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Home My WebLink AboutLetter - 7/20/2007 7a 5 'B u-t\<< f\'-i€... Park View Health Center I Ov~~~~Q~~ Margie E. Rankin, RD, NHA Administrator July 20, 2007 City of Oshkosh Inspection Services Attn: Kevin Benner 215 Church Avenue Oshkosh,VVl54901 Dear Mr. Benner: Per your request to Elmstar Electric, Park View staff have reviewed the use of the oxygen storage rooms for the new Park View Health Center. To the best of my knowledge and belief, those rooms are to only be used for the storage of oxygen containers and oxygen related equipment. Chemicals will not be stored in those rooms. n ~ e-~ ~e." ~"" $c::.)r...e:.. Sincerely, 'I\(M~~ Margie Rankin Administrator -\~ ~~r~ \'6~(~o.-\s'~ \ -t> t.c:> \(;) e re.. \> \.c;...L-e 2:J ~ ~-~ ~;:::.. .......,::> d r- ~ I. 'G,..A-s.e." . '231' I '7 -, ~5o ^o/IA Cc: Kevin Joyce Mike Marshalek File ~ \\- b-t'M- h-cJA RECElVEO-----.' JUL 2 4 2007 DEPARTMENT OF COMMUNTIY DEVELOPMENT INSPECTION SERVICES DIVISION 725 Butler Ave. . 920-235-5100 · 920-727-2883 · FAX 920-424-7530 · Oshkosh, WI 54901-8149 ~. SQUARED COMPANY GROUPE SCHNEIDER Field Services Division 1-800-634-2003 Job Name f'~1!. t< f/ i-~""'> ~.pc:.. \.\-l-- Job No. 227~59r- 6/~ Location os ~\~oS tt \ v.>~ Date! DB/D# ~/Z:7~7 Equipment Design /11/11 1-/ FSR /4--e- NAMEPLATE DATA Mfgr. Sl1 ?) Type rt1P rJw 30# Serial No.6 8S-077 J It, &30' Frame Size 3()c;o Sensor No. Mla-c '.0 ^ Rating Plug No. '3000 Trip Unit No. Interrupting Rating "a t~ Fuse Mfgr. Type Cat. No. Rating Trip Curve No. TRIP UNIT DATA . As Found Settina As Left Settina As Found Settina As Left Settina LonQ Time Pickup J J Instantaneous Pickup z.. Z- Long Time Delav is- .s Ground Fault Pickup A A Short Time Pickup I. c;- JI~ Ground Fault Delay , I PlY .JoN Short Time Delay 1/ o IV- . , ~N INSPECTION CHECKLIST ITEM Statltls * Notes ITEM Status * Notes Swbd/Swar Form Completed pIA- Interohase Barriers N/A. Exterior Condition .. Arc Chutes , Primary Connections Main Contacts Ground Connection Arc Blade SecondarvConnections Contact AlianmentlSeauence Drawout Mechanism Control Wirina Interlocks Mechanical Operation Interior Condition \ / Sorina Charaina Motor of / Lubrication \ Shunt Close \ ELECTRICAL TESTING I Test Method o Primary Iniection .lerSecondarv Iniection A Phase B Phase C Phase - Contact Test o Millivolts o Microhms Lona Time Pickup (Amos) ~A LT Delay @ % of Setting Amps (See) Is-. *>/"1 S-e-c.... Short Time Pickup (Amos) S-Z SO A ST Delay @ % of Setting Amps (See) .S':Q;3 \ sec. Instantaneous Pickuo (Amos) -ZS"60rJ+/b.O 3' Sot c.. Ground Fault Pickuo (Amos) le.od rA GF Delay @ % of Setting Amps (See) O,'~, Sec... Shunt Trio Pickup Volts I Undervoltaae Pickup Volts Dropout Volts Insulation Resistance Breaker Closed Breaker Open (Megohms) A -,Grd B - Grd C - Grd A-B B-C C-A A B C @ Volts ,v/ut l-~ ~ * STATUS '. R = Needs Reoair, Replacement or Adiustment .C = Corrected NA = Not Applicable A = Acceptable LOW VOLTAGE CIRCUIT BREAKE~ REP ~ I~'~~"'!I SDFS 1028 REV 4/98 ~. SQUARE D COMPANY GROUPE SCHNEIDER Field Services Division 1-800-634-2003 Job Name f7A./2 K. ~l!uJ ~q//A Job No. - 22 7C{b '19 f.. } 1-.0 Location (!)sJ /(4.$ A Date! DB/D# th7J:,7 " W...;:- Equipment Design /1-7:5 <2/13 FSR .4--:12 NAMEPLATE DATA , , Mfgr. Stl :~ Type f~p." ?-..d- 1<.\ 1'00 Serial NoftptfO Y{'13>1J COO l.{ Frame Size J be(:) Sensor No. Mo"au (".0 PI Rating Plug No. Ib 00 Trip Unit No. Interrupting Rating t5:,<Jl , Fuse Mfgr. Type Cat. No. Rating Trip Curve No. TRIP l)NIT OAT A As Found Settina As Left Settina As Found Settina As Left Settina Lon!:! Time Pickup f I Instantaneous Pickup 'l- 2- Lon!:! Time Delav .< .S- Ground Fault Pickup '^ A Short Time Pickup J ( t.;' 'l {"' Ground Fault Delay l \ (}rJ . I o;J Short Time Delay I r ()N < I tJrJ INSPECTION CHECKLIST ITEM Status * Notes ITEM Status * Notes Swbd/Swar Form Comoleted w7k Interohase Barriers IJ /A. Exterior Condition Arc Chutes ( Primary Connections Main Contacts Ground Connection Arc Blade Secondary Connections Contact AlianmentlSeauence Drawout Mechanism Control Wirina Interlocks 1 I Mechanical Operation Interior Condition \ Sorina Charaina Motor tV Lubrication \ Shunt Close v ELECTRICAL TESTING I Test Method o Primary Iniection J2(Secondarv Iniection A Phase B Phase C Phase Contact Test o Millivolts o Microhms Lon!:! Time Pickup (Amos) ,;1/33 IfJ LT Delay @ % of Setting Amps (See) Iii. 70 V Xl.. Short Time Pickuo (Amos) c9i'OOlt ST Delay @ % of Setting Amps (See) ~-< I/,~ 5r:l.. Instantaneous Pickuo lAmps) 'ItbOirIO,t>4'1 See. Ground Fault Pickuo (Amos) IDoO ,.. GF Delay @ % of Setting Amps (See) Ol \'3(p >ec Shunt Trio Pickuo Volts I Undervoltaae Pickuo Volts Dropout Volts , Insulation Resistance Breaker Closed Breaker Open (Megohms) A -,Grd B-Grd C - Grd A-B B-C C-A A B C @ Volts tJf,~ I-- [....--" * STATUS A = Acceotable R = Needs Reoair, Reolacement or Adiustment C = Corrected NA = Not Applicable LOW VOLTAGE CIRCUIT BREAKER, REPORT ~ 11111111111111111111111111111111111111111111111111 21 - 203130 SDFS 1028 REV 4/98 ~. SQUARE D COMPANY GROUPE SCHNEIDER Field Services Division Job Name PIHl~ ,;~..(w b\~~ 14\- Job No. :;121'-16$17- 11_ (.? Location -- Date! DB/D# " I"t. '1 I 0'7 os ~ l<'f>~ ~ v.:>~ Equipment Design . FSR jY') C!-{3 A-=2: NAMEPLATE DATA I Mfgr. ~O ,)> Type p,.A')J;> p AJO+ I?T J t/)O Serial No. ~qt)4~5:J50t.r:O ? Frame Size It cx) Sensor No. M)Ut> ~d)/t Rating Plug No. /6h11.? Trip Unit No. Interrupting Rating ~ S; If'A Fuse Mfgr. Type Cat. No. Rating Trip Curve No. TRIP UNIT DATA As Found Settina As Left Settina As Found Settina As Left Settina Long Time Pickup I / Instantaneous Pickup Z- 2 Long Time Delay ,r{'" ,~ Ground Fault Pickup IT- A- Short Time Pickup /,5 /, r:;- Ground Fault Delay .j oN ,7 dff Short Time Delay , I oN , / nN INSPECTION Ct;ECKLlST I ITEM Statlls * Notes ITEM Status * Notes Swbd/Swar Form Comoleted rIA Interohase Barriers lA, fA Exterior Condition Arc Chutes -/H Primary Connections I Main Contacts Ground Connection Arc Blade Secondary Connections Contact AlianmentlSeauence Drawout Mechanism / Control WirinQ Interlocks Mechanical Ooeration \ / Interior Condition \ SorinQ CharQinQ Motor J -- Lubrication Shunt Close ELECTRICAL TESTING I Test Method o Primary Injection BSecondarv Iniection A Phase B Phase C Phase Contact Test o Millivolts o Microhms Lona Time Pickuo (Amos) :1/33 J/t L T Delay @ % of Setting Amps (See) 1$:/,( ~C- Short Time Pickuo (Amps) 2 Z'r:.o fi- ST Delay @ % of Setting Amps (See) s: 312. $'eL Instantaneous Pickup (Amps) ~~,4 /o.t>'3S"s\"'c -- (Amos) I~A Ground Fault Pickup GF Delay @ % of Setting Amps (See) DI\'31 Se<.. Shunt Trip Pickup Volts I Undervoltaae Pickuo Volts Dropout Volts Breaker Closed , Breaker Open Insulation Resistance (Megohms) A - Grd B - Grd C - Grd A-B B-C C-A A B C @ Volts tJlJr -:::. ~ / * STATUS A = Acceotable R = Needs Repair, Replacement or Adjustment C = Corrected NA = Not Applicable LOW VOLTAGE CIRCUIT BREAKER REPORT I 1-800-634-2003 ~ \I"I~!\"I' " REV 4/98 SDFS 1028 '" ~. SQUARE D COMPANY GROUPE SCHNEIDER Field Services Division 1-800-634-2003 LOW VOLTAGE CIRCUIT BREAKER REPORT ~ \'~1\~1I. - Job No. q Date! DB/D# FSR 2Z7l:f(J31'~- .r ~ '- (-zIIO"7 Job Name ?A-/t'l U,~ ~c.JM-- Location ,..,<.. \... ~ "':-, '-- ....,::>1- Equipment Design t..?'" e.! ~ h-c... Mfgr. sa') Sensor No."",:rd"D to I () II NAMEPLATE DATA Type ~A M RTI?oo Serial No.c6CjP"'lS"'223 "0()' Frame Size , l'2.o~ Rating Plug No. rZ..oO Trip Unit No. Interrupting Rating CS-.K,+. Fuse Mfgr. Type Cat. No. Rating Trip Curve No. Long Time Pickup LonQ Time Delay Short Time Pickup Short Time Delay As Found Settina I ,S- /.-:;- ,I pr{ TRIP UNIT DATA As Left Settina I .~ j,) I / -oAt INSPECTION CHECKLIST Status * Notes JJJA-- · l Instantaneous Pickup Ground Fault Pickup Ground Fault Delay As Found Settina Z. fr II ,,# As Left Settina e... A , / tJ,.c./ ITEM Swbd/Swar Form Comoleted Exterior Condition PrimarY Connections Ground Connection SecondarvConnections Drawout Mechanism Interlocks Interior Condition Lubrication ITEM Status * IJIA.. , Notes , \. Interphase Barriers Arc Chutes Main Contacts Arc Blade Contact AlianmentlSeauence Control Wirina Mechanical Operation Sorina Charaina Motor Shunt Close I I \(f v % of Setting ELECTRICAL TESTING e1Secondarv Iniection A Phase o Microhms (Amos) Amps (See) (Amos) Amps (See) (Amos) (Amps) % of Setting - Amps (See) Volts I Undervoltaae Pickup Breaker Closed B Phase C Phase Test Method 0 Primary Injection Contact Test 0 Millivolts Lona Time Pickuo LT Delay@ Short Time Pickup ST Delay @ Instantaneous Pickuo Ground Fault Pickup GF Delay @ Shunt Trip Pickup % of Setting ILI'\Jf"J A (q..~~qS~t'- ~ tno /It S, \'Z.o $el:- l..,. Jo.OCfq .see.. l.J q!n O. '2., Sec.. Volts ~1 Dropout Volts Breaker Open Insulation Resistance (Megohms) A -sGrd @ Volts IV -r;;;: I * STATUS A = Acceptable B - Grd C - Grd A-B B-C C-A A 8 C R = Needs Reoair, Replacement or Adiustment , C = Corrected NA = Not Applicable REV 4/98 SDFS 1028