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W.O.# NW1-2344494 Cust Ref#: 409507 Annual Walkthrough Checklist(Contractor) 4Date:IDa ANNUAL LEAK DETECTION DEVICE CHECKLIST pElIRP900 NIA Tank 1 Tank 4 Tank 5Category DescriptionLeak Detection Device.Describe location(e.g.,Interstitial,STP,fill,dispenser)on this row: Sensor tested functional and not in alarm y Inters"Sense Sensor properly mounted at the bottom of double-walled tank(double-walled tank sensor only) 8.7.4 �! Sensor tested functional and not in alarm T STP Sensor Sensor propedy mounted at the bottom of the containment sump or pan(containment sump or pan 8.7.3 sensor only) PEI/RP900 N/A UDC 1 If Category Description Sensor tested functional and not in alarm 8.7.1 '! 7 osx--se'Pan Y Y Senscr Sensor properly mounted at the bottom of the containment sump or pan 8.7.8 / C+MGerY Description PEI/RP9o0 N/A j� l 5/6 Tt NSA Sensor tested functional and not in alarm 8.7.1 Y Y Dispenser Pan tv Sensor Sensor properly mounted at the bottom of the containment sump or pan DESCRIBE ANY DEFICIENCIES HERE: ANNUAL FILL CONTAINMENT SUMP CHECKLIST Date: Category Description PEI/RP900 N/A Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 Fill Sump 8.6 VSL, ;;o Any water or product removed and disposed of properly 8.6.4 Y Visible piping and fittings show no signs of leaking 8,6,1 tt" Piping in good condition 8.6.2 t/ V, Fri Contaireoent Excessive corrosion not present 8.6.3 ( Y tr/ Sump Sump free of trash and debris 8.5.5 y Sump is free of cracks,holes,bulges or other defects 5.6.6 �( Sump lid,gasket and seals present and In good condition 8.6.23 �I Manhole cover at grade in good condition,does not touch sump cover,all bolts present, ,/ �/ handles and lift mechanism In goad condllion(as applicable) 5.6,24 r T y DESCRIBE ANY DEFICIENCIES HERE: Adapted from PEI RP g00 Ryder Fuel Services,Version 1.0,1112018 Page 3 of 4 RECEIVED BY EHD: 7/27/2021 (received via Crompco Vault Portal)