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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 les ONO ON/A <br /> 1s rrCheck valve @r(es 0N El NIA <br /> o Gate valve nVes ONO 171 NIA <br /> Pressure regulator valve Eyes ❑No MIA <br /> n Expansion relief valve ❑Yes 0N WA <br /> ❑Solenoid valve ❑Yes ❑No /A <br /> ❑Fire valve <br /> Li Shear valve OYes ❑No $NIA <br /> 17 Are strainers and filters clean and in good condition? 'Yes ❑NO ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? ❑Yes ONO 4 {{++N/A <br /> 18 Insulation free of visible signs of damage? <br /> Insulation adequately protected from water intrusion? �o. <br /> 19 Insulation free of noticeable areas of moisture? ❑ ❑ O <br /> Yes NO KaJ IV/A <br /> 20 Insulation free of mold? ❑Yes ❑NO w N/A <br /> 21 Free of visible signs of coating failure? []Yes ❑No PgN/A <br /> Tank!Piping Release Detection <br /> 22 Is inventory control being performed and documented ❑Yes ❑NO krN/A <br /> if required? <br /> 23 Is release detection being performed and documented []Yes ❑NO 2 N/A <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 ❑Yes ❑NO %M/A <br /> 25 the tank been tested as required by <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />