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EmergencyShut Off <br />E <br />Dispenser Emergency Valve <br />.......... ............. _.... ... ANNUAL TESTRECORD <br />ToNling t e82Ykt9 iif} j TAleiKNOLOVY <br />t <br />t:Pi. trt8)PA N ilTee.._._i./ ,_,.... .:..m __......._._... sft�i'i. Y .4 .i._....�..,... Statt <br />City. -M <br />A. Ememency :Tut '`Ei " tiro exult <br />� s1 <br />In accorcltorrcea with `'E'SO Vendor Letle°r (0-25-09).clrtc x**. from Valoro's Retail <br />Compliance Depalirttctat aarcl NFPA 30Aits it pari 4,1MILatal Compliance testing. t_hiti re prescilt>sti` C <br />r}>stcYci tile l raa r"'CPrcy Shia 01Y(ESO) sxitche~s indicated d oft the diagram below. ES0 roust <br />atk s,ext"ttur3i3 tt. t7Y *` { If No, [*`o4id <br />4 9t raaf«reai ) N <br />i aiasdcrasasresr t. efsN <br />t a1v C.11tcd <br />. Dispenser er r n ShgtoValve sv T tin_ Results <br />on �a_„Z1 I L_ in accordance will) Ni"t A 30A (his, repr se°tatalWo tested the ,atrtcrnv is closing <br />foaiorc° crt'the lei x,a7s r l aacr c nvy Shut off Valves(s) (FSV) lcva(ed in the.arplslcf ling. at tlrc bas'e <br />of oac h iraclic iduil island tyle disj �rvs; ,-r indicated ort tide dilti!ram ltc;low, E- atilt device t t ... �� c�s� )z <br />in �adl, acoljjd autaamillic.01V close. '}D e? <br />1?�wJs E katc kx a s�c4° 4ig:�t t}tt t! ��r ttrzta€4� <br />R' 11ve rt + 6 r t.> + rat o at Nlaimtmaace Imp f Dale Called <br />St?" M,q, fSrt_.v sawn mum 8".tti k^Putt' ft( JA J)t;R 4•�a � J,CgW j p,e.:xS 1h1, w8 trAk`al t4 z.�,. a•p,. k <br />t r <br />Tester tame: KRIS BELS._.. Tester Sienatur <br />