Division of Petroleum & Chemical Safety

Facility: 4046832 Dispenser: 9/10

Dispenser Status:	Active
Sensor Shuts Down Product Pump	Yes

Equipment Type	Equipment	Last Passing Date	Test Expire Date	Failed Test Date
Dispenser	Single Wall UDC Sump	6/21/2022	6/21/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	4/30/2024	4/30/2025