Division of Petroleum & Chemical Safety

Facility: 4021634 Dispenser: 5/6

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	12/14/2021	12/14/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	11/29/2023	11/29/2024