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Report 9 Ala. S /col , Emit_ aoy- 3 (e INTEGRATE V' ENGINEERING SERVICES DIVISION SYSTEMS .7 GROUND FAULT CERTIFICATION GROUP ` , _ INSPECTION TEST REPORT " Iii. I lcrl.,rr.' C'u.vf. urrrr S.,ii.,fuc ion' • .11; ( 11.(; ( . 1. t . CUSTOMER tie :v.Y S J Ci iv 1 ti P 1 ISG JOB NUMBER G9 I S Ii G LOCATION I Lad Sh � iASicret iare- "id ii I CUSTOMER PO# BREAKER ID: /V)J} id MANUFACTURER: 6- SERIAL NUMBER: /76 c1DN TYPE: CLOSE VOLTAGE: /1�/� INTERRUPT RATING: (00 /i A CO 4 SC TRIP VOLTAGE: /V /I FRAME SIZE: :I weir TRIP UNIT INFORMATION TRIP UNIT TYPE: C qtI A L, j e- CUSTOMER SETTINGS AS FOUND AS LEFT TRIP UNIT STYLE: iii .LY c U�(.Sd. t r . r) GROUND FAULT PICK UP: ,2 , Z TRIP CURVE: GROUND FAULT TIME: . RATING PLUG: y0 00A SENSOR RATIO: 5 C+C A System Ground conforms to NEC Requirements YES ✓ NO Bonding conforms to NEC Requirements YES ✓ NO Conforms to plans and specifications YES ✓ NO _ Zero Sequence GF System YES NO V Residual GF System YES ✓ . NO Proper location of Ground YES ✓ NO Proper location of Neutral Isolation link YES V NO Conductors and shields are properly routed YES NO •j Current sensor have proper polarity marks YES V NO Routing of conductors for zero sequence systems YES Nr NO NA Settings conform to customers desired values YES V NO Labeling identifies proper protective device or circuit YES ✓ NO Low voltage test at 55% if applicable Pass NP Fail A/A I ELECTRICAL TEST DATA I TEST DATA C, I PRIMARY CURRENT INJECTION ❑ SECONDARY INJECTION TEST ❑ SELF TEST TEST SETTINGS CURVE LIMITS TRIP Current NO TRIP© IR GROUND FAULT PICK UP: ; 2. r.. ZR $ Ic) /4 j 3 Trip Time ®rated current GROUND FAULT TIME: r _ r 2$7 S No trip (fi) I.Pc rated Current INSULATION RESISTANCE IN.G J j 6'r t C av/1 I 0 1000 VDC (MEG/GIG OHMS) TEST DATA: I AS FOUND ® AS LEFT COMMENTS 1f c A)t4 -Ira -1 c�I vi d1c -ei� co ii ►1rt4-ed a' �-ti iS +, 04e. TEST EQUIPMENT ID# I _341 LC 1 1 100 1(0 CALIBRATION DATE 0 L TESTED BY `gu{rfim. DATE L -ell- I ) ITEST SHEET NO. 1