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AST SP001 ANNUAL INSPECTION <br /> Item Task Status <br /> 3.0 Cathodic Protection <br /> 3.1 Galvanic cathodic Confirm system is functional,includes the wire connections for r Yes r No A N/A <br /> protection s stem galvanic systems. <br /> 3.2 Impressed current a. Inspect the operational components(power switch, meters,and r Yes r No r N/A <br /> system alarms). <br /> b.Record hour meter,ammeter and voltmeter readings. r Yes r No r N/A <br /> c.Rectifier Unit: Make:,Model: <br /> Comments: <br /> 4.0 Tank Shell,Heads, Roof <br /> 4.1 Coating Is the coating in good condition? r Yes r No r N/A <br /> 4.2 Steel condition Is structure free of. <br /> • Dents r Yes r No r N/A <br /> • Buckling I+Yes r No r NIA <br /> • Bulging r Yes r No r NIA <br /> • Corrosion f71 Yes r No r N/A <br /> • Cracking r Yes r No r N/A <br /> 4.3 Roof slope System is free of low points and standing water. F Yes r No r N/A <br /> Comments: <br /> 5.0 Tank Equipment <br /> 5.1 Vents-Primary Components are moving freely and vent passageways are not <br /> obstructed for: r Yes r No r NIA <br /> • Emergency vent covers:Make: Morrison Bros,Model:244, r Yes r No r N/A <br /> Diameter:4 r Yes r No t✓N/A <br /> • Normal Vent:Make: Husky,Model:38CP, Diameter:2 <br /> • Other moving vent components(enter manufacturer and model <br /> number in Comments if available. <br /> 5.2 Vents-Secondary Components are moving freely and vent passageways are not <br /> obstructed for: r Yes r No r N/A <br /> • Emergency vent covers:Make:,Model:,Diameter: r Yes r No r NIA <br /> • SecondaryVenl:Make:,Model:,Diameter: r Yes r No r N/A <br /> • Other moving vent components(enter manufacturer and model <br /> number in Comments if available. <br /> Comments: <br /> 5.3 Valves All valves are free of leaks,corrosion and damage. r Yes r No <br /> 5.3.1 Anti-siphon,check Cycle the valve open and closed and confirmed proper operation. r Yes r No r N!A <br /> and gate valves enter manufacturer and model number in Comments if available <br /> 5.3.2 Pressure regulator Confirmed proper operation.(Note that there may be small, 1/4 inch r Yes r No r N/A <br /> valve drain plugs in the bottom of the valve that are not visible by looking <br /> from above only)(enter manufacturer and model number in <br /> Comments if available) <br /> 5.3.3 Expansion relief valve Confirmed that the valve is in the proper orientation.(Note that fuel [-Yes r No r N/A <br /> must be discharged back to the tank via a separate pipe or tubing.) <br /> enter manufacturer and model number in Comments if available <br /> WO: 6703239 SFPrFIN6ER2m6 <br />