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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 es ❑No ❑NIA <br /> Is u Check valve Yes 13 No ❑N/A <br /> o Gate valve as El No El NIA <br /> ❑Pressure regulator valve es ❑No LIN/A <br /> o Expansion relief valve as ❑No ❑N/A <br /> o Solenoid valve as []No L.3 NIA <br /> o Fire valve <br /> ❑Shear valve ems ❑No ❑NIA <br /> 17 Are strainers and filters clean and in good condition? `6ZfYes []No ❑N/A <br /> �", Insulated Tanks <br /> Free of missing insulation? ❑Yes ONO */A <br /> is Insulation free of visible signs of damage? <br /> insulation adequately protected from water intrusion? <br /> 19 Insulation free of noticeable areas of moisture? ❑Yes ❑NO �,[O�/A <br /> 20 Insulation free of mold? ❑Yes ❑ _ <br /> NO IA,V/A <br /> 21 Free of visible signs of coating failure? ❑Yes ❑NO /A <br /> Tank/Piping Release Detection <br /> 22 Is inventory control being performed and documented es ❑NO ❑N/A <br /> if required? �1 <br /> 23 Is release detection being performed and documented ❑Yes ❑NO Xfi/A <br /> if required? <br /> Other Equipment <br /> 24 Are electrical wiring and boxes in good condition? y1es ❑NO ❑N/A <br /> r25Has the cathodic protection system on 11+fyes ❑NO ❑N/A <br /> the tank been tested as required by <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />