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Work Order: 2265103 <br /> Emergency Shut Off ('.'.ESO) & <br /> Dispenser Emergency Shutoff Valve (ESV'j, <br /> T T RECORD LOCATIONS AND TESTDA'I'A <br /> 14 <br /> —NNUALI -S' <br /> Mite: (:)g <br /> shire 9 <br /> qcegnf- z uAet' bg-. City: G+ce- Mate: <br /> flellEellcV Shut Off LLSOITesting Results <br /> 11 Lice-ordance with "t:SC)Vendor Letter(3-21-05).doc", From <br /> Col-lipliK-111ce Departimmi, as a part of annual compliance testing, this <br /> Shoi (J11'(F-SO) switches indicated on this sketch. Findings listed Oolaw: <br /> 11-IN0.Provide <br /> Shut(M* F"'f'o <br /> Maintenance Log t1 Date('alled <br /> lisp:e n s e 1- Emert-yepey Shutoff Valve (ESV) Testiqg Results <br /> Fit in accardi:tnce with NFPA 30A this representative tested the aUtonialic-Clos' <br /> 1-1.1-11er-g-,ency Shutoff VAINE(S)(ESV) located in the supply lines 111C <br /> ish.-Init !ype dispens,-,r indicated on the diagram below. Each device 1f -fi ;d I, <br /> close. Findinpogs listed below: <br /> Fn"L hml-' 11'No, Provide <br /> f <br /> Maintenance I-og <br /> Y N Date. .';)I to I <br /> I <br /> L <br /> S R <br /> Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 <br />