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Work Order: 2272773 <br /> Amikk <br /> (j?So)&(];Sv)Teming Form-Vm'ion 1- <br /> Emergency Shut Off (ESO) & <br /> Dispe-nser Emergency Shutoff Valve (ESVy <br /> ANN'UrA.L TES-1- -RECORD LOCATIONS AND TLS T DATA <br /> 74:esti 17, OLOGY <br /> 1c) <br /> s-tI 7Y-3J('0Q1 <br /> Location 11 C: State M-!4: <br /> Address: 127 State: <br /> Emergency Shut Off(ESO) Testing Results <br /> On in accordance with'TSO Vendor Letter(3-21-05).doc", from Retail Co-M-Piliance <br /> Emerge cy S" ut <br /> T n <br /> 1)ejDa,—,Lmt,-nt,as a part of annual compliance testing,this representative tested the Li <br /> ff�S(?)_L%yitches indicated on this skoch. Findings listed below: <br /> TfNo,provide <br /> Operational? Mja�it)tnam,Lo- 9 Date Called <br /> Dispenser EmergtgLy Shutoff Valve (ESV) Testing Res.uRs <br /> On,3.��- v in-accordance with ill'PA 3)OA this representative tested the automatic-ciosing <br /> of the Dispenser Emergency Shutoff VALVE(S)(ESV)located in the supply hirics at the base <br /> -ated on the diagram beloA� Each device(4) ri a'11, <br /> individual island type dispenses indl,, <br /> would automatically close- 1"indings listed below:if NoProvide <br /> I asp. <br /> Va-h-C(ESV)0?em;ona 1? Maintenance Log#k Irate wiled : <br /> Off , <br /> Emergency Shut% ' <br /> VT) N j <br /> V <br /> (47r ......... <br /> Tanknology Inc. 11000 N.MoPac Expressway, Suite 500,Austin,Texas 78759 <br />