Gasboy 1000 Series FMS Startup Manual - Manual (Page 56)

55F-065 Rev. 7105
GASBOY SERIES 1000 START-UP FORM
1. SITE
IDENTIFICATION
Customer ________________________________ Date: _________________________________
Location: ________________________________ Distributor: _____________________________
________________________________ Distributor Phone No: _____________________
Contact: ________________________________ Start-Up Person: _________________________
Customer Phone No: ________________________ Installer: _______________________________
2. PUMPS/DISPENSERS
Hose Fuel Fuel Pump Pump Pump Motor Pump Starter Pulser
# Type Code Make Model # Serial # Size Type Relay Rate
1 ________ ____ ___________ ____________ _____________ _____ Sub/Suc Y/N ______:1
2 ________ ____ ___________ ____________ _____________ _____ Sub/Suc Y/N ______:1
3 ________ ____ ___________ ____________ _____________ _____ Sub/Suc Y/N ______:1
4 ________ ____ ___________ ____________ _____________ _____ Sub/Suc Y/N ______:1
5 ________ ____ ___________ ____________ _____________ _____ Sub/Suc Y/N ______:1
6 ________ ____ ___________ ____________ _____________ _____ Sub/Suc Y/N ______:1
7 ________ ____ ___________ ____________ _____________ _____ Sub/Suc Y/N ______:1
8 ________ ____ ___________ ____________ _____________ _____ Sub/Suc Y/N ______:1
3. COMMUNICATION
Data Terminal: Port 1 - RS232/422 ________baud
External Modem: Port 2 - RS232/422/Int. Modem ________baud
Modem Phone No: Aux. Port 1 - RS232/422 ________baud
4. BREAKERS
Breaker # Breaker # Breaker #
Series 1000 System:__________ Hose Outlet #1:__________ Hose Outlet #5:__________
Data Terminal:_______________ Hose Outlet #2:__________ Hose Outlet #6:__________
External Modem: _____________ Hose Outlet #3:__________ Hose Outlet #7:__________
FPR:_______________________ Hose Outlet #4:__________ Hose Outlet #8:__________
5. CONDUIT
All Metal Conduit: Y/N Communication Wires: Separate/DC/AC conduit
AC and DC in Separate Conduits: Y/N Wiring Neatness: Good/Fair/Poor/Bad
6. SYSTEM
IDENTIFICATION
System Serial #: _________________ Program Name/Date:________________________
FPR Serial #: __________________
7. SYSTEM
POWER
Hot to Neutral_____VAC Hot to Ground_____VAC Neutral to Ground_____VAC
Grounding Method:_______________________________________________________________
8. DC
POWER
System: +5VDC: ___.___ +12VDC: ___.___ -5VDC: ___.___ -12VDC: ___.___
FPR: +5VDC: ___.___
9. SYSTEM
APPROVALS
I am satisfied with the installation of the Series 1000 System and have been trained in its use and operation.
__________________________ ______________
________________________ __________
Customer Signature Date Start-Up Tech Signature Date