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'" <br />Dispenser Emergency Shutoff Valve (r4,SV) <br />ANNUAL TEST RECORD LOCATIONS <br />AND TEST DATA <br />Testrrts= ialNial`dE7!{ dsit <br />I <br />C Att1j)r3_ (�.k _ <br />_j <br />Date:*.*- <br />Location Na tile: <br />ore . <br />35355 <br />Address.} CN✓� t,P), � <br />_ �_�_ <br />sty: <br />�._..._ <br />_tom' <br />States' � l <br />Emergency Shut O:ff (ESO) Testing Result <br />', i.o accordance with ``ES'{: "Vendor Letter (3-21-05),doc"S fromReta l C'om lian.(;0 <br />D parte ettt. as a ,tart: o ' annual coinpliance testing, this representative tested the Emergency Scutt Off <br />(E Q) switches indicated on this sketch. Findius listed below: <br />I Fint:rge-nc Shut -OW ki Ski) If No. Provide <br />Op rnttc�n�i! Mairitertance Log # Date Called <br />isve ser Emergency Shutoff Valve ESQ Testinii Results <br />()n t in accordance with NFPA 30A this representative tested the autonttit ic-closin f=cawre <br />of t1-,mergency Shutoff VALVE(S) (ESV) located in the supply litres at the base vi each <br />inclividual island type dispenser indicated on tlic diagram below, Each device (4) _-- � ___ in all, <br />would automatically close. Findings listed below., <br />Disp. Etnergemy strut off If No, Provide� <br />Vilwe (FSV) Operatioml;' �1 Mpintetttance I,og 4 Dare allccl : I <br />...;,it k—,la 5—f C iic:stion iind 113 ce rnent of Device-, Tested: <br />looz <br />T <br />Yi <br />,' STP S <br />