@ GE Zenith Controls cnn FACTORY TEST REPORT SUMMARY ‘Customer: MANUFACTURAS ELECTR! Mode! Number: 2101381 CD39XISKXXX ‘Serial Number: 1670905-1-2 Controls Functions as Specified per Order: x Options Tested and Verited per Order: x Voltage, Poles, and Amperage Verified per Order: x. ‘Switch Transfer Functions Verified at Low, High, and Nominal Voltages: x Bypass Interlock System Tested and Verified WA x x x Lights and Proper Operaion Veriied ‘Auxiliary Switch Operation Verified Dielectric integrity Verified ‘Mechanical Inspection Bypass Mechanical Inspection Verified! NA [ATS Operation in Auto / Test Isolate positions Verified NIA. Fasteners Torqued and Marked: x Wire Routings and Securty Verifies x Covers installed and Secured: x, Cabinet Type, Operation, and Cleanliness Verified: x x, x, x Labels installed and Prorerly Located: ‘Schematics and Manuals included: 180 9001 Procedures and Documents Signed and Verified: Acknatdgeran of hal espocton and Orato f Ya ed wi FnalTet Report: QAID# 20426 aw ‘Quality Assurance Representative: Final tests completed by: 20426 Date: 10/08/2013, | cePnopmierany UNCONTROLLED WE PRINTED OR TRANSMITTED ELECTRONCALLY@ GE Zenith Controls FACTORY TEST REPORT SUMMARY ‘Customer: MANUFACTURAS ELECTR Z100351CD39XISXXXX Serial Number:1687657-1-1 ’$18020033-390801X Controls Functions as Srecified per Order Options Tested and Verited per Order: Voltage, Poles, and Amperage Verified per Order: ‘Switch Transfer Functions Verified at Low, High, and Nominal Vottages: Bypass Interlock System Tested and Verified: Lights and Proper Operation Verified Auxiliary Switch Operation Veriied: Dielectric Integnty Verifies ne | Mechanical Inspection ‘Bypass Mechanical Inspection Verified: tk [ATS Operation in Auto / Test / Isolate positions Verified: NIA. Fasteners Torqued and Marked Wire Routings and Securty Verifee: Covers Installed and Secured: Cabinet Type, Operation, and Cleanliness Verifed: Labels Installed and Properly Located ‘Schematics and Manuals Included: 180 9001 Procedures and Documents Signed and Verified: b| BI be pez x elle Acknowledgement of hal Inepacton and Operation ef ilLisod par Final Test Repo ne gate 20428 | (~~ ‘Quality Assurance Representative: —__ Final tests completed by: 20426 Date: 10/09/2013 i ‘oe Propmerany UOONTROLLED MEN PRIVTED OR TRANSMITED ELECTRONICALLY