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Work Order: 2272286 d9ft Mb <br /> W Ir <br /> (ESO)&(ESV)Testing Foran-Version 1-2/15/2010 <br /> Emergency Shut ) <br /> Dispenser Emergency Shutoff Valve (E <br /> ANNUAL TEST RECORD LOCATIONS AND TEST DATA <br /> 'resting TANKNOLOGY <br /> Company: Date: <br /> Location Name: tj PA._/ Store#: ZFXf I state ID#: <br /> Address: -7tr 5. city: Cid-- state: 7A,�cy <br /> Emel:gencv Shut Off ESO Testing Results <br /> On in accordance with"ESO Vendor Letter(3-21-05).doc",from Retail Compliance <br /> Department,as a part of annual compliance testing,this representative tested the Emergency Shut Off <br /> SO switches indicated on this sketch.Findings listed below: <br /> Emergency Shut Off(ESO) If No,Provide71 <br /> Operational? Maintenance Log# Date Called <br /> Dis eraser EmeLrgency Shutoff Valve ESV Testing Results <br /> On 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 lin t th base of each <br /> individual island type dispenser indicated on the diagram below.Each device(#� in all, <br /> would automatically close.Findings listed below: <br /> Disp.Emergency Shut Off If No,Provide <br /> Valve(ESV)Operational? Maintenance Log# Date Called <br /> Site Map Of Location and Placement of Devices Tested: �v�S <br /> ®L''��J <br /> ul ®Ltp ® G q0T:D <br /> o 4 <br /> Si,nature Of Representative- <br /> Tanknology Inc. 11000N.MoPac Expressway,Suite 500,Austin,Texas 78759 <br />