STL20547-000 VA Hospital Poplar Bluff MO Report_Rev0.pdf

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Attached to
J059--Tri-Annual Electrical Testing Federal contract opportunity
Solicitation number
36C25522Q0184
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This federal contract opportunity summary provides details for solicitation number 36C25522Q0184 seeking tri-annual electrical testing services for the Poplar Bluff, Missouri VA Medical Center. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 is requesting proposals for electrical testing to be performed every three years at the facility. Offerors should submit responses by the date listed in the solicitation to be considered for award. The work includes on-site testing and inspection of all electrical systems and components to ensure safety and regulatory compliance. Pricing is to be provided on a firm fixed price basis for a base period and two option years. The place of performance is the Poplar Bluff VAMC.

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Text version

21 Millpark Ct. • Maryland Heights, MO 63043 • Phone 314.890.9999 • Fax 314.428.3062 • www.epsii.com

S&B Services

VA Hospital – Poplar Bluff, MO

2020 Preventive Maintenance Shutdown

April 2020

EPS Job Number STL20547-000

Submitted by Electric Power Systems, St. Louis, MO

TABLE OF CONTENTS

Scope of Work

Procedures

Results

Data Sheet

Equipment List & Photos

IR Scan Report

SCOPE OF WORK

1. Electric Power Systems shall perform NETA standard testing on all equipment in buildings 1, 7 and 20. All equipment consists of MCCs, transformers, disconnects, switchboards and low voltage breakers.

2. Perform infrared survey on all agreed upon electrical distribution equipment in building

1 and 7. Survey is to include MCC, distribution panels, lighting panels and bus duct.

EPS personnel will open and remove all doors panels and shoot Infrared.

A. Use an infra-red scanning camera to detect hot spots in the Electrical Power Distribution System. Objective of this work is to detect any loose, broken, or corroded connections in the system. Problem connections shall be replaced with new connectors, and/or tightened with torque wrench to meet the equipment manufacturers’ specifications.

B. An infra-red photograph along with a written report of each piece of equipment shall be provided upon completion of this task. For equipment showing no problems, a digital photo is sufficient; no written report required.

3. Inventory the electrical system in an excel, or equal, electronic table classified by equipment type and given rating such as voltage, current, KVA, AIC/Withstand, fuse size and any other specific information listed on the nameplate. Take a digital photo of each piece of equipment, even if there is no problem.

4. Verify one-line drawings and reline any changes.

PROCEDURES

7.2.2 Transformers, Liquid-Filled

A. Visual and Mechanical Inspection

1. Inspect physical and mechanical condition.

2. Inspect anchorage, alignment, and grounding.

3. Verify the presence of PCB labeling.

4. Prior to cleaning the unit, perform as-found tests, if required.

5. Clean bushings and control cabinets.

6. Verify operation of alarm, control, and trip circuits from temperature and level indicators, pressure-relief device, gas accumulator, and fault-pressure relay.

7. Verify that cooling fans and/or pumps operate correctly.

8. Inspect bolted electrical connections for high resistance using one or more of the following methods:

a. Use of a low-resistance ohmmeter in accordance with Section 7.2.2.B.1.

b. Verify tightness of accessible bolted electrical connections by calibrated torque wrench method in accordance with manufacturer’s published data or Table 100.12.

c. Perform a thermographic survey in accordance with Section 9.

9. Verify correct liquid level in tanks and bushings.

10. Verify that positive pressure is maintained on gas-blanketed transformers.

11. Perform inspections and mechanical tests as recommended by the manufacturer.

12. Test load tap-changer in accordance with Section 7.12.

13. Verify the presence of transformer surge arresters.

14. Perform as-left tests.

15. Verify de-energized tap-changer position is left as specified.

B. Electrical Tests

1. Perform resistance measurements through bolted connections with a low-resistance ohmmeter in accordance with Section 7.2.2.A.8.1.

2. Perform insulation-resistance tests, winding-to-winding and each winding-to-ground. Apply voltage in accordance with manufacturer’s published data. In the absence of manufacturer’s published data, use Table 100.5. Calculate polarization index.

3. Perform turns-ratio tests at the designated tap position.

4. Perform insulation power-factor or dissipation-factor tests on all windings in accordance with test equipment manufacturer’s published data.

5. Perform power-factor or dissipation-factor tests on each bushing equipped with a power factor/ capacitance tap. In the absence of a power-factor/capacitance tap, perform hot-collar tests. These tests shall be in accordance with the test equipment manufacturer’s published data.

6. Perform excitation-current tests in accordance with the test equipment manufacturer’s published data.

*7. Perform sweep frequency response analysis tests.

8. Measure the resistance of each winding at the designated tap position.

*9. If the core ground strap is accessible, remove and measure the core insulation resistance at

500 volts dc.

*10. Measure the percentage of oxygen in the gas blanket.

11. Remove a sample of insulating liquid in accordance with ASTM D923. The sample shall be tested for the following.

a. Dielectric-breakdown voltage: ASTM D1816

b. Acid neutralization number: ASTM D974 *c. Specific gravity: ASTM D1298

d. Interfacial tension: ASTM D971

e. Color: ASTM D1500

f. Visual condition: ASTM D1524

g. Water in insulating liquids: ASTM D1533 *h. Measure power factor or dissipation factor in accordance with ASTM D924

i. Remove a sample of insulating liquid in accordance with ASTM D3613 and perform dissolved-gas analysis (DGA) in accordance with IEEE C57.104 or ASTM D3612.

7.6.1.2 Circuit Breakers, Air, Low-Voltage Power

1. Visual and Mechanical Inspection

1. Compare equipment nameplate data with drawings and specifications.

2. Inspect physical and mechanical condition.

3. Inspect anchorage, alignment, and grounding.

4. Verify that all maintenance devices are available for servicing and operating the breaker.

5. Verify the unit is clean.

6. Verify the arc chutes are intact.

7. Inspect moving and stationary contacts for condition and alignment.

8. Verify that primary and secondary contact wipe and other dimensions vital to satisfactory operation of the breaker are correct.

9. Perform all mechanical operator and contact alignment tests on both the breaker and its operating mechanism in accordance with manufacturer’s published data.

10. Inspect bolted electrical connections for high resistance using one of the following methods:

1. Use of a low-resistance ohmmeter in accordance with Section 7.6.1.2.2.

11. Verify cell fit and element alignment.

12. Verify racking mechanism operation.

13. Verify appropriate lubrication on moving current-carrying parts and on moving and sliding surfaces.

14. Perform adjustments for final protective device settings in accordance with coordination study provided by end user.

15. Record as-found and as-left operation counter readings.

2. Electrical Tests

1. Perform resistance measurements through bolted connections with a low-resistance ohmmeter, if applicable, in accordance with Section 7.6.1.2.1.

2. Perform insulation-resistance tests for one minute on each pole, phase-to-phase and phase-to-ground with the circuit breaker closed, and across each open pole. Test voltage shall be in accordance with manufacturer’s published data. In the absence of manufacturer’s published data, use Table 100.1.

3. Perform a contact/pole-resistance test.

*4. Test functions of the trip unit by means of secondary injection.

RESULTS

The following is a summary of results, notes, and deficiencies for the tested equipment. The test data can be found in the data sheets section of this report. Most of the switchgear, MCCs and switchboards could not be tested for insulation resistance for safety issues and to protect equipment. Where it was safe to do, the test was performed.

Low Voltage Circuit Breaker

Building 20, Switchgear 20-SB, Tie Breaker – During the high current testing, the trip unit started smoking. The breaker did not trip on LT test, ST test, Instantaneous and Ground Fault. Breaker needs possible new trip coil. The trip unit and CTs need to be replaced as well.

Building 20, Switchgear 20-SB, Main 20-D1 2 – During the high current testing, the breaker failed as it would not trip on any function. Breaker need to be serviced and a new trip unit and CTs installed.

Bus Duct

Bus Duct #1 – TAll the disconnect switches on this bus duct were open, but the insulation resistance test was still affected by connected equipment.

Bus Duct #6 - All the disconnect switches on this bus duct were open, but the insulation resistance test was still affected by connected equipment.

MCC

MCC-2 – A lot of the auxiliary devices are disconnected and not being used. There are wires hanging, wirenutted and spliced throughout the MCC.

Chillers

Chiller #1 – The ammeter does not work and the CTs are not functional. C phase contact resistance is high on the switch.

Chiller #2 – Was locked out as a new chiller was being installed. No testing was performed.

Switchgear 20-SB

When the front panels were opened to perform maintenance on the two main and tie breakers, found the A phase CT behind Main 20-D had overheated at one point. That overheating melted most of its insulation and throughout the bus and switchgear. After tracing the CT wires, EPS found spade connectors were used at the door hinge for the CTs. CT wiring should never have a point to break in the wiring and should always be shorted out before disconnecting the wires at any point. The spade connector could have caused a weak connection and may have been the cause of the CT melting. These CTs are not in use any more as the metering was upgraded previously. The melted CT was removed from the switchgear. See photos below of the melted CT and the spade connectors.

Switchgear 20-SB Melted CT and Spade Connectors

THE

DATA SHEETS

PHASE AMPACITY

CATALOG NO.

Megger Walter BahrTESTED BY:

50000, REVISED 3/6/2020www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 50 Bus Duct

SUBSTATION

DATE

1st Floor - Room 1E-110B POSITION Bus Duct #7

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F

SWITCHBOARD TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

02691183 C/P 66 Busway

INSULATING MEMBERS

CUBICLES

GROUND CONNECTIONS

AUXILIARY DEVICES

INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION

OVERALL CLEANLINESS

RDG.

20°C

RDG.

20°C

RDG.

20°C

INSULATION RESISTANCE TEST RESULTS -

ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C

363.792000818253

334.112000751496

799.66400179863

799.66400179863

767.440001726151

Acceptable

Acceptable

Acceptable

Acceptable

N/A

N/A

N/A

N/A

N/A

N/A

NAMEPLATE DATA

General Electric

N/A 600 V

MEGOHMS

INSULATION TEST VOLTAGE

MANUFACTURER

N/A

600 A WITHSTAND RATING

DRAWING NO.

SERIAL NO. TYPE

VOLTAGE CLASS

CONDUCTORA kA CU AL

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE

RDG.

20°C

RDG.

J-Box Including Cables

BUS SECTION TESTED

20°C

A-GND

395.168000888825

B-GND C-GND N-GND A - B A - C B - C

PHASE

N/A

N/A

N/A 0 0 0

0 0 0

0 0 0

0 0 0N/A

A PHASEBUS SECTION TESTED B PHASE C PHASE

CONTACT RESISTANCE MICRO-OHM

COMMENTS: Could not test for contact resistance. No easy access to the direct bus.

DEFICIENCIES:

1500 N Westwood Blvd

Mike Wright 573-718-1172

Megger Walter BahrTESTED BY:

50000, REVISED 3/6/2020www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 50 Bus Duct

SUBSTATION

DATE

1st Floor - Room 1E-110B POSITION Bus Duct #8

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F

SWITCHBOARD TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

02691183 C/P 66 Busway

INSULATING MEMBERS

CUBICLES

GROUND CONNECTIONS

AUXILIARY DEVICES

INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION

OVERALL CLEANLINESS

RDG.

20°C

RDG.

20°C

RDG.

20°C

INSULATION RESISTANCE TEST RESULTS -

ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C

236.59200053215

276.448000621796

478.272001075745

588.5120013237

554.592001247406

Acceptable

Acceptable

Acceptable

Acceptable

N/A

N/A

N/A

N/A

N/A

N/A

NAMEPLATE DATA

General Electric

N/A 600 V

MEGOHMS

INSULATION TEST VOLTAGE

MANUFACTURER

N/A

600 A WITHSTAND RATING

DRAWING NO.

SERIAL NO. TYPE

VOLTAGE CLASS

CONDUCTORA kA CU AL

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE

RDG.

20°C

RDG.

J-Box Including Cables

BUS SECTION TESTED

20°C

A-GND

259.488000583649

B-GND C-GND N-GND A - B A - C B - C

PHASE

N/A

N/A

N/A 0 0 0

0 0 0

0 0 0

0 0 0N/A

A PHASEBUS SECTION TESTED B PHASE C PHASE

CONTACT RESISTANCE MICRO-OHM

COMMENTS: Could not test for contact resistance. No easy access to the direct bus.

DEFICIENCIES:

HUMIDITY 70 6th Floor Substation

SUBSTATION

DATE

6th Floor Substation POSITION H1B

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION78 °F

MOTOR CONTROL MCC TEST REPORT

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

Ductor Walter BahrTESTED BY:

31200, REVISED 5/18/2011www.epsii.com

EQPT. INVENTORY NO.

MCC ID H1B MODEL # N/A # OF BUCKETS

General Electric N/ASERIAL # VOLTAGE

480 V

Size 100 A 100 A 200 A 400 A

Rating 600 V 600 V 600 V 600 V

A

N/A N/A N/A

B

N/A N/A N/A

C

N/A N/A N/A

A

N/A N/A N/A N/A

B

N/A N/A N/A N/A

C

N/A N/A N/A N/A

A

N/A N/A N/A N/A

B

N/A N/A N/A N/A

C

N/A N/A N/A N/A

Md #/Cat # N/A N/A N/A N/A

Type (SS or HTR)

N/A N/A N/A N/A

A

N/A N/A N/A N/A

B

N/A N/A N/A N/A

C

N/A N/A N/A N/A

A

N/A N/A N/A N/A

B

N/A N/A N/A N/A

C

N/A N/A N/A N/A

Visual Inspect

N/A N/A N/A N/A

Operation Test N/A N/A N/A N/A

Bucket ID

No Name X-Ray Main

Contact Resistance

Insulation Resistance @ 1000V

(Meg Ohms)(Micro Ohms)

Insulation Resistance @ 1000V (Control)

(Meg Ohms)

O/L Data O/L Test

(Sec)

Breaker Test

(Sec) Comments Locked Out Locked Out Fuse Resistance - A-428, B-345, C-324 Fuse Resistance - A-167, B-168, C-162

No Name

MANUFACTURER

MCC DATA

COMMENTS:

DEFICIENCIES:

HUMIDITY 70 Building 1

DATE

6th Floor Substation POSITION MCC-2

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION78 °F

MOTOR CONTROL MCC TEST REPORT

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

Ductor Walter BahrTESTED BY:

31200, REVISED 5/18/2011www.epsii.com

EQPT. INVENTORY NO.

MCC ID MCC-2 MODEL # N/A # OF BUCKETS

General Electric 88384SERIAL # VOLTAGE

480 V

Size 50 A 100 A 125 A 100 A 40 A 20 A 20 A 30 A 125 A 30 A 30 A 30 A 30 A 250 A 400 A 20 A 20 A 50 A 20 A 30 A

1200 A

Rating 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Md #/Cat # N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Type (SS or HTR)

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Visual Inspect

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Operation Test N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Bucket ID

CW Pup P-17 A/C Unit No 5

P18 CW-Spare 20

A/C Unit #4 EXH-1 A/C Unit #5 EXH-2 A/C Unit #5 RAF-3 A/C Unit #4 SAF-1

VFD-2

Spray Pump 2

VFD-1

Spray Pump 1

RCU-2

RCU-1

HW Pump P. 16 HW Standby P. 15

Pump Spare

A/C Unit #4 RAF-2 Main

Contact Resistance

Insulation Resistance @ 1000V

(Meg Ohms)(Micro Ohms)

Insulation Resistance @ 1000V (Control)

(Meg Ohms)

O/L Data O/L Test

(Sec)

Breaker Test

(Sec) Comments

Fuse Resistance - A-55, B-51, C-44

Pump

MANUFACTURER

MCC DATA

COMMENTS: A lot of the auxilary devices are disconnected and not being used. There are wires hanging, wirenutted and spliced throughout the MCC.

DEFICIENCIES:

Megger Walter BahrTESTED BY:

50000, REVISED 3/6/2020www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 50 Bus Duct

SUBSTATION

DATE

Basement POSITION Bus Duct #1

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F

SWITCHBOARD TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

02691183 D/P 70 Busway

INSULATING MEMBERS

CUBICLES

GROUND CONNECTIONS

AUXILIARY DEVICES

INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION

OVERALL CLEANLINESS

RDG.

20°C

RDG.

20°C

RDG.

20°C

INSULATION RESISTANCE TEST RESULTS -

ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C

363.792000818253

334.112000751496

799.66400179863

799.66400179863

767.440001726151

Acceptable

Acceptable

Acceptable

Acceptable

N/A

N/A

N/A

N/A

N/A

N/A

NAMEPLATE DATA

General Electric

N/A 600 V

MEGOHMS

INSULATION TEST VOLTAGE

MANUFACTURER

N/A

600 A WITHSTAND RATING

DRAWING NO.

SERIAL NO. TYPE

VOLTAGE CLASS

CONDUCTORA kA CU AL

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE

RDG.

20°C

RDG.

J-Box Including Cables

BUS SECTION TESTED

20°C

A-GND

395.168000888825

B-GND C-GND N-GND A - B A - C B - C

PHASE

N/A

N/A

N/A 0 0 0

0 0 0

0 0 0

0 0 0N/A

A PHASEBUS SECTION TESTED B PHASE C PHASE

CONTACT RESISTANCE MICRO-OHM

COMMENTS: Could not test for contact resistance. No easy access to the direct bus.

Could not test for insulation resistance as something is on that we cannot find to turn off.

DEFICIENCIES:

VERIFY FUSE HOLDER SUPPORT

Ductor Walter BahrTESTED BY:

15510, REVISED 3/13/2017www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 40 Building 3

SUBSTATION

DATE

Building 3 POSITION 3A Disconnect

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION77 °F

LOW VOLTAGE AIR SWITCH

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

100 A

SHUNT TRIP

NAMEPLATE DATA

N/A

FRN - R - 100

MANUFACTURER MODEL NO.

AMPACITY 240 V

SERIAL NUMBER N/A

N/A

N/AVOLTAGE

N/A

CONTROL VOLTAGE

Westinghouse TYPE

CATALOG NO.

NO N/AN/AINTERRUPT CAPACITY Other

MANUFACTURER

600 VVOLTAGE RATING N/A N/AOtherAMPACITY

CATALOG NO.N/AFusetron CLASS

100 A INTERRUPT RATING

VISUAL & MECHANICAL INSPECTION

INSPECT GROUNDING

PERFORM AS-FOUND TESTS IF REQUIRED

CLEAN UNIT

VERIFY BLADE ALIGNMENT & PENETRATION

VERIFY FUSE SIZES & TYPES

THERMOGRAPHIC SURVEY

INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES

INSPECT PHYSICAL & MECHANICAL CONDITION

VERIFY TRAVEL STOPS & MECHANICAL OPERATION

Y

LOW RESISTANCE OHMMETERWITH ONE OF: Y

INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE

TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING

INSPECT INSULATING ASSEMBLIES

VERIFY ALL INDICATING & CONTROL DEVICES

LUBRICATE MOVING CURRENT-CARRYING PARTS

LUBRICATE MOVING & SLIDING SURFACES

N/A N/A Y Y Y Y N/A

Y Y Y Y Y Y

Y

CALIBRATED TORQUE WRENCH

Y

ELECTRICAL TESTS

NVERIFY HEATER OPERATION

AS FOUND

680.00

0.00

1.80

AS LEFT AS FOUND

678.00

0.00

1.20

AS LEFT

678.00

0.00

676.00

AS FOUND

676.00

0.00

AS LEFT

676.00

0.00

BOLTED

CONNECTIONS

0.00

0.00

0.00

POLE 1 (P1-P2)

0.00

POLE 2 (P2-P3) POLE 3 (P1-P3)

0.00

680.00

0.00

1.80 1.401.401.20

LOAD

LINE

FUSE

FUSE HOLDER

CONTACT

POLE 3POLE 2POLE 1RESISTANCE

MEASUREMENTS

0.000.000.00

POLE TO POLE

POLE TO FRAME

LINE TO LOAD

INSULATION RESISTANCE TEST RESULTS 1 KVDC

0.00

FUSE DATA

μΩ μΩ μΩ μΩ μΩ

MΩ

MΩ

MΩ

15510, REVISED 3/13/2017www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 40 Building 3

SUBSTATION

DATE

Building 3 POSITION 3B Disconnect

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION77 °F

LOW VOLTAGE AIR SWITCH

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

100 A

SHUNT TRIP

NAMEPLATE DATA

N/A

FRN - R - 100

MANUFACTURER MODEL NO.

AMPACITY 240 V

SERIAL NUMBER N/A

N/A

N/AVOLTAGE

N/A

CONTROL VOLTAGE

Westinghouse TYPE

CATALOG NO.

NO N/AN/AINTERRUPT CAPACITY Other

MANUFACTURER

600 VVOLTAGE RATING N/A N/AOtherAMPACITY

CATALOG NO.N/AFusetron CLASS

100 A INTERRUPT RATING

VISUAL & MECHANICAL INSPECTION

INSPECT GROUNDING

PERFORM AS-FOUND TESTS IF REQUIRED

CLEAN UNIT

VERIFY BLADE ALIGNMENT & PENETRATION

VERIFY FUSE SIZES & TYPES

THERMOGRAPHIC SURVEY

INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES

INSPECT PHYSICAL & MECHANICAL CONDITION

VERIFY TRAVEL STOPS & MECHANICAL OPERATION

Y

LOW RESISTANCE OHMMETERWITH ONE OF: Y

INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE

TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING

INSPECT INSULATING ASSEMBLIES

VERIFY ALL INDICATING & CONTROL DEVICES

LUBRICATE MOVING CURRENT-CARRYING PARTS

LUBRICATE MOVING & SLIDING SURFACES

N/A N/A Y Y Y Y N/A

Y Y Y Y Y Y

Y

CALIBRATED TORQUE WRENCH

Y

ELECTRICAL TESTS

NVERIFY HEATER OPERATION

AS FOUND

1.38

0.00

2.55

AS LEFT AS FOUND

1.20

0.00

2.27

AS LEFT

1.20

0.00

AS FOUND

1.10

0.00

AS LEFT

1.10

0.00

BOLTED

CONNECTIONS

0.00

0.00

0.00

POLE 1 (P1-P2)

0.00

POLE 2 (P2-P3) POLE 3 (P1-P3)

0.00

1.38

0.00

2.55 2.362.362.27

LOAD

LINE

FUSE

FUSE HOLDER

CONTACT

POLE 3POLE 2POLE 1RESISTANCE

MEASUREMENTS

0.000.000.00

POLE TO POLE

POLE TO FRAME

LINE TO LOAD

INSULATION RESISTANCE TEST RESULTS 1 KVDC

0.00

FUSE DATA

μΩ μΩ μΩ μΩ μΩ

MΩ

MΩ

MΩ

15510, REVISED 3/13/2017www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 40 Building 4

SUBSTATION

DATE

Building 4 POSITION 4A Disconnect

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION77 °F

LOW VOLTAGE AIR SWITCH

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

100 A

SHUNT TRIP

NAMEPLATE DATA

N/A

FRN - R - 100

MANUFACTURER MODEL NO.

AMPACITY 240 V

SERIAL NUMBER N/A

N/A

N/AVOLTAGE

N/A

CONTROL VOLTAGE

Westinghouse TYPE

CATALOG NO.

NO N/AN/AINTERRUPT CAPACITY Other

MANUFACTURER

600 VVOLTAGE RATING N/A N/AOtherAMPACITY

CATALOG NO.N/AFusetron CLASS

100 A INTERRUPT RATING

VISUAL & MECHANICAL INSPECTION

INSPECT GROUNDING

PERFORM AS-FOUND TESTS IF REQUIRED

CLEAN UNIT

VERIFY BLADE ALIGNMENT & PENETRATION

VERIFY FUSE SIZES & TYPES

THERMOGRAPHIC SURVEY

INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES

INSPECT PHYSICAL & MECHANICAL CONDITION

VERIFY TRAVEL STOPS & MECHANICAL OPERATION

Y

LOW RESISTANCE OHMMETERWITH ONE OF: Y

INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE

TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING

INSPECT INSULATING ASSEMBLIES

VERIFY ALL INDICATING & CONTROL DEVICES

LUBRICATE MOVING CURRENT-CARRYING PARTS

LUBRICATE MOVING & SLIDING SURFACES

N/A Y Y Y Y N/A

Y Y Y Y Y Y

Y

CALIBRATED TORQUE WRENCH

Y

ELECTRICAL TESTS

NVERIFY HEATER OPERATION

AS FOUND

671.00

0.00

1.70

AS LEFT AS FOUND

677.00

0.00

2.60

AS LEFT

677.00

0.00

AS FOUND

676.00

0.00

AS LEFT

676.00

0.00

BOLTED

CONNECTIONS

0.00

0.00

0.00

POLE 1 (P1-P2)

0.00

POLE 2 (P2-P3) POLE 3 (P1-P3)

0.00

671.00

0.00

1.70 2.902.902.60

LOAD

LINE

FUSE

FUSE HOLDER

CONTACT

POLE 3POLE 2POLE 1RESISTANCE

MEASUREMENTS

0.000.000.00

POLE TO POLE

POLE TO FRAME

LINE TO LOAD

INSULATION RESISTANCE TEST RESULTS 1 KVDC

0.00

FUSE DATA

μΩ μΩ μΩ μΩ μΩ

MΩ

MΩ

MΩ

15510, REVISED 3/13/2017www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 40 Building 4

SUBSTATION

DATE

Building 4 POSITION 4B Disconnect

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION77 °F

LOW VOLTAGE AIR SWITCH

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

200 A

SHUNT TRIP

NAMEPLATE DATA

N/A

N/A

MANUFACTURER MODEL NO.

AMPACITY 240 V

SERIAL NUMBER N/A

N/A

N/AVOLTAGE

N/A

CONTROL VOLTAGE

Square D TYPE

CATALOG NO.

NO N/AN/AINTERRUPT CAPACITY Other

MANUFACTURER

600 VVOLTAGE RATING N/A N/AOtherAMPACITY

CATALOG NO.N/AFusetron CLASS

200 A INTERRUPT RATING

VISUAL & MECHANICAL INSPECTION

INSPECT GROUNDING

PERFORM AS-FOUND TESTS IF REQUIRED

CLEAN UNIT

VERIFY BLADE ALIGNMENT & PENETRATION

VERIFY FUSE SIZES & TYPES

THERMOGRAPHIC SURVEY

INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES

INSPECT PHYSICAL & MECHANICAL CONDITION

VERIFY TRAVEL STOPS & MECHANICAL OPERATION

Y

LOW RESISTANCE OHMMETERWITH ONE OF: Y

INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE

TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING

INSPECT INSULATING ASSEMBLIES

VERIFY ALL INDICATING & CONTROL DEVICES

LUBRICATE MOVING CURRENT-CARRYING PARTS

LUBRICATE MOVING & SLIDING SURFACES

N/A Y Y Y Y N/A

Y Y Y Y Y Y

Y

CALIBRATED TORQUE WRENCH

Y

ELECTRICAL TESTS

NVERIFY HEATER OPERATION

AS FOUND

267.00

0.00

276.00

AS LEFT AS FOUND

260.00

0.00

279.00

AS LEFT

260.00

0.00

AS FOUND

293.00

0.00

AS LEFT

293.00

0.00

BOLTED

CONNECTIONS

0.00

0.00

0.00

POLE 1 (P1-P2)

0.00

POLE 2 (P2-P3) POLE 3 (P1-P3)

0.00

267.00

0.00

276.00 204.00204.00279.00

LOAD

LINE

FUSE

FUSE HOLDER

CONTACT

POLE 3POLE 2POLE 1RESISTANCE

MEASUREMENTS

0.000.000.00

POLE TO POLE

POLE TO FRAME

LINE TO LOAD

INSULATION RESISTANCE TEST RESULTS 1 KVDC

0.00

FUSE DATA

μΩ μΩ μΩ μΩ μΩ

MΩ

MΩ

MΩ

15510, REVISED 3/13/2017www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY Building 5

SUBSTATION

DATE

Building 5 POSITION Building 5 Main Disconnect

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION°F

LOW VOLTAGE AIR SWITCH

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

400 A

SHUNT TRIP

NAMEPLATE DATA

N/A

FRN - R - 400

MANUFACTURER MODEL NO.

AMPACITY 240 V

SERIAL NUMBER N/A

N/A

N/AVOLTAGE

N/A

CONTROL VOLTAGE

N/A TYPE

CATALOG NO.

NO N/AN/AINTERRUPT CAPACITY Other

MANUFACTURER

250 VVOLTAGE RATING N/A N/AOtherAMPACITY

CATALOG NO.N/AFusetron CLASS

400 A INTERRUPT RATING

VISUAL & MECHANICAL INSPECTION

INSPECT GROUNDING

PERFORM AS-FOUND TESTS IF REQUIRED

CLEAN UNIT

VERIFY BLADE ALIGNMENT & PENETRATION

VERIFY FUSE SIZES & TYPES

THERMOGRAPHIC SURVEY

INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES

INSPECT PHYSICAL & MECHANICAL CONDITION

VERIFY TRAVEL STOPS & MECHANICAL OPERATION

Y

LOW RESISTANCE OHMMETERWITH ONE OF: Y

INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE

TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING

INSPECT INSULATING ASSEMBLIES

VERIFY ALL INDICATING & CONTROL DEVICES

LUBRICATE MOVING CURRENT-CARRYING PARTS

LUBRICATE MOVING & SLIDING SURFACES

N/A N/A Y Y Y Y Y

Y Y Y Y Y Y

Y

CALIBRATED TORQUE WRENCH

Y

ELECTRICAL TESTS

N/AVERIFY HEATER OPERATION

AS FOUND

155.00

0.00

45.00

AS LEFT AS FOUND

137.00

0.00

39.00

AS LEFT

137.00

0.00

AS FOUND

155.00

0.00

AS LEFT

155.00

0.00

BOLTED

CONNECTIONS

0.00

0.00

0.00

POLE 1 (P1-P2)

0.00

POLE 2 (P2-P3) POLE 3 (P1-P3)

0.00

155.00

0.00

45.00 37.0037.0039.00

LOAD

LINE

FUSE

FUSE HOLDER

CONTACT

POLE 3POLE 2POLE 1RESISTANCE

MEASUREMENTS

0.000.000.00

POLE TO POLE

POLE TO FRAME

LINE TO LOAD

INSULATION RESISTANCE TEST RESULTS 1 KVDC

0.00

FUSE DATA

μΩ μΩ μΩ μΩ μΩ

MΩ

MΩ

MΩ

HUMIDITY 80 Building 7

DATE

Building 7 FDS POSITION Building 7 FDS

5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION72 °F

FUSED DISCONNECT INSPECTION & TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

INSULATION TEST VOLTAGE

K1 = (VOLTAGE MULTIPLIER) (RANGE MULTIPLIER) = (

EQUIPMENT TEMPERATURE

MAX. VOLTS

TYPE

SERIES

SIZE

CATALOG NO.

MANUFACTURER

DESCRIPTION

OVERALL CLEANLINESS

CUBICLES

AUXILIARY DEVICES

CONDITION CLEANED/LUBEDINSPECTED

INSULATING MEMBERS

GROUND CONNECTION

K2 = (K1) (TCF) =

PHASE

B

240 V kVDC

17 0.85

Fusetron

Ductor Walter BahrTESTED BY:

15601, REVISED 7/17/2009www.epsii.com

TEST EQUIPMENT USED:

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF

Acceptable C

N/A N/A

N/A N/A

Acceptable C

Acceptable N/A

N/A

NAMEPLATE DATA

TEST RESULTS

Vacu-Break

ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C

600 A

°C

Gould

SN426

81 96

TYPE

POSITION

PH

B-GND

PH

C-GND

PH

A-B

PH

A-GND

PH

A-C

PH

B-C

INSULATION RESISTANCE - MEGOHMS

PHASE

A

PHASE

C

CONTACT RESISTANCE

MICRO-OHMS

FDS

SIZE

600 A

FUSE DATA

124 115 108

RESISTANCE - MICRO-OHMS

A B C

COMMENTS:

DEFICIENCIES:

15510, REVISED 3/13/2017www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 70 Chiller Room

SUBSTATION

DATE

Chiller #1 POSITION Chiller #1

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F

LOW VOLTAGE AIR SWITCH

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

400 A

SHUNT TRIP

NAMEPLATE DATA

5YC88586-1

FRN-R-400

MANUFACTURER MODEL NO.

AMPACITY 480 V

SERIAL NUMBER N/A

Air Switch

N/AVOLTAGE

N/A

CONTROL VOLTAGE

Westinghouse TYPE

CATALOG NO.

NO N/A200 kAINTERRUPT CAPACITY Other

MANUFACTURER

300 VVOLTAGE RATING 200 kA N/AOtherAMPACITY

CATALOG NO.RK5Fusetron CLASS

400 A INTERRUPT RATING

VISUAL & MECHANICAL INSPECTION

INSPECT GROUNDING

PERFORM AS-FOUND TESTS IF REQUIRED

CLEAN UNIT

VERIFY BLADE ALIGNMENT & PENETRATION

VERIFY FUSE SIZES & TYPES

THERMOGRAPHIC SURVEY

INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES

INSPECT PHYSICAL & MECHANICAL CONDITION

VERIFY TRAVEL STOPS & MECHANICAL OPERATION

Y

LOW RESISTANCE OHMMETERWITH ONE OF: Y

INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE

TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING

INSPECT INSULATING ASSEMBLIES

VERIFY ALL INDICATING & CONTROL DEVICES

LUBRICATE MOVING CURRENT-CARRYING PARTS

LUBRICATE MOVING & SLIDING SURFACES

N N Y Y Y Y Y

Y Y Y Y Y Y

Y

CALIBRATED TORQUE WRENCH

Y

ELECTRICAL TESTS

N/AVERIFY HEATER OPERATION

AS FOUND

205.00

0.00

162.00

AS LEFT AS FOUND

205.00

0.00

201.00

AS LEFT

205.00

0.00

AS FOUND

204.00

0.00

AS LEFT

204.00

0.00

BOLTED

CONNECTIONS

0.00

0.00

0.00

POLE 1 (P1-P2)

0.00

POLE 2 (P2-P3) POLE 3 (P1-P3)

0.00

205.00

0.00

162.00 376.00376.00201.00

LOAD

LINE

FUSE

FUSE HOLDER

CONTACT

POLE 3POLE 2POLE 1RESISTANCE

MEASUREMENTS

0.000.000.00

POLE TO POLE

POLE TO FRAME

LINE TO LOAD

INSULATION RESISTANCE TEST RESULTS 1 KVDC

0.00

FUSE DATA

μΩ μΩ μΩ μΩ μΩ

MΩ

MΩ

MΩ

15510, REVISED 3/13/2017www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 80 Chiller Room

SUBSTATION

DATE

Chiller #2 POSITION Chiller #2

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION69 °F

LOW VOLTAGE AIR SWITCH

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

N/A

SHUNT TRIP

NAMEPLATE DATA

5YC88586-1

N/A

MANUFACTURER MODEL NO.

AMPACITY 460 V

SERIAL NUMBER N/A

TRM - Aire

N/AVOLTAGE

N/A

CONTROL VOLTAGE

Westinghouse TYPE

CATALOG NO.

NO N/AN/AINTERRUPT CAPACITY Other

MANUFACTURER

N/AVOLTAGE RATING N/A N/AOtherAMPACITY

CATALOG NO.N/AN/A CLASS

N/A INTERRUPT RATING

VISUAL & MECHANICAL INSPECTION

INSPECT GROUNDING

PERFORM AS-FOUND TESTS IF REQUIRED

CLEAN UNIT

VERIFY BLADE ALIGNMENT & PENETRATION

VERIFY FUSE SIZES & TYPES

THERMOGRAPHIC SURVEY

INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES

INSPECT PHYSICAL & MECHANICAL CONDITION

VERIFY TRAVEL STOPS & MECHANICAL OPERATION

Y

LOW RESISTANCE OHMMETERWITH ONE OF: N

INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE

TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING

INSPECT INSULATING ASSEMBLIES

VERIFY ALL INDICATING & CONTROL DEVICES

LUBRICATE MOVING CURRENT-CARRYING PARTS

LUBRICATE MOVING & SLIDING SURFACES

N N N N N N N

N N N N N N

Y

CALIBRATED TORQUE WRENCH

N

ELECTRICAL TESTS

N/AVERIFY HEATER OPERATION

AS FOUND

0.00

0.00

0.00

AS LEFT AS FOUND

0.00

0.00

0.00

AS LEFT

0.00

0.00

0.00

AS FOUND

0.00

0.00

AS LEFT

0.00

0.00

BOLTED

CONNECTIONS

0.00

0.00

0.00

POLE 1 (P1-P2)

0.00

POLE 2 (P2-P3) POLE 3 (P1-P3)

0.00

0.00

0.00

0.00 0.000.000.00

LOAD

LINE

FUSE

FUSE HOLDER

CONTACT

POLE 3POLE 2POLE 1RESISTANCE

MEASUREMENTS

0.000.000.00

POLE TO POLE

POLE TO FRAME

LINE TO LOAD

INSULATION RESISTANCE TEST RESULTS 1 KVDC

0.00

FUSE DATA

μΩ μΩ μΩ μΩ μΩ

MΩ

MΩ

MΩ

Megger Walter BahrTESTED BY:

50000, REVISED 3/6/2020www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 50 Bus Duct

SUBSTATION

DATE

Ground Floor - Room GC-009B POSITION Bus Duct #5

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F

SWITCHBOARD TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

02691183 C/P 66 Busway

INSULATING MEMBERS

CUBICLES

GROUND CONNECTIONS

AUXILIARY DEVICES

INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION

OVERALL CLEANLINESS

RDG.

20°C

RDG.

20°C

RDG.

20°C

INSULATION RESISTANCE TEST RESULTS -

ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C

306.128000688553

281.53600063324

624.976001405716

639.392001438141

559.68000125885

Acceptable

Acceptable

Acceptable

Acceptable

N/A

N/A

N/A

N/A

N/A

N/A

NAMEPLATE DATA

General Electric

N/A 600 V

MEGOHMS

INSULATION TEST VOLTAGE

MANUFACTURER

N/A

600 A WITHSTAND RATING

DRAWING NO.

SERIAL NO. TYPE

VOLTAGE CLASS

CONDUCTORA kA CU AL

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE

RDG.

20°C

RDG.

J-Box Including Cables

BUS SECTION TESTED

20°C

A-GND

328.176000738144

B-GND C-GND N-GND A - B A - C B - C

PHASE

N/A

N/A

N/A 0 0 0

0 0 0

0 0 0

0 0 0N/A

A PHASEBUS SECTION TESTED B PHASE C PHASE

CONTACT RESISTANCE MICRO-OHM

COMMENTS: Could not test for contact resistance. No easy access to the direct bus.

DEFICIENCIES:

Megger Walter BahrTESTED BY:

50000, REVISED 3/6/2020www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 50 Bus Duct

SUBSTATION

DATE

Ground Floor - Room GC-009B POSITION Bus Duct #6

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F

SWITCHBOARD TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

02691183 C/P 66 Busway

INSULATING MEMBERS

CUBICLES

GROUND CONNECTIONS

AUXILIARY DEVICES

INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION

OVERALL CLEANLINESS

RDG.

20°C

RDG.

20°C

RDG.

20°C

INSULATION RESISTANCE TEST RESULTS -

ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C

Acceptable

Acceptable

Acceptable

Acceptable

N/A

N/A

N/A

N/A

N/A

N/A

NAMEPLATE DATA

General Electric

N/A 600 V

MEGOHMS

INSULATION TEST VOLTAGE

MANUFACTURER

N/A

600 A WITHSTAND RATING

DRAWING NO.

SERIAL NO. TYPE

VOLTAGE CLASS

CONDUCTORA kA CU AL

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE

RDG.

20°C

RDG.

J-Box Including Cables

BUS SECTION TESTED

20°C

A-GND

B-GND C-GND N-GND A - B A - C B - C

PHASE

N/A

N/A

N/A 0 0 0

0 0 0

0 0 0

0 0 0N/A

A PHASEBUS SECTION TESTED B PHASE C PHASE

CONTACT RESISTANCE MICRO-OHM

COMMENTS: Could not test for contact resistance. No easy access to the direct bus.

Could not test for insulation resistance as something is on shorting the test that we could not find.

DEFICIENCIES:

Megger Walter BahrTESTED BY:

50000, REVISED 3/6/2020www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 50 Bus Duct

SUBSTATION

DATE

Ground Floor Electric Closet GA-01D POSITION Bus Duct #2

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F

SWITCHBOARD TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

02691183 B/P 39 Busway

INSULATING MEMBERS

CUBICLES

GROUND CONNECTIONS

AUXILIARY DEVICES

INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION

OVERALL CLEANLINESS

RDG.

20°C

RDG.

20°C

RDG.

20°C

INSULATION RESISTANCE TEST RESULTS -

ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C

636.848001432419

653.808001470566

1,740

,475.52000331879

1,350

,144.80000257492

1,390

,178.72000265122

Acceptable

Acceptable

Acceptable

Acceptable

N/A

N/A

N/A

N/A

N/A

N/A

NAMEPLATE DATA

General Electric

N/A 600 V

MEGOHMS

INSULATION TEST VOLTAGE

MANUFACTURER

N/A

800 A WITHSTAND RATING

DRAWING NO.

SERIAL NO. TYPE

VOLTAGE CLASS

CONDUCTORA kA CU AL

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE

RDG.

20°C

RDG.

J-Box Including Cables

BUS SECTION TESTED

20°C

A-GND

658.89600148201

B-GND C-GND N-GND A - B A - C B - C

PHASE

N/A

N/A

N/A 0 0 0

0 0 0

0 0 0

0 0 0N/A

A PHASEBUS SECTION TESTED B PHASE C PHASE

CONTACT RESISTANCE MICRO-OHM

COMMENTS: Could not test for contact resistance. No easy access to the direct bus.

DEFICIENCIES:

HUMIDITY 55 Chiller Room

DATE

MCC-1 POSITION MCC-1

5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F

MOTOR CONTROL MCC TEST REPORT

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

Cleaning Supplies Walter BahrTESTED BY:

31200, REVISED 5/18/2011www.epsii.com

EQPT. INVENTORY NO.

MCC ID MCC-1 MODEL # N/A # OF BUCKETS

Square D N/ASERIAL # VOLTAGE

480/277

Size 30 A 30 A 50 A 60 A 100 A 60 A 60 A 60 A 100 A 100 A 70 A 30 A 100 A 100 A 150 A 20 A

Rating 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Md #/Cat # N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Type (SS or HTR)

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

A

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

C

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Visual Inspect

A A A A A A A A A A A A A A A A

Operation Test

A A A A A A A A A A A A A A A A

Bucket ID

Pump P-2 Pump P-11 Pump P-10

Cooling Tower 2 Pump P-14 Pump P-12 A/C Roof

Spare Spare

45 kva Tranformer

MCC-1

Cooling Tower 1 Spare

MRI Unit (Outside) Pump P-15

Contact Resistance

Insulation Resistance @ 1000V

(Meg Ohms)(Micro Ohms)

Insulation Resistance @ 1000V (Control)

(Meg Ohms)

O/L Data O/L Test

(Sec)

Breaker Test

(Sec) Comments Pump P-1

MANUFACTURER

MCC DATA

COMMENTS:

DEFICIENCIES:

MEGGER, DUCTOR, PRIMARY INJECTION TEST Walter BahrTESTED BY:

15055RIC, REVISED 3/14/2019www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 55 Chiller Room

SUBSTATION

DATE

Sub-C POSITION ATS-5

5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F

LOW VOLTAGE POWER CIRCUIT BREAKER TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

D.O.

ZONE INTLK

THERMAL MEMORY

FRAME SIZE(F)

BREAKER TYPE

TRIP UNIT TYPE

N/A

CUBICLE CODE

SN / SO NO.

MOUNTING

TARGETS

400 ASquare D

LX136400G

N/A

400 A B.I.

OFFON

I Limiter 53B

FUSE CAT. NO.

Micrologic Standard B

SENSOR TAPS

N/A

CATALOG NO.

MANUFACTURER

CU AL

INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE

SIZELOAD CONDUCTOR NO.

CAcceptable

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

DESCRIPTION

ARC CHUTES

AUXILIARY DEVICES

GROUND CONNECTION

DESCRIPTION

CUBICLE AND RACKING DEVICES

CONTACT FINGERS

LOADING AND ARCING CONTACTS

OVERCURRENT DEV. BATTERY

N/A

N/A

GRD. FLT.

GRD. FLT. 4W3W

A=

AA

x

A

A

A

A = A400

1,000

400 400

1,000

4W3W A x 400

SENSOR TAP 400

RATING PLUG(R)

SENSOR TAP

RATING PLUG(R)

N/A

N/A

N/A

N/A

N/A

DRAWING

N/A

N/A

N/A

N/A

N/A

GRD. FLT.

INST.

SHORT

LONG

FUNCTION

SHORT

LONG

PICKUP

N/A800=

INST.

GRD. FLT.

SETTINGS AS FOUND

A

80 N/A

SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING

2.5

0.2

2.5

0.2

CURVE

N/A

N/A

DELAY

DELAY

0.1 I2T OFF

0.2 I2T ON

0.1 I2T OFF

0.2 I2T ON

POLE 1

FUNCTION

POLE 2

AS FOUND

(seconds)

TIME BAND

MINIMUM MAXIMUM

POLE 3

CURRENT

MULTIPLE

AS FOUND

(seconds)

AS FOUND

(seconds)

AS LEFT

(seconds)

AS LEFT

(seconds)

PAIR CURRENT AND TIME ON ALL TESTS

3 6.04 6.04 6.06 6.06 NT NT

LTPU (amps) 1,200 1,200 1,200 1,200 NT NT

VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT

LONG TIME

1,200

AS LEFT

(seconds)

TEST

AMPERES

STPU (amps)

0.12

NT

0.12

NT

0.12

NT

0.12

NT

NT

NT

NT

NT

1,200 1.5

SHORT TIME

1,101

NT

1,101

NT

1,036

NT

1,036

NT

NT

NT

NT

NT

2.51,000

INSTANTANEOUS

IPU (amps)

GROUND FAULT

0.21

NT

0.21

NT

0.21

NT

0.21

NT

0.21

NT

0.21

NT

120 1.5

GFPU (amps)

EQUIPMENT TEMPERATURE

20°C

READING

POLE 3POLE 2

READING 20°C 20°C

20°C

16.96

16.96

16.96

16.96

16.96 131

POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)

N/A N/A

CONTROL WIRING

POLE TO FRAME

POLE TO POLE

READING READING

LINE TO LOAD

COUNTER READING BEG/END

INSULATION

RESISTANCE

POLE 1

READING

0.848°C

G

G

20 G

GG G

GG

20 G

G

G

16.96

16.96

16.96

G 16.96

G

G

G

G

G

G

G GNT

MICRO-OHMSPOLE RESISTANCE -

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16

PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:

COMMENTS: Breaker was tested using the loop test in order to bypass ground fault.

DEFICIENCIES:

TEST EQUIPMENT USED:

HUMIDITY 55 Chiller Room

SUBSTATION

DATE

Sub-C POSITION Main

5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION66 °F

LOW VOLTAGE POWER CIRCUIT BREAKER TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

D.O.

ZONE INTLK

THERMAL MEMORY

FRAME SIZE(F)

BREAKER TYPE

TRIP UNIT TYPE

085120171701

CUBICLE CODE

SN / SO NO.

MOUNTING

TARGETS

3000 ASquare D

WL3HHG44A9C5XXXXXXX

N/A

3000 A B.I.

OFFON

MasterPact NW30H

FUSE CAT. NO.

Micrologic 6.0 A

SENSOR TAPS

N/A

CATALOG NO.

MANUFACTURER

CU AL

INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE

SIZELOAD CONDUCTOR NO.

CAcceptable

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

DESCRIPTION

ARC CHUTES

AUXILIARY DEVICES

GROUND CONNECTION

DESCRIPTION

CUBICLE AND RACKING DEVICES

CONTACT FINGERS

LOADING AND ARCING CONTACTS

OVERCURRENT DEV. BATTERY

N/A

N/A

GRD. FLT.

GRD. FLT. 4W3W

A=

AA

x

A

A

A

A = A3,000

18,000

3,000 3,000

30,000

3,000

4W3W A x 3,000

SENSOR TAP 3,000

3,000

RATING PLUG(R)

SENSOR TAP

RATING PLUG(R)

N/A

N/A

N/A

N/A

N/A

DRAWING

N/A

N/A

N/A

N/A

N/A

GRD. FLT.

INST.

SHORT

LONG

FUNCTION

SHORT

LONG

PICKUP

N/A30,000=

INST.

GRD. FLT.

SETTINGS AS FOUND

3,000

A

500 N/A

SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING

Off

A

Off

A

CURVE

N/A

N/A

DELAY

DELAY

0.1 I2T ON

0 I2T OFF

0.1 I2T ON

0 I2T OFF

POLE 1

FUNCTION

POLE 2

AS FOUND

(seconds)

TIME BAND

MINIMUM MAXIMUM

POLE 3

CURRENT

MULTIPLE

AS FOUND

(seconds)

AS FOUND

(seconds)

AS LEFT

(seconds)

AS LEFT

(seconds)

PAIR CURRENT AND TIME ON ALL TESTS

3 3.974 3.974 4.051 4.051 4.069 4.069

LTPU (amps) NT NT NT NT NT NT

VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT

LONG TIME

12,000

AS LEFT

(seconds)

TEST

AMPERES

STPU (amps)

0.146

NT

0.146

NT

0.144

NT

0.144

NT

0.146

NT

0.146

NT

27,000 1.5

SHORT TIME

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

INSTANTANEOUS

IPU (amps)

GROUND FAULT

0.036

NT

0.036

NT

0.036

NT

0.036

NT

0.036

NT

0.036

NT

750 1.5

GFPU (amps)

EQUIPMENT TEMPERATURE

20°C

READING

POLE 3POLE 2

READING 20°C 20°C

20°C

16.96

16.96

16.96

16.96

16.96 15

POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)

N/A N/A

CONTROL WIRING

POLE TO FRAME

POLE TO POLE

READING READING

LINE TO LOAD

COUNTER READING BEG/END

INSULATION

RESISTANCE

POLE 1

READING

0.848°C

G

G

20 G

GG G

GG

20 G

G

G

16.96

16.96

16.96

G 16.96

G

G

G

G

G

G

G GNT

MICRO-OHMSPOLE RESISTANCE -

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16

PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:

COMMENTS: Short Time Pickup was lowered to 6 for testing.

DEFICIENCIES:

TEST EQUIPMENT USED:

HUMIDITY 80 Chiller Room

SUBSTATION

DATE

Sub-C POSITION MCC-1

5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F

LOW VOLTAGE POWER CIRCUIT BREAKER TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

D.O.

ZONE INTLK

THERMAL MEMORY

FRAME SIZE(F)

BREAKER TYPE

TRIP UNIT TYPE

N/A

CUBICLE CODE

SN / SO NO.

MOUNTING

TARGETS

400 ASquare D

LX136400G

N/A

400 A B.I.

OFFON

I Limiter 53B

FUSE CAT. NO.

Micrologic Standard B

SENSOR TAPS

N/A

CATALOG NO.

MANUFACTURER

CU AL

INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE

SIZELOAD CONDUCTOR NO.

CAcceptable

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

DESCRIPTION

ARC CHUTES

AUXILIARY DEVICES

GROUND CONNECTION

DESCRIPTION

CUBICLE AND RACKING DEVICES

CONTACT FINGERS

LOADING AND ARCING CONTACTS

OVERCURRENT DEV. BATTERY

N/A

N/A

GRD. FLT.

GRD. FLT. 4W3W

A=

AA

x

A

A

A

A = A400

2,800

400 400

2,800

2,800

4W3W A x 400

SENSOR TAP 400

RATING PLUG(R)

SENSOR TAP

RATING PLUG(R)

N/A

N/A

N/A

N/A

N/A

DRAWING

N/A

N/A

N/A

N/A

N/A

GRD. FLT.

INST.

SHORT

LONG

FUNCTION

SHORT

LONG

PICKUP

N/A2,800=

INST.

GRD. FLT.

SETTINGS AS FOUND

A

80 N/A

SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING

0.2

0.2

CURVE

N/A

N/A

DELAY

DELAY

0.1 I2T OFF

0.1 I2T OFF

0.1 I2T OFF

0.1 I2T OFF

POLE 1

FUNCTION

POLE 2

AS FOUND

(seconds)

TIME BAND

MINIMUM MAXIMUM

POLE 3

CURRENT

MULTIPLE

AS FOUND

(seconds)

AS FOUND

(seconds)

AS LEFT

(seconds)

AS LEFT

(seconds)

PAIR CURRENT AND TIME ON ALL TESTS

3 49.67 49.67 48.62 48.62 NT NT

LTPU (amps) 1,200 1,200 1,200 1,200 NT NT

VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT

LONG TIME

1,200

AS LEFT

(seconds)

TEST

AMPERES

STPU (amps)

0.12

0.12

4,200

0.12

4,200

0.12

4,200

NT

NT

NT

NT

4,200 1.5

SHORT TIME

3,021

NT

3,021

NT

2,906

NT

2,906

NT

NT

NT

NT

NT

72,800

INSTANTANEOUS

IPU (amps)

GROUND FAULT

0.11

NT

0.11

NT

0.11

NT

0.11

NT

0.11

NT

0.11

NT

120 1.5

GFPU (amps)

EQUIPMENT TEMPERATURE

20°C

READING

POLE 3POLE 2

READING 20°C 20°C

20°C

16.96

16.96

16.96

16.96

16.96 154

POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)

N/A N/A

CONTROL WIRING

POLE TO FRAME

POLE TO POLE

READING READING

LINE TO LOAD

COUNTER READING BEG/END

INSULATION

RESISTANCE

POLE 1

READING

0.848°C

G

G

20 G

GG G

GG

20 G

G

G

16.96

16.96

16.96

G 16.96

G

G

G

G

G

G

G GNT

MICRO-OHMSPOLE RESISTANCE -

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16

PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:

COMMENTS: Breaker was tested using the loop test in order to bypass ground fault.

DEFICIENCIES:

TEST EQUIPMENT USED:

HUMIDITY 55 Chiller Room

SUBSTATION

DATE

Sub-C POSITION MCC-2 X-Ray

5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F

LOW VOLTAGE POWER CIRCUIT BREAKER TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

D.O.

ZONE INTLK

THERMAL MEMORY

FRAME SIZE(F)

BREAKER TYPE

TRIP UNIT TYPE

064089814501

CUBICLE CODE

SN / SO NO.

MOUNTING

TARGETS

1200 ASquare D

PLA34120V44A

N/A

1200 A B.I.

OFFON

PowerPact PL1200

FUSE CAT. NO.

Micrologic 6.0

SENSOR TAPS

N/A

CATALOG NO.

MANUFACTURER

CU AL

INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE

SIZELOAD CONDUCTOR NO.

CAcceptable

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

DESCRIPTION

ARC CHUTES

AUXILIARY DEVICES

GROUND CONNECTION

DESCRIPTION

CUBICLE AND RACKING DEVICES

CONTACT FINGERS

LOADING AND ARCING CONTACTS

OVERCURRENT DEV. BATTERY

N/A

N/A

GRD. FLT.

GRD. FLT. 4W3W

A=

AA

x

A

A

A

A = A1,200

18,000

1,200 480

18,000

2,880

4W3W A x 1,200

SENSOR TAP 1,200

1,200

RATING PLUG(R)

SENSOR TAP

RATING PLUG(R)

N/A

N/A

N/A

N/A

N/A

DRAWING

N/A

N/A

N/A

N/A

N/A

GRD. FLT.

INST.

SHORT

LONG

FUNCTION

SHORT

LONG

PICKUP

N/A2,880=

INST.

GRD. FLT.

SETTINGS AS FOUND

1,200

A

500 N/A

SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING

A

A

CURVE

N/A

N/A

DELAY

DELAY

0.4 I2T ON

0.4 I2T ON

0.4 I2T ON

0.4 I2T ON

0.4

0.4

POLE 1

FUNCTION

POLE 2

AS FOUND

(seconds)

TIME BAND

MINIMUM MAXIMUM

POLE 3

CURRENT

MULTIPLE

AS FOUND

(seconds)

AS FOUND

(seconds)

AS LEFT

(seconds)

AS LEFT

(seconds)

PAIR CURRENT AND TIME ON ALL TESTS

3 30.63 30.63 31.46 31.46 30.28 30.28

LTPU (amps) 1,440 1,440 1,440 1,440 1,440 1,440

VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT

LONG TIME

1,440

AS LEFT

(seconds)

TEST

AMPERES

STPU (amps)

0.370

0.370

4,320

0.386

4,320

0.386

4,320

0.392

4,320

0.392

4,320

4,320 1.5

SHORT TIME

10,414

NT

10,414

NT

10,436

NT

10,436

NT

10,303

NT

10,303

NT

89,600

INSTANTANEOUS

IPU (amps)

GROUND FAULT

0.059

NT

0.059

NT

0.059

NT

0.059

NT

0.059

NT

0.059

NT

750 1.5

GFPU (amps)

EQUIPMENT TEMPERATURE

20°C

READING

POLE 3POLE 2

READING 20°C 20°C

20°C

16.96

16.96

16.96

16.96

16.96 53

POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)

N/A N/A

CONTROL WIRING

POLE TO FRAME

POLE TO POLE

READING READING

LINE TO LOAD

COUNTER READING BEG/END

INSULATION

RESISTANCE

POLE 1

READING

0.848°C

G

G

20 G

GG G

GG

20 G

G

G

16.96

16.96

16.96

G 16.96

G

G

G

G

G

G

G GNT

MICRO-OHMSPOLE RESISTANCE -

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16

PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:

COMMENTS: Instantaneous was lowered to 8 for testing. Zone Interlock interferes with Ground Delay.

DEFICIENCIES:

TEST EQUIPMENT USED:

HUMIDITY 55 Chiller Room

SUBSTATION

DATE

Sub-C POSITION Spare

5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F

LOW VOLTAGE POWER CIRCUIT BREAKER TEST

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

D.O.

ZONE INTLK

THERMAL MEMORY

FRAME SIZE(F)

BREAKER TYPE

TRIP UNIT TYPE

N/A

CUBICLE CODE

SN / SO NO.

MOUNTING

TARGETS

250 ASquare D

LX136250G

N/A

250 A B.I.

OFFON

I Limiter 53B

FUSE CAT. NO.

Micrologic Standard

SENSOR TAPS

N/A

CATALOG NO.

MANUFACTURER

CU AL

INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE

SIZELOAD CONDUCTOR NO.

CAcceptable

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

Acceptable C

DESCRIPTION

ARC CHUTES

AUXILIARY DEVICES

GROUND CONNECTION

DESCRIPTION

CUBICLE AND RACKING DEVICES

CONTACT FINGERS

LOADING AND ARCING CONTACTS

OVERCURRENT DEV. BATTERY

N/A

N/A

GRD. FLT.

GRD. FLT. 4W3W

A=

AA

x

A

A

A

A = A250

187.5

2,000

250 250

2,000

2,000

4W3W A x 250

SENSOR TAP 250

RATING PLUG(R)

SENSOR TAP

RATING PLUG(R)

N/A

N/A

N/A

N/A

N/A

DRAWING

N/A

N/A

N/A

N/A

N/A

GRD. FLT.

INST.

SHORT

LONG

FUNCTION

SHORT

LONG

PICKUP

N/A2,000=

INST.

GRD. FLT.

SETTINGS AS FOUND

A

187.5 N/A

SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING

0.75

0.75

CURVE

N/A

N/A

DELAY

DELAY

0.1 I2T OFF

0.5 I2T ON

0.1 I2T OFF

0.5 I2T ON

POLE 1

FUNCTION

POLE 2

AS FOUND

(seconds)

TIME BAND

MINIMUM MAXIMUM

POLE 3

CURRENT

MULTIPLE

AS FOUND

(seconds)

AS FOUND

(seconds)

AS LEFT

(seconds)

AS LEFT

(seconds)

PAIR CURRENT AND TIME ON ALL TESTS

3 13.54 13.54 13.21 13.21 NT NT

LTPU (amps) 750 750 750 750 NT NT

VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT

LONG TIME

AS LEFT

(seconds)

TEST

AMPERES

STPU (amps)

0.12

NT

0.12

NT

0.14

NT

0.14

NT

NT

NT

NT

NT

1,500 1.5

SHORT TIME

2,160

NT

2,160

NT

2,061

NT

2,061

NT

NT

NT

NT

NT

82,000

INSTANTANEOUS

IPU (amps)

GROUND FAULT

0.46

NT

0.46

NT

0.46

NT

0.46

NT

0.46

NT

0.46

NT

281 1.5

GFPU (amps)

EQUIPMENT TEMPERATURE

20°C

READING

POLE 3POLE 2

READING 20°C 20°C

20°C

16.96

16.96

16.96

16.96

16.96 142

POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)

N/A N/A

CONTROL WIRING

POLE TO FRAME

POLE TO POLE

READING READING

LINE TO LOAD

COUNTER READING BEG/END

INSULATION

RESISTANCE

POLE 1

READING

0.848°C

G

G

20 G

GG G

GG

20 G

G

G

16.96

16.96

16.96

G 16.96

G

G

G

G

G

G

G GNT

MICRO-OHMSPOLE RESISTANCE -

TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16

PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:

COMMENTS: Breaker was tested using the loop test in order to bypass ground fault.

Short Time was tested at 4.

15510, REVISED 3/13/2017www.epsii.com

TEST EQUIPMENT USED:

HUMIDITY 70 Building 20

SUBSTATION

DATE

Switchboard 20-D POSITION 20 ATS-1

5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F

LOW VOLTAGE AIR SWITCH

ELECTRIC POWER SYSTEMS

TELEPHONE

CUSTOMER

ADDRESS

S&B Services

USER VA Hospital - Facility Management

OWNER REPRESENTATIVE

PAGE

JOB # STL20547-000

800 A

SHUNT TRIP

NAMEPLATE DATA

QA-0833

KRP-C 800

MANUFACTURER MODEL NO.

AMPACITY 480 V

SERIAL NUMBER A-06182

Air Switch

N/AVOLTAGE

Pringle

CONTROL VOLTAGE

Pringle TYPE

CATALOG NO.

NO N/A200 kAINTERRUPT CAPACITY Other

MANUFACTURER

600 VVOLTAGE RATING 200 kA N/AOtherAMPACITY

CATALOG NO.LHi-Cap CLASS

800 A INTERRUPT RATING

VISUAL & MECHANICAL INSPECTION

INSPECT GROUNDING

PERFORM AS-FOUND TESTS IF REQUIRED

CLEAN UNIT

VERIFY BLADE ALIGNMENT & PENETRATION

VERIFY FUSE SIZES & TYPES

THERMOGRAPHIC SURVEY

INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES

INSPECT PHYSICAL & MECHANICAL CONDITION

VERIFY TRAVEL STOPS & MECHANICAL OPERATION

Y

LOW RESISTANCE OHMMETERWITH ONE OF: Y

INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE

TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING

INSPECT INSULATING ASSEMBLIES

VERIFY ALL INDICATING & CONTROL DEVICES

LUBRICATE MOVING CURRENT-CARRYING PARTS

LUBRICATE MOVING & SLIDING SURFACES

N N Y Y Y Y Y

Y Y Y Y Y Y

Y

CALIBRATED TORQUE WRENCH

Y

ELECTRICAL TESTS

N/AVER…

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