mA: 44.132/44.132, 1/1 Watts: 353.285/353.285, 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 45.09 45.098 45.066 44.772 45.222 Good Good

5 - 6876101-F1

Exciting Current Plot

6 - 6876101-F1

ZONE INTLK

BREAKER TYPE

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-8DESIGNATION

SUBSTATION BUILDING 100

4/27/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

ATS-45

JONATHAN DERDARI

3284,3230

VA Hospital WO-08391081

400 AMP

N/A

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

ONME

65KA

MANUFACTURER

FUSE MFR.

BKR CATALOG NO. MEF436LIG

N/AFUSE CAT. NO.

400 AMP Off

B.I.

THERMAL MEMORY

SENSOR TAPS

FRAME SIZE

MAIN / ARCING CONTACTS

BATTERY STATUS

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

N/A

N/A

Acceptable

N/A

N/A

ARC CHUTES

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable N/A

N/AAUXILIARY DEVICES

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

OVERALL CONDITION Acceptable

CONDITION

Poor

Not Checked

New

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

N/ARANGE

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

139100

N/A

N/A

9 7 9

.2

1 IN

.9

N/A

N/A

N/A

N/A

LONG TIME DELAY

SHORT TIME PICKUP

SHORT TIME DELAY

INSTANTANEOUS PICKUP

GROUND FAULT PICKUP

GROUND FAULT DELAY

LONG TIME PICKUP

AS FOUND

SETTING

AS TESTED

SETTING

AS LEFT

SETTING I2T ON

AS TESTED

SETTING

AS LEFT

SETTING I*2 T ON

AS FOUND

SETTING

CT / SENSOR TAP: 400RATING PLUG:400 400

Overcurrent Settings

CT / SENSOR RATINGS:

1 IN 4 IN

.4.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

2,788

NT

NT

0.55

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

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

8.914

SHORT TIME PICKUP

SHORT TIME DELAY

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

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.

COMMENTS:

DEFICIENCIES:

20°C

MEDIUM VOLTAGE AIR SWITCH

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-8DESIGNATION

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

N/A

N/A

VA Hospital WO-08391081

Cleaned

Cleaned N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

COUNTER READING AF/AL

ARCING CONTACTS

HEATER CIRCUIT

MAIN CONTACTS

CUBICLE

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Acceptable

Acceptable

N/A

N/A

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 Acceptable Cleaned N/AINTERLOCKS N/A N/AINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

N/A

Acceptable

Acceptable

Acceptable

Acceptable

SWITCH NAMEPLATE

INSPECTION

CONTROL WIRING

MEG-OHMS

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

@500V

INSULATION RESISTANCE IN:

N/A

MANUFACTURER

RATED CURRENT INT. RATING

N/A

44035-234-51

4.76 kv

SN / SO NO.

RATED VOLTAGE

CATALOG NO.

MAX. VOLTAGE BIL RATING

TYPE / STYLE N/A

95KV

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

FUSE AMPSA1550X50E-1FUSE MFG. GOULD FUSE CAT. NO. 50E

@5000VGIG-OHMS 20°C

0.0 0.0

0.0 0.0

TEST 1

TEST 3

1.4348TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

0.00.0

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

0.0

0.0

0.0

0.0

0.0

0.00.0

0.0

0.0

0.0 0.0

0.0

15 kv

Allen Bradley

RANGE

(µ-ohms) 27

POLE 2 POLE 3CONTACT RESISTANCE MEASUREMENTS

BYPASS CONTACT RESISTANCE at 10 A

POLE 1

23 29

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

TRIP UNIT TYPE

N/A

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-8DESIGNATION

SUBSTATION BUILDING 100

4/27/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

ATS-44

JONATHAN DERDARI

3284,3230

VA Hospital WO-08391081

N/A

N/A N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

ONMX

65K

MANUFACTURER

FUSE MFR.

BKR CATALOG NO. MEF36400LSG

N/AFUSE CAT. NO.

400 AMP Off

B.I.

THERMAL MEMORY

SENSOR TAPS

FRAME SIZE

MAIN / ARCING CONTACTS

BATTERY STATUS

PRIMARY DISCONNECTS

CELL AND RACKING DEV.

CLEAN/LUBE Description CLEAN/LUBECONDITION

N/A

N/A

Acceptable

N/A

N/A

ARC CHUTES

SECONDARY DISCONNECT

CONDITIONDescription CLEAN/LUBE

N/AAcceptable

Description

N/A

C & L

N/AOPERATING MECHANISM C & L

PHASE BARRIERS Acceptable N/A

N/AAUXILIARY DEVICES

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

OVERALL CONDITION Acceptable

CONDITION

N/A

N/A

N/A

Acceptable

N/A

BREAKER NAMEPLATE

INSPECTION

TARGETS

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

D.O.

N/A

N/A

N/A

N/AMFR. DATE / CODE N/A

SN / SO NO.Square D

Micrologic N/A

COUNTER READING AL N/A

FUSE AMPS N/A

COUNTER READING AF

RANGE

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

4.5

.2 IN

10 5 10

.2

.2 IN

.2 IN

4.5

.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: 400( APR100)RATING PLUG:400 400

Overcurrent Settings

CT / SENSOR RATINGS:

.2 IN .2 OUT

.35.2

AS FOUND

RANGE

MINIMUM MAXIMUM

NT

2,004

1.202

0.172

NT NT NT NT NT

1,800 1.2 1.7

400 0.14 0.2

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 8 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

1,200

7.316

SHORT TIME PICKUP

SHORT TIME DELAY 1.125

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 2.87

sec sec sec sec sec sec

AS LEFT

360 A A440

A A

AA

A A

1,440 1,760

2,2001,800

120 154

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.

SE SWITCHBOARD / SWITCHGEAR INSPECTION

TEMPERATURE 77 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-8DESIGNATION

SUBSTATION BUILDING 100

4/27/2021 48

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

480 VOLT SWITCHGEAR

CUONG HO

3230,3228

VA Hospital WO-08391081

480/277MANUFACTURER

1000 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 N/A

KEY / MECH. INTERLOCKS

N/A

PLC's / HMI's N/A

CONDITION

N/A

Acceptable

N/A

N/A

Acceptable

NAMEPLATE

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

WITHSTAND RATING

TYPE / STYLECURRENT RATING QED

SN / SO NO. SYSTEM VOLTAGE

MODEL / CATALOG

N/A

45-08000-65S

INSPECTION

Acceptable

PT'S AND CT'S

Acceptable N/A AcceptablePOWER CABLES

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

Comment Not CheckedDOORS / COVERS / GASKETS

CPT AND CPT XFER CKT. ANCHORAGE

GROUNDING

PHASING CHECK

CONTROL WIRING

SPACE HEATERS

Description

N/A

C & LINTERIOR SECTIONS / CUBICLES

Cleaned

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

100.0 125.0

TEST 1

TEST 2

INSULATION RESISTANCE IN: PHASE-PHASE

272.5218.0

20°CACTUALACTUAL

A - B A-GND

PHASE-GROUND

B-GND

C-GND

B - C

C - A

267.0

274.0

160.0

265.0

200.0

333.8

342.5 331.3TEST 3

N-GNDTEST 4

1.25TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

INSULATION RESISTANCE TEST

SECTION 1 SECTION 2 29 32 30 29

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): PASSED ALL THE TESTS

20°C

MEDIUM VOLTAGE AIR SWITCH

TEMPERATURE 82 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-8DESIGNATION

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

N/A

N/A

VA Hospital WO-08391081

Cleaned

Cleaned N/A

MATCHES DWG OR SPEC

GROUND CONNECTION

COUNTER READING AF/AL

ARCING CONTACTS

HEATER CIRCUIT

MAIN CONTACTS

CUBICLE

CLEAN/LUBE Description CLEAN/LUBECONDITION

Acceptable

Comment

Acceptable

N/A

N/A

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 Acceptable Cleaned N/AINTERLOCKS N/A N/AINS. LINKAGES / BRACES

OVERALL CONDITION Acceptable

CONDITION

N/A

N/A

Acceptable

Acceptable

Acceptable

SWITCH NAMEPLATE

INSPECTION

CONTROL WIRING

MEG-OHMS

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

@500V

INSULATION RESISTANCE IN:

N/A

MANUFACTURER

RATED CURRENT INT. RATING

N/A

44035-233-51

15 kv

SN / SO NO.

RATED VOLTAGE

CATALOG NO.

MAX. VOLTAGE BIL RATING

TYPE / STYLE N/A

95KV

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

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

@5000VGIG-OHMS 20°C

41.6 59.7

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

30.4

33.9 48.6

43.6

15 kv

Square D

RANGE

(µ-ohms) 101

POLE 2 POLE 3CONTACT RESISTANCE MEASUREMENTS

BYPASS CONTACT RESISTANCE at 10 A

POLE 1

67 157

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

COMMENTS: Contact resistance test on switch main contact is higher than the acceptable value on C-Phase.

TRIP UNIT TYPE

CNTJ99430

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 74 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-8DESIGNATION

SUBSTATION BUILDING 100

4/27/21 55

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MAIN BREAKER

Cuong Ho

3230,3115,01025

VA Hospital WO-08391081

1600 AMP

Cleaned

C & L Cleaned

MATCHES DWG OR SPEC

GROUND CONNECTION

ONDS 416H

65 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

OVERALL CONDITION Deficiency

CONDITION

N/A

Acceptable

Acceptable

Deficiency

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

Carriere N/A

COUNTER READING AL N/A

FUSE AMPS N/A

COUNTER READING AF

RANGE

@1000VGIG-OHMS 20°C

357.7

323.9

TEST 1

TEST 3

1.165TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

357.7

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

351.8

312.2

308.7

362.3 381.0

206.2

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

.70

2.5

3.0

.15

4 OFF 2 4 OFF

.3

.2

1.0

2.5

2.5

.15

.70

2.5

3.0

.15

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 .4

.4.3

AS FOUND

RANGE

MINIMUM MAXIMUM

0.45

0.45

4,150

0.45

4,150

0.45

3,001

4,130

0.47

3,001

4,130

0.47

7,200 0.08 0.18

960 0.38 0.5

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

3 41 36.30 36.30 24.87 24.87

1,612 1,690 1,690 1,620 1,620

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 12 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

4,800 7

1,612

SHORT TIME PICKUP

SHORT TIME DELAY 3

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 1.5

sec sec sec sec sec sec

AS LEFT

1,440 A A1,760

A A

AA

A A

3,600 4,400

3,5202,880

576 705

POLE 1

FUNCTION

POLE 2TEST RESULTS BY PRIMARY INJECTION

TECH NOTE(S):

COMMENTS: NEED TO REPLAMENT NEW TRIP UNITS

DEFICIENCIES: BREAKER FAIL ON PRIMARY INJECTION

TRIP UNIT TYPE

BKR INT. RATING

MOUNTING

LOW VOLTAGE POWER CIRCUIT BREAKER

TEMPERATURE 68 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-8DESIGNATION

SUBSTATION BUILDING 100

05/01/21 50

JOB #

DBID

END USER ASSET/ID

HUMIDITYDATE

TESTED BYELEMENT

SUB-ELEMENT

DEVICE

EQUIPMENT USED

MAIN BREAKER REPLACEMENT

Javier Rojas

VA Hospital WO-08391081

Cleaned

C & L Cleaned

MATCHES DWG OR SPEC

GROUND CONNECTION

ONDS 416

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

@1000VGIG-OHMS 20°C

753.0 753.0

73.0 73.0

TEST 1

TEST 3

1TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

TEST 2

INSULATION RESISTANCE IN: CLOSED: POLE-POLE

797.0797.0

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

690.0

433.0

406.0

104.0

874.0433.0

826.0

874.0

690.0 406.0

104.0

CONTACT RESISTANCE - MICRO-OHMS

POLE 1

FUSE 2FUSE 1 FUSE 3

N/A N/A N/A

POLE 3POLE 2

0.7

2.5

3.0

0.15

2 OFF 3200 2 OFF

0.3

.15

1.0

2.5

.4

1.0

2.5

3.0

.20

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:

.20 .4

320.2

AS FOUND

RANGE

MINIMUM MAXIMUM

3,337

0.22

0.41

3,337

0.22

5,081

0.41

3,392

0.21

5,140

0.45

3,392

0.21

5,140

0.45

3,307

0.21

5,174

0.44

3,307

0.21

5,174

0.44

6,000 0.08 0.18

960 0.38 0.5

POLE 3

AS FOUNDAS FOUND AS LEFT AS LEFT

3 10.43 1,043 1,043 10.38 10.38

1,638 1,624 1,624 1,642 1,642

NT NT NT

CURRENT

MULTIPLE

TEST

AMPERES

sec 12 sec

LONG TIME PICKUP

LONG TIME DELAY

MILLIVOLT DROP

4,800 7

1,638

10.43

SHORT TIME PICKUP

SHORT TIME DELAY 1.5

INSTANTANEOUS PICKUP

INSTANTANEOUS DELAY

GROUND FAULT PICKUP

GROUND FAULT DELAY 1.5

sec sec sec sec sec sec

AS LEFT

1,440 A A1,760

A A

AA

A A

4,320 5,220

3,5202,880

288 352

POLE 1

FUNCTION

POLE 2TEST RESULTS BY PRIMARY INJECTION

TECH NOTE(S): This spare breaker is from USS-7 Main circuit breaker. Breaker will be use to replaced USS-8 main breaker that failed on primary injection test.

COMMENTS: Installed new AC PRO retrofit kit. Performed preventive maintenance, repair, primary injected. All tests proved satisfactory.

TWO-WINDING DRY-TYPE TRANSFORMER

TEMPERATURE 68 °F

PAGE

END USER

CUSTOMER

2002 HOLCOMBE BLVD.

DEPARTMENT OF VETERAN AFFAIRS

SITE LOCATION

USS-8DESIGNATION

SUBSTATION BUILDING 100

4/27/2021 61

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

N/A

Acceptable N/A

N/A

N/A N/A

FANS

N/AAcceptable

Acceptable

N/A N/A N/A

N/A

N/AVENTILATION / FILTERS

N/A

PAINT Acceptable

INDOOR

CleanedAcceptable

N/A

MATCHES DWG OR SPEC

WEATHER

Cleaned

ENVIRONMENT

Acceptable

N/A

GAUGES

SUPPORT INSULATORS

N/AN/A

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)°C35WINDING TEMPERATURE (1)

GAUGES

Acceptable

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-F1SERIAL NO.

kVA/

THERMAL RATINGS

DELTA

kV SEC.

IMPEDANCE

YEAR OF MANUF.NA 1988

MANUFACTURER

SPECIFICATION NO. MANUF. LOCATION

TYPE AA K FACTOR N/A °CTEMPERATURE RISE

USA

305.9

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

Acceptable

Acceptable

Acceptable

DIELECTRIC

ABSORPTION

RATIO

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF 2

5,000

1,000

5,000

369,000.0 738,000.0 599,000.0 1,198,000

294,000.0147,000.0262,000.0131,000.0

109,000.0 218,000.0 298,000.0 596,000.0

1.62

1.12

2.73

Calculated PASS/FAIL Calculated

PASS/FAIL

TO

% DEVIATIONMeasured

TRANSFORMER TURNS RATIO TESTS

Calculated PASS/FAIL

CALC.

RATIO

Secondary

VOLTAGE

ENTER Primary

VOLTAGE

X0 - X1 X0 - X2

H3 - H1 H1 - H2 H2 - H3

X0 - X3

TAP TO

TEST

3 45.090 45.098 45.0660.23 % PASS 0.16 % PASSPASS44.996 0.21 %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)

3 323.000 370.941 319.700 367.151 320.300 367.840 0.607 0.697 0.623 0.715 0.608 0.6981

Primary Secondary

TECH NOTE(S):

COMMENTS: All results are satisfactory at this time.