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Work Order: 2281601 <br /> iFS01.�f F.ti V;9'ev;iug 6'nss-V¢nirn I-I_'^litarx <br /> Emergency Sham Off (ESO) & <br /> Dispenser Emergency Shutoff Valve (ESV) <br /> ANNUAL TEST RECORD LOCATIONS .kND TEST DATA <br /> i ---r-------"-----....---� <br /> lesttng , ln:,�hNOF.OGY <br /> CaniPTY <br /> i <br /> ) I <br /> Location•NRtne: I �`G>?z�f �lG� IStore N: I�a19d State l€)ly: <br /> I 7 <br /> Addrew ' ' Cit • State: I <br /> Emergency Shut Off{ESO) Testing Results <br /> On in accordance with"F•,S0 Vendor Letter(,3-21-05).doe', from Petaii Compliance <br /> Department. as a pari of annual compliance testing,this representative tested the Emergency Sht:l Off <br /> (FSO) switches indicated on this sketch,Findings listed below: <br /> -- _�_._� <br /> Lmergrncp Sinn f'ffiESO) ! r if Na Provide - - <br /> Qpentional'.` i �' J N I Maintenance Log:i Date Cancct: i .I <br /> -- ,. --_ ...---1-- --- ... -- <br /> Dispenser Emergency Shutoff Valve (ESV) Testing Results <br /> C?,. ��in accordance with NFPA 30A this representative tested the autotnafic-clns.'ng Feature <br /> of the Dispenser Eincrg racy Shutoff VALVL(S)(ESV)located in tate supply lines at t erase of tach <br /> individual island type dispenser indicated on the diauam helow.Fach device (� 1 _ in all, <br /> would automatically close. Findings listed belocs: <br /> Disp.Emereenc. Slwt Off i -- ff Vu, Provuir. --- — —�� <br /> Val efF.c�l!jp,•,ticrnr?— N.YN Maintenancei,og4 1 DatcCalled; <br /> -Gir.1:np O'Lv.:n;,n ann P�r..er.:eca of i LSiCcS'restcd I <br /> + � BR � dF 149 <br /> toil d <br /> i &so <br /> x=1M Oct" fiats Q ! <br /> Vfl d � <br /> ^,Ay <br /> Si�natttra 0f 1Zepresentaiive: ���� — <br /> Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 <br />