36C26026Q0078 RFI Answers and Revised SOW.pdf

RFI Responses:

1. Regarding Section 1.a. of the Statement of Work (page 5) which requests testing of "all breakers and relays in the 15kV switchgear located in Building 83," could you provide the inventory or quantity of MV (medium voltage) breakers and relays that need to be tested?

See one-line drawing

2. Concerning Section 1.b. of the Statement of Work (page 5) which requests testing of certain devices with specified locations but does not provide the total number of LV (low voltage) breakers/GFI breakers/relays in the "main building distribution panels," please specify the total quantities.

See one-line drawing

3. After specifying the number of low-voltage circuit breakers that need to be tested, should they be tested via primary (such as primary current injection) or secondary (such as secondary current injection) injection?

See past electrical testing report.

4. Will electrical drawings (such as single-line diagrams) and copies of any past studies be made available to help establish the scope and cost for the arc flash, infrared, and testing work?

See attached

5. Is there an existing arc flash study or raw data file available, or will this effort need to begin from scratch?

No.

6. Have specific electrical tests been identified for each equipment type, or should all NETA (InterNational Electrical Testing Association) recommended tests be included in the proposal?

See past electrical testing report.

7. Will a site visit or pre-bid walkthrough be scheduled?

No.

8. Could you provide one-line diagrams?

See Question 4.

9. Could you provide the quantities of medium voltage breakers and relays?

See one-line drawing.

10. Would the government be willing to extend the deadline to 12/30?

Extended to 01/20/2026

11. I noticed a discrepancy between the solicitation and SAM website posting regarding the offer due date for proposal submission. Can you verify which one is correct?

Due date is 01/20/2026 per Amendment 0002.

Period of Performance

12. Can you confirm the anticipated period of performance for this solicitation?

Date of award to 08/31/2026.

Testing Standards

13. Is all testing required to be performed in accordance with VHA Directive 1028 and applicable NETA-MTS standards?

See past test report.

Circuit Breaker Testing Method

14. For circuit breaker (CB) testing, are primary injection, secondary injection, or both required?

See past test report.

Circuit Breaker Testing Requirements

15. VHA Directive 1028 differentiates testing requirements for CBs rated below 225A (< 225A) and those rated 225A and above (>= 225A). Please confirm whether CBs rated above 225A require primary injection testing, and CBs rated 225A or below requires normal testing only. If YES, please provide the quantity of CBs >= 225A and < 225A.

See past test report.

Working Hours and Outage Schedule

16. Section 3 of the Statement of Work (page 6 of the RFQ) states that work causing a disruption of power to building 85 will be performed outside normal hours. Please confirm the required working hours and outage window for this scope.

Weekends are optimal as it is the lowest amount of Veteran services affected and after 5pm M-F. All weekday power outages MUST be coordinated and approved with the FMS Point of contact. Shortest outage duration possible.

Quantity and Voltage Level Confirmation

17. Please confirm the quantity and voltage level of equipment included in this scope, specifically:

The total quantity & Voltage level of SWGR

The total quantity & Voltage level of Circuit Breakers

The total quantity, Voltage level & Type of the protective relays

The total quantity & Voltage level of distribution panels

See attached documents for quantities.

Panels and Switchgear Testing Requirements

18. Are all distribution panels and switchgear required to undergo electrical testing, or are visual inspection and infrared scanning only required?

Liquid-Filled Transformer Testing Requirements

19. Are liquid-filled transformers limited to oil testing only, or is full NETA testing required?

Single-Line Diagram (SLD)

20. Can you provide the most current single-line diagram for this site?

Attached.

Test Report

21. Can you provide the most recent test report available for this site?

Attached.

Statement of Work Tasks and Requirements:

The contractor shall provide all labor, supervision, tools, materials, equipment, and transportation necessary to perform triannual inspection, testing, cleaning, and calibration of the station electrical distribution system, in accordance with NFPA 70B, applicable ANSI/NETA ATS and MTS standards, manufacturer recommendations, and OSHA requirements. Work shall be coordinated with the VA Medical Center to avoid disruption of patient care and critical operations, and shall include all documentation, reports, and recommendations described herein.

The contractor shall test, inspect, clean, and calibrate all breakers and protective relays in the 15 kV switchgear located in Building 83. This includes cleaning all relays before testing;

removing metal filings from disks and magnets; cleaning and burnishing contacts;

checking contact wipe; and performing functional and calibration tests in accordance with manufacturer instructions and ANSI/NETA standards.

The contractor shall visually inspect and perform infrared thermographic testing of the 15 kV switchgear in Building 83; forty-one (41) pad-mounted transformers; ten (10) vault-mounted VFI switches; three (3) sectionalizers; and the main building distribution panels located in G14-27, G05-46, G25-67, G02-77, 117-85, 133-88, 122-109, 201-109, 116-110, 115-114, 112-117, 102-120, GRNDS-121, GRNDS-122, 106-123, 200-123, and 127-124. The contractor shall infrared test each breaker in the main distribution panels, test the GFI trip rating of each GFI breaker, and test and calibrate all relays in the main distribution panels, documenting any hot spots, anomalies, or deficiencies.

The contractor shall obtain an oil sample from each of the forty-one (41) pad-mounted transformers located throughout the campus. Oil samples shall be analyzed for dissolved gases, moisture content, dielectric breakdown voltage (tested per ASTM D1816), acidity, color, visual condition, specific gravity, and interfacial tension; the contractor shall check and document each transformer’s pressure gauge (nitrogen blanket), oil level, physical condition, cleanliness (removal of cobwebs and debris), and levelness.

The contractor shall infrared test and vacuum out fourteen (14) automatic transfer switches: one (1) in Building 46, one (1) in Building 27, one (1) in Building 77, three (3) in

Building 67, one (1) in Building 88, and seven (7) in Building 85. The contractor shall document all deficiencies or areas of concern discovered in the transfer switches and associated equipment.

Reporting requirements

At the conclusion of all inspection, testing, and calibration activities, the contractor shall provide a written report to the VA Medical Center summarizing all work performed. The report shall include a narrative description of procedures followed; problems or deficiencies discovered; detailed test results; infrared images of all identified problem areas; oil analysis reports for each transformer; and written recommendations for maintenance and corrective actions, including a separate cost estimate for each recommended corrective action.

Scheduling and outages

Any work that requires a disruption to Medical Center power shall be scheduled in advance with the VA Medical Center’s designated representative. Work that causes a disruption of power to Building 85 shall be performed outside normal hours of operation, at times when Surgery is not in operation, Weekends are optimal as they have the least impact on Veteran services. Additionally, work can be performed after 5 PM from Monday to Friday. All weekday power outages MUST be coordinated and approved with the FMS Point of Contact prior to the power disruption. The duration of the outage should be kept as short as possible.

Contractor qualifications

The contractor shall be regularly engaged in performing inspection, testing, and maintenance of medium-voltage electrical distribution systems (15 kV class or higher) on a recurring basis and shall have performed such services for at least five (5) years prior to award. The contractor’s experience shall include testing, inspection, and maintenance of 15 kV switchgear, pad-mounted transformers, automatic transfer switches, protective relays, and main distribution panels for hospitals, data centers, or other critical facilities with similar reliability and life-safety requirements.

All electrical testing, troubleshooting, and interpretation of test results shall be performed and directly supervised by a senior-level electrical testing technician who:

– Has a minimum of 5 years of full-time experience in medium- and low-voltage power system testing and maintenance.

– Is qualified to independently plan tests, configure test equipment, perform acceptance and maintenance tests, and interpret test data to make pass/fail decisions in accordance with current ANSI/NETA standards.

– Has documented training and demonstrated proficiency in protective relaying, circuit breaker testing, insulation testing, and switchgear commissioning.

The lead technician shall be qualified to supervise and direct junior testing personnel and to sign final test reports for submission to the Owner.

http://www.eaton.com/services 24-Hour Emergency Service: 1-800-498-2678

September 22, 2020

VA Medical Center 500 Fort Street Boise, ID 83702

Attention: Hank Fredrickson

Subject: VAMC Boise 2020 maintenance testing.

Attached please find Eaton’s Electrical Engineering Services and Systems (EESS) report covering the service performed on the electrical equipment outlined in the Equipment Table section of this report.

The information contained in this report outlines the service purpose, equipment identification, results and recommendations, service procedures, and recorded test data completed to accomplish the following service request:

Name: VA Medical Center Boise 2020 Maintenece Job Number: EPO0002499 PO Number: 36C6020P0647 Description: 2020 Maintenance Date of Service: September 19, 2020

If you have any questions regarding this report or additional services, please reach out to myself or your sales representative.

Sincerely, Gregory Gould Field Svc Engineer, EESSD Electrical Engineering Services and Systems Division, Eaton 9931 W. Emerald Street Boise, ID 83704 tel: 208-891-1428 fax:

GregPGould@Eaton.com

Connect with Eaton:

http://www.eaton.com/services http://www.eaton.com/services https://www.linkedin.com/company/eaton/ https://www.linkedin.com/company/eaton/ https://twitter.com/eatoncorp https://twitter.com/eatoncorp https://www.youtube.com/channel/UCF7vz2IAPNHv7BKTiFC9Xhw https://www.youtube.com/channel/UCF7vz2IAPNHv7BKTiFC9Xhw https://www.facebook.com/eatoncorporation/ https://www.facebook.com/eatoncorporation/

Field Service Report

Summary

Purpose: The Department of Veterans engaged the services of Eaton Electrical Engineering Services and Systems to provide maintenance testing at the VA Medical Center in Boise, ID.

Testing was performed by Greg Gould and Larry Neddo with EESS. All equipment has been inspected and tested to ensure they meet manufacturer’s specifications and industry standards for safe and proper operation.

COMMENTS PERTAINING TO EQUIPMENT TESTED:

Building 67, 67-GDG1 and 67-NDG1. Main bonding jumper was mounted on the wrong side of the neutral sensor. Corrected by EESS.

WORK PERFORMED:

Maintenance testing on low and medium voltage electrical equipment.

REPORT PREPARED BY:

Greg Gould

Test Procedures:

MEDIUM VOLTAGE VACUUM BREAKER

Visual and Mechanical Inspection Inspected breaker for physical damage and installation.

Performed mechanical operation, checked contact wipe and erosion indicators in accordance with manufacturer’s instructions.

Checked tightness of accessible electrical connections.

Inspected breaker to cell alignment and proper grounding.

Checked racking mechanism Cleaned breaker frame, operating mechanism and insulating surfaces.

Electrical Tests Verified proper electrical closing/tripping operation by activation of auxiliary devices.

Performed insulation resistance test phase-to-ground, phase-to-phase and across open contacts.

Performed vacuum bottle integrity test on each pole in accordance with manufacturer’s instructions.

Measured contact resistance.

Performed over-potential test on each phase.

Field Service Report

GROUND FAULT PROTECTION SYSTEM

Visual and Mechanical Inspection Inspected for physical damage.

Inspected neutral main bonding connection to assure:

Proper size.

Zero sequence and residual system were grounded upstream of sensor.

Ground connection was made ahead of neutral disconnect link.

Verified ground electrode conductor for proper size and termination.

Inspected sensors for proper installation.

Verified proper ground fault relay circuit identification.

Electrical Tests Measured pickup current by primary injection at sensor.

Measured time delay above pickup current level by injecting current into the sensor.

Measured system neutral insulation resistance.

PROBLEM SUMMARY:

Building 27, NMDP1 Main. There is a neutral sensor wiring issue when it is connected to the other main and tie. Since the neutral does not have any loads, this issue is low priority.

Transformers T3, T4 and T19 have significant corrosion and should be replaced.

Transformer T2 DGA shows that carbon monoxide and carbon dioxide are high. This indicates significant overheated cellulose insulation. The total dissolved combustible gas levels exceed normal concentrations. We recommend quarterly oil samples and monitoring the transformer for overloading.

Transformer T10N DGA shows that carbon monoxide and carbon dioxide are high. This indicates significant overheated cellulose insulation. The total dissolved combustible gas levels exceed normal concentrations. We recommend quarterly oil samples and monitoring the transformer for overloading. The IR section of the report also shows that the H1 and H3 connections are hot and should be investigated during the next available opportunity.

Transformer T16N DGA shows that hydrogen, methane and ethane levels are high. This indicates that there is possible partial discharge activity and severe overheating. Also carbon monoxide and carbon dioxide are high. This indicates significant overheated cellulose insulation. The total dissolved combustible gas levels exceed normal concentrations. We recommend quarterly oil samples and monitoring the transformer for overloading.

Pad Mounted Switch S15N Load Break Elbow T4C is slightly hotter when compared to similar connections indicating a possible dirty or poor connection. Investigate connection during next available opportunity.

Transformer T26E X3 bushing more than 10 deg. hotter than other two bushings (X1 & X2).

Scan seems to indicate an issue with the internal connection of the bushing. We recommend shutting down the transformer draining the oil and checking for loose connections inside the transformer as soon as possible.

Electrical Engineering Services & Systems

TEST FORMS

EPO0002499

2020 Maintenance

Location Equipment Label Equipment Type

Building 33 T27N Pad Mount Transformer

Building 124 T30N Pad Mount Transformer

Grounds SC24 Sectionalizer

Building 1/24 T14 Pad Mount Transformer

Building 123 T29N Pad Mount Transformer

Grounds SC23 North Sectionalizer

Building 23/45 T21 Pad Mount Transformer

Building 23/45 T15 Pad Mount Transformer

Building 114 T23 Pad Mount Transformer

Building 4/44 T13 Pad Mount Transformer

Grounds SC23 South Sectionalizer

Building 107 T18 E/N Pad Mount Transformer

Building 117 T26E Pad Mount Transformer

Building 117 T26N Pad Mount Transformer

Building 6 T12 Pad Mount Transformer

Grounds S19E Pad Mount Switch

Grounds S19N Pad Mount Switch

Building 121/122 T28N Pad Mount Transformer

Building 121/122 T28E Pad Mount Transformer

Building 85 T10N Pad Mount Transformer

Building 85 T10E Pad Mount Transformer

Building 67 T9N Pad Mount Transformer

Building 67 S14N Pad Mount Switch

Building 67 S14E Pad Mount Switch

Building 67 T9E Pad Mount Transformer

Building 88 T16N Pad Mount Transformer

Building 88 T16E Pad Mount Transformer

Building 27 T7N Pad Mount Transformer

Building 27 T7E Pad Mount Transformer

Building 77 T8E Pad Mount Transformer

Building 77/85A T8N Pad Mount Transformer

Grounds S7N Pad Mount Switch

Grounds S7E Pad Mount Switch

Building109 T25E Pad Mount Transformer

Building109 T25N Pad Mount Transformer

Grounds S5N Pad Mount Switch

Building 29 T6 Pad Mount Transformer

Building 109/110 T20N Pad Mount Transformer

Building 110 Grounds – 110 Switchboard

Building 34 T4 Pad Mount Transformer

Building 43 T19 Pad Mount Transformer

Building 8/50 T3 Pad Mount Transformer

Location Equipment Label Equipment Type

Building 46 T5N Pad Mount Transformer

Building 46 T5E Pad Mount Transformer

Grounds S2E Pad Mount Switch

Grounds S2N Pad Mount Switch

Building 79/2 T1 Pad Mount Transformer

Grounds S15N Pad Mount Switch

Building 106 T17 Pad Mount Transformer

Building 112/113 T22 Pad Mount Transformer

Building 28/48 T2 Pad Mount Transformer

Building 46 MCC1-46-905 MCC

Building 110 G25-110 – NMDP-2 Switchboard /Arc flash high, unable to scan

Building 110 101-110 – MDP-1 Switchboard / Arc flash high, unable to scan

Building 27 G14-27 NMDP1/EMDP1 Switchboard

Building 77 G02-77 Arc flash high, unable to scan

Building 85 117-85 GD11 / ND11 Switchboards

Building 114 115-114 MDP1 Switchboard

Building 117 112-117 NMB Arc flash high, unable to scan

Building 117 112-117 EMB Arc flash high, unable to scan

Building 88 133-88 MDP1 Switchboard / Arc flash high, unable to scan

Building 88 133-88 EDP1 Switchboard

Building 67 G-25A NDG1/GDG1 Switchboard

Building 109 122-109 EMDP1 Breaker / Arc flash high, unable to scan

Building 109 122-109 NMDP1 Breaker / Arc flash high, unable to scan

Building 109 122-109 NMDP2 Switchboard / Arc flash high, unable to scan

Building T110 SC? Sectionalizer

Building 115/116 T24 Pad Mount Transformer

Building 83 Building 83 Switchgear

Building 120 T31N Pad Mount Transformer

Building 120 T31E Pad Mount Transformer

Building 126 T32N Pad Mount Transformer

EPO0002499 Boise VA Medical Center

1/4 Preventative Maintenance IR Scan

8/26/2020 8:21:24 AM °F

Sp1

Sp2

86.8

50.6 FLIR0005.jpg FLIR T530 79301435

Measurements Sp1 88.0 °F

Sp2 79.8 °F

Parameters Emissivity 0.95

Refl. temp. 68 °F

Geolocation Location N 43° 37' 20.23", W 116° 11'

33.87" http://maps.google.com?z=17&t=k&q=43.6223,-116.1927

8/26/2020 8:21:24 AM

FLIR0005.jpg FLIR T530 79301435

Equipment: Pad Mounted Switch S15N

Issue: Load Break Elbow T4C is slightly hotter when compared to similar connections indicating a possible dirty or poor connection.

Repair Priority Level: Alert

Action Suggested: Investigate connection during next available opportunity.

2/4 Preventative Maintenance IR Scan

8/26/2020 10:35:36 AM °F

Sp1 Sp2

Sp3

91.0

75.4 FLIR0006.jpg FLIR T530 79301435

Measurements Sp1 97.0 °F

Sp2 85.5 °F

Sp3 80.4 °F

Parameters Emissivity 0.95

Refl. temp. 68 °F

Geolocation Location N 43° 37' 8.81", W 116° 11'

17.19" http://maps.google.com?z=17&t=k&q=43.6191,-116.1881

8/26/2020 10:35:36 AM

FLIR0006.jpg FLIR T530 79301435

Equipment: Building 117 Transformer T26E

Issue: X3 bushing more than 10 deg. hotter than other two bushings (X1 & X2). Scan seems to indicate an issue with the internal connection of the bushing.

Repair Priority Level: Action Needed

Action Suggested: Shutting down the transformer draining the oil and checking for loose connections inside the transformer as soon as possible.

3/4 Preventative Maintenance IR Scan

8/26/2020 11:57:29 AM °F

Sp1 Sp2

111.9

90.0 FLIR0007.jpg FLIR T530 79301435

Measurements Sp1 112.2 °F

Sp2 100.2 °F

Parameters Emissivity 0.95

Refl. temp. 68 °F

Geolocation Location N 43° 37' 13.98", W 116° 11'

25.04" http://maps.google.com?z=17&t=k&q=43.6206,-116.1903

8/26/2020 11:57:29 AM

FLIR0007.jpg FLIR T530 79301435

Equipment: Building 85 Transformer T10N

Issue: Load Break Elbow H1 & H3 are hotter when compared to H2 connection indicating a possible dirty or poor connection.

Action Suggested: Investigate connections during next available opportunity.

4/4 Preventative Maintenance IR Scan

8/26/2020 11:58:03 AM °F

Sp1

117.1

91.7 FLIR0008.jpg FLIR T530 79301435

Measurements Sp1 115.7 °F

Parameters Emissivity 0.95

Refl. temp. 68 °F

Geolocation Location N 43° 37' 14.09", W 116° 11'

24.96" http://maps.google.com?z=17&t=k&q=43.6206,-116.1903

8/26/2020 11:58:03 AM

FLIR0008.jpg FLIR T530 79301435

Equipment: Building 85 Transformer T10N

Issue: Load Break Elbow H1 & H3 are hotter when compared to H2 connection indicating a possible dirty or poor connection.

Action Suggested: Investigate connections during next available opportunity.

ProtectionSuite Pass-Fail Report

Device 52U Utility Main Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus VacuumBreaker Serial Number 08315048

Manufacturer Square D Special ID

Model SEPAM S84 Location Boise VA

Function 51, 27, 59 Company Eaton

Circuit Main Breaker Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 12:33 Next test due 2026-Sep-19 12:33

Prior test 2017-Aug-19 10:42

Plan 52U Utility Main Status Pass Last modified 2020-Sep-19 12:17 Comment

Last tested 2020-Sep-19 12:33 Tested by E0057246

Test 51 Pickup Status Pass Description Linear Ramp, Current (IA)

Last modified 2020-Sep-19 12:17 Comment

Last tested 2020-Sep-19 12:28 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 12:28 5.000 A 5.00 % 5.00 % 5.100 A 2.00 % Pass

Test 51P1 Time Status Pass Description Time Overcurrent Characteristic Plot (IA, IB, IC)

Last modified 2017-Aug-19 10:38 Comment

Last tested 2020-Sep-19 12:29 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 12:29 4.900 s 5.00 % 5.00 % 4.974 s 1.52 % Pass

3.000 * Tap 1.800 s 5.00 % 5.00 % 1.867 s 3.71 % Pass

5.000 * Tap 0.620 s 5.00 % 5.00 % 0.621 s 0.11 % Pass

Test 27P1 Pickup Status Pass Description Linear Ramp, Voltage (VA, VB, VC)

Last modified 2017-Aug-19 10:19 Comment

Last tested 2020-Sep-19 12:32 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 12:32 58.000 V 5.00 % 5.00 % 57.500 V -0.86 % Pass

Report generated on 9/22/2020 1:03:16 PM Page 1

[Header]

Test 27P1 Time Status Pass Description Operating Time, Voltage (VA, VB, VC)

Last modified 2017-Aug-19 10:39 Comment

Last tested 2020-Sep-19 12:33 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Single Point Test 2020-Sep-19 12:33 1.000 s 5.00 % 5.00 % 1.011 s 1.05 % Pass

Test 59P1 Pickup Status Pass Description Linear Ramp, Voltage (VA, VB, VC)

Last modified 2017-Aug-19 10:41 Comment

Last tested 2020-Sep-19 12:33 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 12:33 75.900 V 5.00 % 5.00 % 78.300 V 3.16 % Pass

Test 59P1 Time Status Pass Description Operating Time, Voltage (VA, VB, VC)

Last modified 2017-Aug-19 10:42 Comment

Last tested 2020-Sep-19 12:33 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Single Point Test 2020-Sep-19 12:33 2.000 s 5.00 % 5.00 % 1.997 s -0.15 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:03:16 PM Page 2

Device 87B-1 Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus Unknown Serial Number 2008275368

Manufacturer SEL Special ID

Model SEL-587Z Location Boise VA

Function 87B Company Eaton

Circuit Utility Bus Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 12:13 Next test due 2026-Sep-19 12:10

Prior test 2017-Aug-19 11:19

Plan 87B-1 Status Pass Last modified 2020-Sep-19 12:08 Comment

Last tested 2020-Sep-19 12:13 Tested by E0057246

Test 87A1 Status Pass Description Linear Ramp, Voltage (VA)

Last modified 2020-Sep-19 12:08 Comment

Last tested 2020-Sep-19 12:10 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 12:10 70.000 V 5.00 % 5.00 % 69.000 V -1.43 % Pass

Test 87B1 Status Pass Description Linear Ramp, Voltage (VB)

Last modified 2017-Aug-19 11:14 Comment

Last tested 2020-Sep-19 12:11 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 12:11 70.000 V 5.00 % 5.00 % 69.000 V -1.43 % Pass

Test 87C1 Status Pass Description Linear Ramp, Voltage (VC)

Last modified 2017-Aug-19 11:14 Comment

Last tested 2020-Sep-19 12:13 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 12:13 70.000 V 5.00 % 5.00 % 68.500 V -2.14 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:03:45 PM Page 1

Device S2N Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus VacuumBreaker Serial Number 082500068

Manufacturer Square D Special ID

Model SEPAM S40 Location Boise VA

Function 50/51 Company Eaton

Circuit S2N Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 13:18 Next test due

Prior test 2017-Aug-19 12:39

Plan S2N Status Pass Last modified 2020-Sep-19 13:15 Comment

Last tested 2020-Sep-19 13:18 Tested by E0057246

Test 51 Pickup Status Pass Description Linear Ramp, Current (IA, IB, IC)

Last modified 2020-Sep-19 13:15 Comment

Last tested 2020-Sep-19 13:15 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 13:15 6.000 A 5.00 % 5.00 % 6.100 A 1.67 % Pass

Test 51P1 Time Status Pass Description Time Overcurrent Characteristic Plot (IA, IB, IC)

Last modified 2017-Aug-19 12:38 Comment

Last tested 2020-Sep-19 13:16 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 13:16 9.900 s 5.00 % 5.00 % 9.987 s 0.88 % Pass

3.000 * Tap 3.700 s 5.00 % 5.00 % 3.746 s 1.25 % Pass

5.000 * Tap 1.200 s 5.00 % 5.00 % 1.251 s 4.26 % Pass

Test 51N Pickup Status Pass Description Linear Ramp, Current (IA)

Last modified 2017-Aug-19 12:13 Comment

Last tested 2020-Sep-19 13:17 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 13:17 2.500 A 5.00 % 5.00 % 2.500 A 0.00 % Pass

Report generated on 9/22/2020 1:05:14 PM Page 1

Test 51N Time Status Pass Description Time Overcurrent Characteristic Plot (IA)

Last modified 2020-Sep-19 13:08 Comment

Last tested 2020-Sep-19 13:18 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 13:18 6.900 s 5.00 % 5.00 % 7.097 s 2.86 % Pass

3.000 * Tap 2.600 s 5.00 % 5.00 % 2.659 s 2.27 % Pass

5.000 * Tap 0.880 s 5.00 % 5.00 % 0.894 s 1.63 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:05:14 PM Page 2

Device S7N Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus VacuumBreaker Serial Number 8381299

Manufacturer Square D Special ID

Model SEPAM S23 Location Boise VA

Function 50/51 Company Eaton

Circuit S7N Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 12:59 Next test due

Prior test 2017-Aug-19 12:16

Plan S7N Status Pass Last modified 2020-Sep-19 12:59 Comment

Last tested 2020-Sep-19 12:59 Tested by E0057246

Test 51 Pickup Status Pass Description Linear Ramp, Current (IA, IB, IC)

Last modified 2020-Sep-19 12:56 Comment

Last tested 2020-Sep-19 12:56 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 12:56 6.000 A 5.00 % 5.00 % 6.000 A 0.00 % Pass

Test 51P1 Time Status Pass Description Time Overcurrent Characteristic Plot (IA, IB, IC)

Last modified 2017-Aug-19 12:10 Comment

Last tested 2020-Sep-19 12:56 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 12:56 9.900 s 5.00 % 5.00 % 9.922 s 0.22 % Pass

3.000 * Tap 3.700 s 5.00 % 5.00 % 3.719 s 0.52 % Pass

5.000 * Tap 1.200 s 5.00 % 5.00 % 1.251 s 4.21 % Pass

Test 51N Pickup Status Pass Description Linear Ramp, Current (IA)

Last modified 2017-Aug-19 12:13 Comment

Last tested 2020-Sep-19 12:58 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 12:58 2.500 A 5.00 % 5.00 % 2.500 A 0.00 % Pass

Report generated on 9/22/2020 1:06:20 PM Page 1

Last modified 2020-Sep-19 12:59 Comment

Last tested 2020-Sep-19 12:59 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 12:59 6.900 s 5.00 % 5.00 % 6.960 s 0.88 % Pass

3.000 * Tap 2.600 s 5.00 % 5.00 % 2.615 s 0.56 % Pass

5.000 * Tap 0.880 s 5.00 % 5.00 % 0.876 s -0.41 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:06:20 PM Page 2

Device Tie Breaker Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus VacuumBreaker Serial Number 8280179

Manufacturer Square D Special ID

Model SEPAM S23 Location Boise VA

Function 50/51 Company Eaton

Circuit Tie Breaker Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2017-Dec-02 09:50 Next test due

Prior test

Plan Tie Breaker Status Pass Last modified 2017-Dec-02 09:53 Comment

Last tested 2017-Dec-02 09:50 Tested by E0057246

Test 51 Pickup Status Pass Description Linear Ramp, Current (IA, IB, IC)

Last modified 2017-Dec-02 09:41 Comment

Last tested 2017-Dec-02 09:41 Tested by E0057246

Instrument SN 011204748

Calibrated on 5/18/2017 Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2017-Dec-02 09:41 4.000 A 5.00 % 5.00 % 4.000 A 0.00 % Pass

Test 51P1 Time Status Pass Description Time Overcurrent Characteristic Plot (IA, IB, IC)

Last modified 2017-Dec-02 09:53 Comment

Last tested 2017-Dec-02 09:50 Tested by E0057246

Instrument SN 011204748

Calibrated on 5/18/2017 Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2017-Dec-02 09:50 114.510 s 5.00 % 5.00 % 114.595 s 0.07 % Pass

3.000 * Tap 42.941 s 5.00 % 5.00 % 42.954 s 0.03 % Pass

5.000 * Tap 14.314 s 5.00 % 5.00 % 14.325 s 0.08 % Pass

List of Instruments Used

Serial Number Calibration Date

011204748 5/18/2017

Report generated on 9/22/2020 1:06:50 PM Page 1

Device 52-E2 Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus VacuumBreaker Serial Number 08250033

Manufacturer Square D Special ID

Model SEPAM S23 Location Boise VA

Function 50/51 Company Eaton

Circuit 52-E2 Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 09:57 Next test due

Prior test 2017-Dec-02 11:18

Plan 52-E2 Status Pass Last modified 2020-Sep-19 10:00 Comment

Last tested 2020-Sep-19 09:57 Tested by E0057246

Test 51 Pickup Status Pass Description Linear Ramp, Current (IA, IB, IC)

Last modified 2020-Sep-19 09:45 Comment

Last tested 2020-Sep-19 09:44 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 09:44 12.000 A 5.00 % 5.00 % 12.000 A 0.00 % Pass

Test 51P1 Time Status Pass Description Time Overcurrent Characteristic Plot (IA, IB, IC)

Last modified 2020-Sep-19 10:00 Comment

Last tested 2020-Sep-19 09:57 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

3.000 * Tap 2020-Sep-19 09:57 79.200 s 5.00 % 5.00 % 79.214 s 0.02 % Pass

4.000 * Tap 42.240 s 5.00 % 5.00 % 42.254 s 0.03 % Pass

5.000 * Tap 26.400 s 5.00 % 5.00 % 26.424 s 0.09 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:02:09 PM Page 1

Device 52-G Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus VacuumBreaker Serial Number 08315047

Manufacturer Square D Special ID

Model SEPAM G87 Location Boise VA

Function 51, 27, 59 Company Eaton

Circuit Unused Ge Main Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 08:47 Next test due 2026-Sep-19 08:46

Prior test 2017-Dec-02 12:11

Plan 52-G Status Pass Last modified 2017-Dec-02 12:06 Comment

Last tested 2020-Sep-19 08:47 Tested by E0057246

Test 51 Pickup Status Pass Description Linear Ramp, Current (IA)

Last modified 2017-Dec-02 12:02 Comment

Last tested 2020-Sep-19 08:41 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 08:41 5.000 A 5.00 % 5.00 % 5.100 A 2.00 % Pass

Test 51P1 Time Status Pass Description Time Overcurrent Characteristic Plot (IA, IB, IC)

Last modified 2017-Dec-02 12:06 Comment

Last tested 2020-Sep-19 08:43 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 08:43 4.950 s 5.00 % 5.00 % 4.976 s 0.52 % Pass

3.000 * Tap 1.856 s 5.00 % 5.00 % 1.872 s 0.86 % Pass

5.000 * Tap 0.619 s 5.00 % 5.00 % 0.631 s 1.95 % Pass

Test 27P1 Pickup Status Pass Description Linear Ramp, Voltage (VA, VB, VC)

Last modified 2017-Aug-19 10:19 Comment

Last tested 2020-Sep-19 08:45 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 08:45 58.000 V 5.00 % 5.00 % 57.500 V -0.86 % Pass

Report generated on 9/22/2020 1:02:47 PM Page 1

Test 27P1 Time Status Pass Description Operating Time, Voltage (VA, VB, VC)

Last modified 2017-Aug-19 10:39 Comment

Last tested 2020-Sep-19 08:46 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Single Point Test 2020-Sep-19 08:46 1.000 s 5.00 % 5.00 % 1.009 s 0.89 % Pass

Test 59P1 Pickup Status Pass Description Linear Ramp, Voltage (VA, VB, VC)

Last modified 2017-Aug-19 10:41 Comment

Last tested 2020-Sep-19 08:47 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 08:47 75.900 V 5.00 % 5.00 % 78.200 V 3.03 % Pass

Test 59P1 Time Status Pass Description Operating Time, Voltage (VA, VB, VC)

Last modified 2017-Aug-19 10:42 Comment

Last tested 2020-Sep-19 08:47 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Single Point Test 2020-Sep-19 08:47 2.000 s 5.00 % 5.00 % 2.003 s 0.15 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:02:47 PM Page 2

Device 87B-2 Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus Unknown Serial Number 2008275369

Manufacturer SEL Special ID

Model SEL-587Z Location Boise VA

Function 87B Company Eaton

Circuit Generator Bus Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 14:52 Next test due 2026-Sep-19 14:49

Prior test 2017-Dec-02 11:42

Plan 87B-1 Status Pass Last modified 2017-Dec-02 11:37 Comment

Last tested 2020-Sep-19 14:52 Tested by E0057246

Test 87A1 Status Pass Description Linear Ramp, Voltage (VA)

Last modified 2017-Aug-19 11:14 Comment

Last tested 2020-Sep-19 14:49 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 14:49 70.000 V 5.00 % 5.00 % 69.500 V -0.71 % Pass

Test 87B1 Status Pass Description Linear Ramp, Voltage (VB)

Last modified 2017-Aug-19 11:14 Comment

Last tested 2020-Sep-19 14:51 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 14:51 70.000 V 5.00 % 5.00 % 69.500 V -0.71 % Pass

Test 87C1 Status Pass Description Linear Ramp, Voltage (VC)

Last modified 2017-Dec-02 11:37 Comment

Last tested 2020-Sep-19 14:52 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 14:52 70.000 V 5.00 % 5.00 % 69.500 V -0.71 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:04:18 PM Page 1

Device S2E Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus VacuumBreaker Serial Number 08250070

Manufacturer Square D Special ID

Model SEPAM S23 Location Boise VA

Function 50/51 Company Eaton

Circuit S2E Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 14:38 Next test due

Prior test 2017-Dec-02 10:53

Plan S2E Status Pass Last modified 2020-Sep-19 14:35 Comment

Last tested 2020-Sep-19 14:38 Tested by E0057246

Test 51 Pickup Status Pass Description Linear Ramp, Current (IA, IB, IC)

Last modified 2020-Sep-19 14:35 Comment

Last tested 2020-Sep-19 14:35 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 14:35 6.000 A 5.00 % 5.00 % 6.000 A 0.00 % Pass

Test 51P1 Time Status Pass Description Time Overcurrent Characteristic Plot (IA, IB, IC)

Last modified 2017-Dec-02 10:48 Comment

Last tested 2020-Sep-19 14:36 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 14:36 9.900 s 5.00 % 5.00 % 9.914 s 0.14 % Pass

3.000 * Tap 3.713 s 5.00 % 5.00 % 3.723 s 0.29 % Pass

5.000 * Tap 1.238 s 5.00 % 5.00 % 1.254 s 1.36 % Pass

Test 51N Pickup Status Pass Description Linear Ramp, Current (IA)

Last modified 2017-Aug-19 12:13 Comment

Last tested 2020-Sep-19 14:37 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 14:37 2.500 A 5.00 % 5.00 % 2.500 A 0.00 % Pass

Report generated on 9/22/2020 1:04:45 PM Page 1

Last modified 2017-Dec-02 10:49 Comment

Last tested 2020-Sep-19 14:38 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 14:38 6.930 s 5.00 % 5.00 % 6.957 s 0.39 % Pass

3.000 * Tap 2.599 s 5.00 % 5.00 % 2.609 s 0.38 % Pass

5.000 * Tap 0.866 s 5.00 % 5.00 % 0.873 s 0.79 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:04:45 PM Page 2

Device S7E Status Pass Description

Station Name Boise VA Main Switchgear

Apparatus VacuumBreaker Serial Number 082500089

Manufacturer Square D Special ID

Model SEPAM S40 Location Boise VA

Function 50/51 Company Eaton

Circuit S7E Division EESS

Firmware Version / Date Asset Tag

Tested by E0057246 Reg. Category Functional

Last tested 2020-Sep-19 14:24 Next test due

Prior test 2017-Dec-02 10:30

Plan S7E Status Pass Last modified 2020-Sep-19 14:17 Comment

Last tested 2020-Sep-19 14:24 Tested by E0057246

Test 51 Pickup Status Pass Description Linear Ramp, Current (IA, IB, IC)

Last modified 2020-Sep-19 14:17 Comment

Last tested 2020-Sep-19 14:21 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 14:21 6.000 A 5.00 % 5.00 % 6.100 A 1.67 % Pass

Test 51P1 Time Status Pass Description Time Overcurrent Characteristic Plot (IA, IB, IC)

Last modified 2017-Dec-02 10:18 Comment

Last tested 2020-Sep-19 14:22 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 14:22 9.900 s 5.00 % 5.00 % 10.013 s 1.14 % Pass

3.000 * Tap 3.713 s 5.00 % 5.00 % 3.752 s 1.05 % Pass

5.000 * Tap 1.238 s 5.00 % 5.00 % 1.255 s 1.44 % Pass

Test 51N Pickup Status Pass Description Linear Ramp, Current (IA)

Last modified 2017-Aug-19 12:13 Comment

Last tested 2020-Sep-19 14:23 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

Ramp 2020-Sep-19 14:23 2.500 A 5.00 % 5.00 % 2.500 A 0.00 % Pass

Report generated on 9/22/2020 1:05:52 PM Page 1

Last modified 2017-Dec-02 10:20 Comment

Last tested 2020-Sep-19 14:24 Tested by E0057246

Instrument SN n/a

Calibrated on n/a Device Firmware Version

Label / Value Tested Expected + - Actual % Error Result

2.000 * Tap 2020-Sep-19 14:24 6.930 s 5.00 % 5.00 % 7.099 s 2.44 % Pass

3.000 * Tap 2.599 s 5.00 % 5.00 % 2.672 s 2.80 % Pass

5.000 * Tap 0.866 s 5.00 % 5.00 % 0.898 s 3.64 % Pass

List of Instruments Used

Serial Number Calibration Date n/a n/a

Report generated on 9/22/2020 1:05:52 PM Page 2

BREAKER DATA

EPO0002499JOB NUMBER:

EQUIPMENT LOCATION:

Electrical Services & Systems VA Medical Center; Boise, ID

Building 83 N/A

Medium Voltage Vacuum Breaker

N/A

Utility Main DATE TESTED:

EQUIPMENT DESIGNATION:

9/19/20DEVICE ID:

SITE:

CUSTOMER:

VA Medical Center; Boise, IDOWNER:

500 MVA

15KV

CURRENT RATING:

INTERRUPT RATING:

VOLTAGE RATING:

MODEL/STYLE #:

IB NUMBER

MANUFACTURER:

TYPE:

Serial Number:

N/A

Square D

WIRING DIAGRAM:

VR

17 58587 12470SYSTEM VOLTAGE

CHARGE MOTOR:

(Other)

(Other)

ACCESSORIES

N/A

N/A

N/A

CONTROL RELAY:

CLOSE COIL:

SHUNT TRIP:

UNDERVOLTAGE:

FUSES:

AUX SWITCH(ES)

BLOWN FUSE IND:

MAINT. ACCESSORIES

(Other)

RATING RATING

N/A

N/A

CONDITION

Acceptable

N/A

Acceptable

N/A

N/A

N/A

N/A

Acceptable

N/A

N/A

N/A

CONDITION

Acceptable

100-140

N/A

100-140

70-140

N/A

VDC

VDC

VDC

N/A

V5D6133YJ00

ELECTRICAL TESTS

PF Test Performed Timing Test Performed

Additional Tests: (may be documented on additional forms)

CONTACT GAP:

AS LEFT AS LEFTAS FOUND

PRIMARY FINGERS:

SECONDARY DISCONNECTS:

CONTROL WIRING:

MANUAL CLOSE / TRIP:

ELECTRICAL CLOSE / TRIP:

FRAME CONDITION:

GROUND CONNECTION:

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

AS FOUND

CONTACT WIPE:

OVERALL CONDITION:

OPERATIONS COUNTER:

OPEN/CLOSE INDICATOR:

Acceptable

LUBRICATION:

INSPECTION DATA

No NoControl Wiring Insulation @ 500 VDC (MegOhms):

AUX SWITCH:

INSULATION / BARRIERS:

Gregory Gould / Larry NeddoTested By: PAGE

6055-31

INTERLOCKS:

A A 24.0

23.6

26.7

As Left

B23.6

26.7

24.0

As Found

C

B

C

Insulation Resistance: Contact Resistance:

10 AmpsMicroOhms @

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'

Closed ( Ph. - Gnd. ) Closed ( Ph. - Ph. ) Open ( Line - Load )

A-G

GigOhms 5000

B-G

VDC@

B-C

C-A

A-B

B-B'

C-C'

A-A'A-G

B-G

C-G

As Left:As Found:

Closed ( Ph. - Gnd. ) Closed ( Ph. - Ph. ) Open ( Line - Load )

505 505

505 505

N/ACoil #1 Minimum Trip Voltage

@ KV AC DC

0.63

AS FOUND:

A-G

B-G

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'

B1

0.66

C1

0.70

0.66

0.69

0.70

A1

0.69

27 27

0.63

0.63

0.63

A-G

B-G

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'0.66

0.70

0.66

0.69

0.70

0.69

B2

C2

A2Pass

Pass

Pass N/A

N/A

N/A

Bottle Integrity:Overpotential Test:

AS LEFT:

0.63

0.63

Readings in Milliamps @ KV AC DC

Acceptable Acceptable OPER. COUNT. READING:CONTACT EROSION: 283 285

N/A

N/A

COMMENTS:

EQUIPMENT LOCATION:

Electrical Services & Systems VA Medical Center; Boise, ID

Building 83 N/A

Medium Voltage Vacuum Breaker

N/A

S7N DATE TESTED:

EQUIPMENT DESIGNATION:

9/19/20DEVICE ID:

SITE:

CUSTOMER:

VA Medical Center; Boise, IDOWNER:

500 MVA

15KV

CURRENT RATING:

INTERRUPT RATING:

VOLTAGE RATING:

MODEL/STYLE #:

IB NUMBER

MANUFACTURER:

TYPE:

Serial Number:

N/A

Square D

WIRING DIAGRAM:

VR

17 58378 12470SYSTEM VOLTAGE

CHARGE MOTOR:

(Other)

(Other)

ACCESSORIES

N/A

N/A

N/A

CONTROL RELAY:

CLOSE COIL:

SHUNT TRIP:

UNDERVOLTAGE:

FUSES:

AUX SWITCH(ES)

BLOWN FUSE IND:

MAINT. ACCESSORIES

(Other)

RATING RATING

N/A

N/A

CONDITION

Acceptable

N/A

Acceptable

N/A

N/A

N/A

N/A

Acceptable

N/A

N/A

N/A

CONDITION

Acceptable

100-140

N/A

100-140

70-140

N/A

VDC

VDC

VDC

N/A

V5D6133YJ00

ELECTRICAL TESTS

PF Test Performed Timing Test Performed

Additional Tests: (may be documented on additional forms)

CONTACT GAP:

AS LEFT AS LEFTAS FOUND

PRIMARY FINGERS:

SECONDARY DISCONNECTS:

CONTROL WIRING:

MANUAL CLOSE / TRIP:

ELECTRICAL CLOSE / TRIP:

FRAME CONDITION:

GROUND CONNECTION:

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

AS FOUND

CONTACT WIPE:

OVERALL CONDITION:

OPERATIONS COUNTER:

OPEN/CLOSE INDICATOR:

Acceptable

LUBRICATION:

INSPECTION DATA

No NoControl Wiring Insulation @ 500 VDC (MegOhms):

AUX SWITCH:

INSULATION / BARRIERS:

Gregory Gould / Larry NeddoTested By: PAGE

6055-31

INTERLOCKS:

A A 23.8

24.2

25.1

As Left

B24.2

25.1

23.8

As Found

C

B

C

Insulation Resistance: Contact Resistance:

10 AmpsMicroOhms @

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'

Closed ( Ph. - Gnd. ) Closed ( Ph. - Ph. ) Open ( Line - Load )

A-G

GigOhms 5000

B-G

VDC@

B-C

C-A

A-B

B-B'

C-C'

A-A'A-G

B-G

C-G

As Left:As Found:

Closed ( Ph. - Gnd. ) Closed ( Ph. - Ph. ) Open ( Line - Load )

505 505

505 505

N/ACoil #1 Minimum Trip Voltage

@ KV AC DC

0.62

AS FOUND:

A-G

B-G

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'

B1

0.66

C1

0.70

0.66

0.68

0.70

A1

0.68

27 27

0.63

0.63

0.62

A-G

B-G

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'0.66

0.70

0.66

0.68

0.70

0.68

B2

C2

A2Pass

Pass

Pass N/A

N/A

N/A

Bottle Integrity:Overpotential Test:

AS LEFT:

0.63

0.63

Readings in Milliamps @ KV AC DC

Acceptable Acceptable OPER. COUNT. READING:CONTACT EROSION: 83 84

N/A

EQUIPMENT LOCATION:

Electrical Services & Systems VA Medical Center; Boise, ID

Building 83 N/A

Medium Voltage Vacuum Breaker

N/A

S7E DATE TESTED:

EQUIPMENT DESIGNATION:

9/19/20DEVICE ID:

SITE:

CUSTOMER:

VA Medical Center; Boise, IDOWNER:

500 MVA

15KV

CURRENT RATING:

INTERRUPT RATING:

VOLTAGE RATING:

MODEL/STYLE #:

IB NUMBER

MANUFACTURER:

TYPE:

Serial Number:

N/A

Square D

WIRING DIAGRAM:

VR

17 58586 12470SYSTEM VOLTAGE

CHARGE MOTOR:

(Other)

(Other)

ACCESSORIES

N/A

N/A

N/A

CONTROL RELAY:

CLOSE COIL:

SHUNT TRIP:

UNDERVOLTAGE:

FUSES:

AUX SWITCH(ES)

BLOWN FUSE IND:

MAINT. ACCESSORIES

(Other)

RATING RATING

N/A

N/A

CONDITION

Acceptable

N/A

Acceptable

N/A

N/A

N/A

N/A

Acceptable

N/A

N/A

N/A

CONDITION

Acceptable

100-140

N/A

100-140

70-140

N/A

VDC

VDC

VDC

N/A

V5D6133YJ00

ELECTRICAL TESTS

PF Test Performed Timing Test Performed

Additional Tests: (may be documented on additional forms)

CONTACT GAP:

AS LEFT AS LEFTAS FOUND

PRIMARY FINGERS:

SECONDARY DISCONNECTS:

CONTROL WIRING:

MANUAL CLOSE / TRIP:

ELECTRICAL CLOSE / TRIP:

FRAME CONDITION:

GROUND CONNECTION:

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

AS FOUND

CONTACT WIPE:

OVERALL CONDITION:

OPERATIONS COUNTER:

OPEN/CLOSE INDICATOR:

Acceptable

LUBRICATION:

INSPECTION DATA

No NoControl Wiring Insulation @ 500 VDC (MegOhms):

AUX SWITCH:

INSULATION / BARRIERS:

Gregory Gould / Larry NeddoTested By: PAGE

6055-31

INTERLOCKS:

A A 25.0

24.5

22.9

As Left

B24.5

22.9

25.0

As Found

C

B

C

Insulation Resistance: Contact Resistance:

10 AmpsMicroOhms @

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'

Closed ( Ph. - Gnd. ) Closed ( Ph. - Ph. ) Open ( Line - Load )

A-G

GigOhms 5000

B-G

VDC@

B-C

C-A

A-B

B-B'

C-C'

A-A'A-G

B-G

C-G

As Left:As Found:

Closed ( Ph. - Gnd. ) Closed ( Ph. - Ph. ) Open ( Line - Load )

505 505

505 505

N/ACoil #1 Minimum Trip Voltage

@ KV AC DC

0.65

AS FOUND:

A-G

B-G

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'

B1

0.65

C1

0.71

0.65

0.70

0.71

A1

0.70

27 27

0.65

0.65

0.65

A-G

B-G

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'0.65

0.71

0.65

0.70

0.71

0.70

B2

C2

A2Pass

Pass

Pass N/A

N/A

N/A

Bottle Integrity:Overpotential Test:

AS LEFT:

0.65

0.65

Readings in Milliamps @ KV AC DC

Acceptable Acceptable OPER. COUNT. READING:CONTACT EROSION: 64 66

N/A

EQUIPMENT LOCATION:

Electrical Services & Systems VA Medical Center; Boise, ID

Building 83 N/A

Medium Voltage Vacuum Breaker

N/A

52-G DATE TESTED:

EQUIPMENT DESIGNATION:

9/19/20DEVICE ID:

SITE:

CUSTOMER:

VA Medical Center; Boise, IDOWNER:

500 MVA

15KV

CURRENT RATING:

INTERRUPT RATING:

VOLTAGE RATING:

MODEL/STYLE #:

IB NUMBER

MANUFACTURER:

TYPE:

Serial Number:

N/A

Square D

WIRING DIAGRAM:

VR

17 68242 12470SYSTEM VOLTAGE

CHARGE MOTOR:

(Other)

(Other)

ACCESSORIES

N/A

N/A

N/A

CONTROL RELAY:

CLOSE COIL:

SHUNT TRIP:

UNDERVOLTAGE:

FUSES:

AUX SWITCH(ES)

BLOWN FUSE IND:

MAINT. ACCESSORIES

(Other)

RATING RATING

N/A

N/A

CONDITION

Acceptable

N/A

Acceptable

N/A

N/A

N/A

N/A

Acceptable

N/A

N/A

N/A

CONDITION

Acceptable

100-140

N/A

100-140

70-140

N/A

VDC

VDC

VDC

N/A

V5B6133YJ00

ELECTRICAL TESTS

PF Test Performed Timing Test Performed

Additional Tests: (may be documented on additional forms)

CONTACT GAP:

AS LEFT AS LEFTAS FOUND

PRIMARY FINGERS:

SECONDARY DISCONNECTS:

CONTROL WIRING:

MANUAL CLOSE / TRIP:

ELECTRICAL CLOSE / TRIP:

FRAME CONDITION:

GROUND CONNECTION:

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

Acceptable

AS FOUND

CONTACT WIPE:

OVERALL CONDITION:

OPERATIONS COUNTER:

OPEN/CLOSE INDICATOR:

Acceptable

LUBRICATION:

INSPECTION DATA

No NoControl Wiring Insulation @ 500 VDC (MegOhms):

AUX SWITCH:

INSULATION / BARRIERS:

Gregory Gould / Larry NeddoTested By: PAGE

6055-30

INTERLOCKS:

A A 27.8

28.2

27.2

As Left

B28.2

27.2

27.8

As Found

C

B

C

Insulation Resistance: Contact Resistance:

10 AmpsMicroOhms @

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'

Closed ( Ph. - Gnd. ) Closed ( Ph. - Ph. ) Open ( Line - Load )

A-G

GigOhms 5000

B-G

VDC@

B-C

C-A

A-B

B-B'

C-C'

A-A'A-G

B-G

C-G

As Left:As Found:

Closed ( Ph. - Gnd. ) Closed ( Ph. - Ph. ) Open ( Line - Load )

505 505

505 505

N/ACoil #1 Minimum Trip Voltage

@ KV AC DC

1.65

AS FOUND:

A-G

B-G

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'

B1

1.64

C1

1.72

1.64

1.72

1.72

A1

1.72

27 27

1.65

1.65

1.65

A-G

B-G

C-G

B-C

C-A

A-B

B-B'

C-C'

A-A'1.64

1.72

1.64

1.72

1.72