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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 r 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 F 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 r Yes r No r N/A <br /> • Bulging r Yes r No r N/A <br /> • Corrosion r Yes A 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 N/A <br /> • Emergency vent covers:Make: ,Model:, Diameter: r Yes r No f✓N/A <br /> • Normal Vent: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 /> 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 rNo FT N/A <br /> • SecondaryVent:Make:,MOdel:,Dlameter: rYes I-No rN/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. f-Yes r No I17 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 ry 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 r 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 SEPIENBMM16 <br />