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Work Order: 2279078 <br /> Ah <br /> (F� )&(ESV)Testhi g ronn-Veu i an I-I <br /> Emergency Shut Off k'F-JSO• <br /> ) & <br /> Dispenser Emergency Shutoff Valve (ESV) <br /> ANNUAL TEST RE-CORD LOCATTONS A_'ND TEST DATA <br /> TAN"OLOGY <br /> " 0 1 <br /> Date'. <br /> L4catjGn Nalne: store N: gQ -State ID <br /> LAdcity. State:_._ (M d!��ss. __..;q3'y- - <br /> Emergeng Shut Off(ESO) Testing ReSURS <br /> on m-x-V in accordance with"ES(3 Vendor Letter(3-21-05).106", from Retail Compliance <br /> Department.. as a part of alinual compliance testing,than representatitested the Emergency'Shut Off <br /> (F-.L%O)switelics indicated on thi,, sketch. Findings listed below, <br /> Ftriergency Shut Off(ESO) If No,Provide <br /> operational? 1N I Maintename-Log# Date Called - <br /> Dispenser Emeraeng Shutoff Valve (ESV) Testi12 Results <br /> On at-'9F=fit_ in accordance with NFPA 30A this representative to ted the automatic-closing feature <br /> of the 1)i spenseT Emergency Shutoff VALVE(S)(ESV)located in the supply lines at the base of each <br /> individual island type dispenser indicated on the diagram below, Eac i device 0)_J-2- in all, <br /> would automatically Close, Findings listed below- — <br /> Disp,Emergency Shut Oft If No,Provide <br /> Valve(ESV)Operational? N Maintenance Lo& Date Called : <br /> S_I�_M_Iwof Location and "t of iowTest <br /> A <br /> Q—A �),A <br /> 04 <br /> L <br /> Si attire CFf Re resentativE. <br /> Tanknology Inc. 11000 N.MoPac Expressway, Suite 500,Austin,Texas 78759 <br />