Division of Petroleum & Chemical Safety

Facility: 2042107 Dispenser: 10 slave/11

Dispenser Status:	Removed
Sensor Shuts Down Product Pump	Yes

Equipment Type	Equipment	Last Passing Date	Test Expire Date	Failed Test Date
Dispenser	Single Wall UDC Sump	9/3/2025	9/3/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	7/30/2021	7/30/2022