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Work Order: 2270126 <br /> Emergency Shut Off (ESO) & <br /> Dispenser Emergency Shutoff Valve (ESN') <br /> ANN'JALTESTRECORD LOCATIONS AND DATA <br /> I ............. .... .. <br /> C Date: _j L <br /> Location Name: <br /> Store <br /> 76, FA (f <br /> !7 <br /> Int4i <br /> :>cidretis: State: <br /> Ellnerj4enev Shut Off(ESO) Testing Results <br /> in itucordance with "ESO Vendo-rTettcr(3-21-05).doc", from Itctail <br /> Ins t.nt, as a part of annual compliance testing, tills repl-CsCIllative [CSIC(I 1110 <br /> S111.11 Off( -SO) switches indicated on this sketch. ,Find'n <br /> I listed below: <br /> ShUl 01T(P,�;()) ro v i-de <br /> I ;El fN o, 1,1 <br /> Nla.'lle'la # <br /> Y/N Mai'llellalice Lov' Date Called <br /> Dispellsell, Emergency Shutoff Valve (ESV) Tesfin2 Results <br /> On in lac(ordance with NFPA 30A this representative tested the aLll0nl',ll1C_-Cl(),Sjlll_, 1*e'.ltUl'C- <br /> t�f the F)iSpenser ['111121gencY ShUtOlTVALVE(S) (ESV) located ill the supply lines at (lie hilse o'l,cach <br /> individutil island <br /> I_YPe Jispenser indicated on the diagNin, below. Each device (4) ill all. <br /> Fill(lingS listed I)CIOW: <br /> I r No,Providt; <br /> 1:SV)0ocral it'll;11? <br /> Y/N ILL Dale Ca Iled <br /> llcmol,Dcvicc; L.sled. <br /> C <br /> 71 <br /> O <br /> dfl) <br /> Tanknology Inc. 11000 N. MoPac Expressway,Suite 500,Austin,Texas 78759 <br />