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Work Order: 2278742 <br /> (I-SO)&(L.SV)Testing 1'txm-Versimi 1-211/2007 <br /> Emergency Shut Off (ESO) <br /> Dispenser Emergency Shutoff Valve (ESV} <br /> ANNUAL TEST RECORD LOCATIONS AND TEST DATA <br /> Testing _�� t <br /> Company: K Date: 1.2 ILI[ <br /> Location Norm: _ Store#: ( State ID#: - t <br /> �_ . State: CA <br /> Address: , t ( <br /> City: t�h� <br /> Emer2engy Shut Off SO Testing Results <br /> On__amu in accordance with"ESC}Vendor Letter(3-21-05).doe", from Valero's Retail <br /> Compliance Department, as a part of annual compliance testing,this representative tested the <br /> Emergency Shut Off(ESO)switches indicated on this sketch.Findings listed below: <br /> Emergency Shut off(ESO) D <br /> If No,Provide <br /> Operational? '1.` Maintenance Log# ate Called: <br /> Dispenser Emergency Shutoff Valve ESV Testing Results <br /> On ! :lot'I( in accordance with NFPA 30A this representative tested the automatic-closing feature <br /> of the Dispenser Emergency Shutoff VALVE(S)(ESV) located in the supply lines at the base of each <br /> individual island type dispenser indicated on the diagram below. Each device{#} 2 in all, <br /> would automatically close. Findingslisted below: <br /> Disp.Emergency Shut Off If No,Provide <br /> Valve(ESV)Operational'? Maintenance"Q# Date Called: <br /> .: , <br /> Site Map Of Loc:ali Ptacena nt of Dcyjecs Tested: <br /> k le <br /> 0, <br /> Lj <br /> le <br /> r4 LO%P <br /> ri <br /> Signature Of <br /> Representative:- <br /> LIZ <br /> Tanknology Inc. 11000 N.MoPac Expressway,Suite 500,Austin,Texas 78759 <br />