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Local Fuel PLC – The Shoreham Oil Terminal

Safety Instrument System Overfill Shutdown Conditions Proof Testing Procedure LFS-SIS1

P & I Design Ltd

DOCUMENT NO: LF364012_RPT

2 Reed Street, Thornaby, UK, TS17 7AF

ISSUE: A DATE: 20.05.15

Tel: + 44 (0)1642 617444

PAGE 17 OF 22

Fax: + 44 (0)1642 616447

www.pidesign.co.uk

8.1.6

Comments/Defects/ Remedial Actions

– Report ALL to System Keeper

Tested by

Position

Qualification

Sign

Date

System Keeper Acknowledgement

(Note: Signature confirms System keeper is advised of Comments/Defects/Remedial Actions and will initiate

terminal procedures for rectification works and/or isolation of plant as required)

Accepted by

Position

Qualification

Sign

Date