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Annual Wal kthrough Checklist (Contractor) <br />Uoes not replace US -37 <br />1— 953 <br />ANNUAL LEAK DETECTION DEVICE CHECKLIST <br />Date: 06/30/2025 <br />— 06/30/2025 <br />Category <br />1)escr6ptlon <br />PEI4P500 WA Tank 7 Tank 3 Tank 3 Tank; 4 Tarrk 5 <br />Leak Defection Device- Describe location (e.g_, interstitial, STP: fill, dispenser) on this raw: <br />8.7 <br />I �tersl�llal <br />Sensor tested functional and not in alarm <br />8.7.1 <br />❑ <br />Yes <br />Yes <br />Yes <br />Sensrr.wrpery mounted at the oa+lom of double-wa' ed tank (double -waded tank se ror only) 8.7.4 ❑ Yes Yes <br />Yes <br />3.8.1 <br />Sensor tested functions end boa in alarm <br />8.7.1 <br />❑ <br />Yes <br />Yes <br />Yes <br />STP Sensor <br />Sensor Property mounted stthe boor+ of the comainment sunpor par, (conte;nment sump or pan <br />sensor or, ' <br />$ 7 3 <br />❑ <br />Yes <br />Yes <br />Yes <br />Category <br />U4escreptmn <br />PEMU—AQ N!A VDC 1 <br />UDC 2 <br />UDE 3 UDC 4 <br />afSprrser Par, <br />Sensor tested functional end nd in alarm <br />3.7.1 <br />11Yes <br />Yes <br />Yes <br />Yes Yes <br />Sensor <br />Sertsorpropedymounted attlrehottcrnofthecorrlainments porpsn <br />8.7.8 <br />❑ <br />Yes <br />Yes <br />Yes Yes <br />Category <br />Oescriptbn <br />PEIlRP900 IUA UVC 5 UDC 6 <br />UDC 7 liDC 8 <br />as Pe^ee' an <br />' <br />Senso--tesved imG�e^a' s^ ^c: it a!a-m <br />8.7.1 <br />11 <br />Yes <br />Yes <br />Yes Yes <br />sense- <br />^ SOfPrOpedyr:IJ�T.2�9[.�eoc:.c,..of,recordaimnents nporpan <br />8.7.s <br />❑ <br />I Yes <br />Yes <br />Yes Yes <br />aE SCRI HE ANY DEFBCPENCIES HERE: <br />iDo 953 ANJYUAL FILL CONTAINMENT SUMP CHECKLIST <br />Date: 06/30/2025 <br />Caftgdry Description <br />PEURP500 INA Tank t <br />Tank 2 <br />Tank 3 Tank 4 Tartar 5 <br />Fill Surnp <br />8.8 <br />finy water orproduct removed and d:sposea of property <br />3.64 <br />Uccle pip:rg and fittings spew no signs of reabng <br />3.8.1 <br />❑ <br />Fill r nnteinnnent <br />Sump <br />Piping in good condition <br />8.9.2 <br />❑ <br />Yes <br />Yes <br />Yes <br />Excessive corrosion not present 8.9-3 ❑ Yes <br />Yes <br />Yes <br />Sump free of trash and debris 8.9.5 ❑ Yes <br />Yes <br />Yes <br />S:unp s Bre oicfackS, holes, bulges W otheF defers <br />8.6.0 <br />❑ <br />Yes <br />Yes <br />Yes <br />Sump Cd. gasket and seals prasern and ; -i goad cend-Lnr. <br />3.9.23 <br />❑ <br />Yes <br />Yes <br />Yes <br />Manhole cover al grade in goad condition, does not touch sump cover. a'' bci:s presenc, <br />handles and lift nreohar am in good pond -tion ?as sppl mbel <br />3 $ 24 <br />❑ <br />Yes <br />Yes <br />Yes <br />DESCRIBE ANY DEFICIENCIES HERE: <br />Adapted from PEI RP 904 ,f 1848 <br />