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Work Order: 2278895 AdEL <br /> r-Anergency Shut Off (ES14) & <br /> TEST DATA <br /> ANNUAL TEST RE CORD LOCATION <br /> Testing TANKNO.,OGY <br /> LACation Name:— or-) t7tStateFJD#._ IYU-42-1 <br /> Emiergeocy Shut 01. es n Results <br /> 01ri a J-7,( 1,/ in accord ce with -'SO Vendor Lettcr(3-21-05),c c c", from Retai -Shia Off <br /> Department. as a part of ara ual compl]ance testing,thiq representative e-sted the Emergency <br /> (FSO) switches indicated ol i thi-s sketc..i. Findingslisted below' <br /> OpergionaKl Maintenance-Log# Date Called: <br /> Y) <br /> OnQj::. in accordalce with NITA 30A this representative tetd the automatic-closi�ng fcatuTe <br /> of the Dispenser Ernergenc!-Shutoff V ALVE(S) (E$V)located in tbf pply lines at the base of each <br /> individual island type dispci Lser indica ed on the diagram below. Eac evice (#) <br /> Disp.Emergemy Shut Off If No,Provide <br /> LValve(E-.SV)operationaI7 Maintenance Log Date Called <br /> Sile map Of Lo=inn and III to. vicesTestc <br /> eA it <br /> I DF <br /> XC r;sv <br /> Si nature Q(ReRM_012 Ive: <br /> IuoknologyIou. 11000 N.MopuoExpressway,Suite 5OO,Austin,Texas 7875V <br />