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Are all valves free of leaks,corrosion and other <br /> damage?Follow manufacturers'instructions for <br /> regular maintenance of these items,Check the <br /> following and verify(as applicable): <br /> •Anti-siphon valve >6es ❑No ❑N/A <br /> 18 ❑Check valve as ❑No ❑NIA <br /> ❑Gate valve Aves []No ❑NIA <br /> •Pressure regulator valve cy <br /> es ❑No ❑NIA <br /> ❑Expansion relief valve es [--]No ❑NIA <br /> •Solenoid valve <br /> d Fire valve Vites ❑No [I NIA <br /> c Shear valve es F1 No ❑NIA <br /> 17 Are strainers and filters clean and in good condition? )QYes ❑No ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? []Yes ❑NoLG/A <br /> 18 Insulation free of visible signs of damage? /\` <br /> Insulation adequately protected from water intrusion? <br /> 18 Insulation free of noticeable areas of moisture? ❑Yes []No �X�;/A <br /> 20 Insulation free of mold? ❑Yes ❑NO IpV/A <br /> 21 Free of visible signs of coating failure? []Yes ❑NO )-}(NN/A <br /> Tank/Piping Release Detection <br /> 22 Is inventory control being performed and documented Yes ❑NO ❑N/A <br /> if required? //tel <br /> 23 Is release detection being performed and documented []Yes ONO MA <br /> if required? <br /> Other Equipment <br /> 24 Are electrical wiring and boxes in good condition? Yes ❑NO ❑N/A <br /> Has the cathodic protection system on ❑NO ❑N/A <br /> 25 the tank been tested as required by )<(es <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />