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Annual Walkthrough Checklist(Contractor) <br /> Goes,"fai re,^ace ES-37 <br /> IDS 953 AN NUAL D1 SPE N SE R CHECKLIST Date: 07/18/2022 <br /> Category Qescripbim PEIFRP900 NFA Dispi Disp2 Disp3 Ili 5p <br /> Imbal Fuel Dispenser Inspecfion S_5 <br /> All&apenser c mV menta are clean and dry 6.5.1 ❑ Yes Yes Yes Yes <br /> Ail Lkspenser- <br /> h dispenser sump is present,sump is dry 8.5.2 ❑ Yes Yes Yes Yes <br /> Fuel Dispenser Fnspecfiun ❑ Yes I Yes Yes Yes <br /> Visible p.pv�g and Fttrngs show no signs of leakirrg 8.10.1 Yes j Yes Yes Yes <br /> Piping in good condition 8.62 ❑ Yes Yes Yes Yes <br /> Ail LNspenserm. Dispenser mmLemmerrt sump flee of mash and detxis 8.8.5 ❑ Yes Yes Yes Yes <br /> Anywatar or pm&c:removed and disposed oFvroperly 8.6.4 ❑ Yes Yes Yes Yes <br /> Sump free of craOs,holes.bulges,or other defects 8.5.8 ❑ Yes Yes Yes Yes <br /> Disperrers vvut? <br /> Sumps Penetraticniiffino pct and secured 8.6.7 ❑ Yes Yes Yes Yes <br /> Pipimginiemdtialspace-epentothe dispereersumpordispenser pan(open double-walledopingsystemonly} 8627 <br /> Piping mtmrstitial space dosed to the disperser sump(closed double-wailed piping systa onlyl 3.6.22 <br /> Category Description PEIfRP9Da NIA Disp 5 Disp 6 Disp 7 (lisp S <br /> I nitiat Fuel Dispenser Inspection S_5 <br /> A1.1 All d•soenser components are clean and dry B.5.1 El Yes Yes Yes Yes <br /> cispenser <br /> rf dispenser sump e.p*esent,sump is dry 8.102 ❑ Yes Yes Yes Yes <br /> Fuel Dispenser Inspecdan 8.8 <br /> Visible piping and filings show no signs of leaking 2.6.1 ❑ Yes Yes Yes Yes <br /> Pipmg to good conddton 8.6.2 ❑ Yes Yes Yes Yes <br /> DGpenser dontahment sump free of trash and debris 8.8.5 ❑ Yes Yes Yes Yes <br /> Any waterar product.mnaved and disposed of properly 8.6.4 ❑ Yes Yes Yes Yes <br /> sumo free of cra:*s.holes.bulges.or other defect; 8.6.6 ❑ Yes Yes Yes Yes <br /> ❑i=310^.sera'Ndh <br /> sumps PeneGatron fittings rrrtect and secured 8.6.7 ❑ Yes Yes Yes Yes <br /> Pi*Vinuersftalspace open tothe diapensersumpordispenser pan(apendouble-�ledOpingsystem nmly} 13.521 <br /> Piping interstitia✓soave dosed th the dispenser sump(closed double re&-d pipimg system only) 8.522 <br /> DE6CRISE ANY DEFICIENCIES HERE- <br /> Adapted from PEt RP 900 Ryder Fuel Services,Version}_D,I IM18 If d <br />