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Work Order: 2273297 <br /> (�5t�y�,{ESVyTestu�gFonn•Vct�ion I-I?.`�,rl.Ap� <br /> Emerge..-icy Shut Off ) <br /> Dispenser Emergency Shutoff Valve (ESV) <br /> _ AN iU TESTORD LOCATIONS AND TEST DATA <br /> Testing TAPqXN DL04GY <br /> --� Date: <br /> s <br /> Location 1�IAu�e. Store t: Stake fA F �+ <br /> Address: City: State: <br /> EmcK ens Shut f>f ESO Testing Results <br /> On in aceo tree with SO Vender Letter(3-21-05),doc",from Detail Compliance <br /> Department,as a paa o.f ual wmpl me testing,this repres r�tc�tive tested the Emergency Shut Ofd <br /> ESO switches indicated. n this*0 Findings listed below; <br /> Emergency Shut Off�Es()) If N4,Provide ZCaned <br /> C)peratiora81? Maintenance Ug <br /> his e>lxselr Eme e c Sh>l� Valve E ff Testing esults <br /> 6n in accordce with N A 30A this representative tested the automatic-closing feat 1 <br /> of the 1)isgensei Emergen y Shutoff:V, VE(S)(ESV)located in the supply lines at the base o�eaa1l <br /> individuW island type dis nser indi d on the diagam below. Each device(4) __..in all, <br /> wouid autcrnaticaity close Fiadin s litled below; <br /> Disp.Emergency Shut Of ifNo,Provide <br /> Valve(ESV)Operational? Main=ance Log# Date Called <br /> I Vii[ ap of i. a[ion qnd 1'loaentent f Devices Tesiod, -/ <br /> i <br /> i <br /> Si nature Of lie resenta ive, <br /> t <br /> Tanknology Inc. 11000 N.MoPae Expressway, Suite 500,Austin,Texas 78759 <br />