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SPCC ANNUAL VISUAL INSPECTION CHECKLIST* Page 2 of 3 Inspection Date: Y N NA Check (V) as appropriate. If"No", identify the tank,describe the issue and actions taken in the Note Section below. 29. Are all valves free of leaks, corrosion and other damage? 29.1 Anti-siphon valve 29.2 Check valve 29.3 Gate valve 29.4 Pressure regulator valve 29.5 Expansion relief valve 29.6 Solenoid valve 29.7 Fire valve 29.8 Shear valve 30. Have the manufacturers' instructions for regular maintenance of these items been performed? 30.1 Anti-siphon valve 30.2 Check valve 30.3 Gate valve 30.4 Pressure regulator valve 30.5 Expansion relief valve 30.6 Solenoid valve 30.7 Fire valve 30.8 Shear valve 31. Are any strainers or filters that are present clean and in good condition? Tank Manways, Piping,and Equipment ❑ ❑ ❑ 32. Visually inspect all tank top openings including nipples, manways,tank top overfill containers, and leak detection tubes. Is the sealant between all tank top openings and concrete intact and in good condition? ❑ ❑ ❑ 33. Are flanged connection bolts tight and fully engaged with no sign of wear or corrosion? Piping, Hoses, Ladders, Platforms 34. Are piping connections to the tank(valves,fittings, pumps, etc.) free of visible leaks? 35. Do any rubber hoses look as if they will function problem free for a full 12 months from now? ❑ ❑ ❑ 36. Do the ladders/platforms/walkways appear to be secure, with no cracks, or sign of severe corrosion, or other damage? Spill/Fill Buckets/Strainers/Filters 37. Is this device in working order? 38. Is this device lockable? 39. Are strainers and filters clean and in good condition? Tank Monitoring and Leak Detection Equipment 40. Is interstitial leak detection equipment in good condition? 41. Are all the wire connections intact? 42. If equipment has a test function, does it activate to confirm operation? ❑ ❑ ❑ 43. Manually gauge tank if necessary. Is liquid level shown by Tank Monitoring display consistent with the actual amount in the tank? ❑ ❑ ❑ 44. If liquid level monitoring equipment is dependent on batteries, does the battery indicate ade- quate charge to last 12 more months? If no or unknown, change batteries. Overfill Protection 45. Are windows on sight gauges clear? 46. If overfill protection is dependent on batteries, does the battery indicate adequate charge? 47. Is liquid level, overfill equipment, and leak detectors in good condition? 48. Is the electrical wiring and boxes in good condition?