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Corporate Approval <br />Printed Name Signature <br />Nikolaus Despain <br />Date <br />1/4/2019 <br />Verification <br />The following requirements have been met Initials Date <br />All resources in Needs Review have been updated 1/4/2019 <br />The Engineering Checklist for the change has been completed and updated 1/4/2019 <br />A Health and Safety Review has been completed using a Process Safety Questionaire For <br />Minor Changes <br />2/19/2020 <br />Health and Safety Recommendations from the Process Safety Questionaire For Minor <br />Changes have been completed <br />2/19/2020 <br />The change has been made as designed 2/19/2020 <br />All affected personnel (operators, maintenance, management and contractors) have been <br />informed about and trained in the change <br />2/19/2020 <br />Authorization for startup is hereby given <br />Printed Name Signature <br />Ben Schlegelmilch <br />Date <br />2/19/2020