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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 aSYes MNo ❑NIA <br /> 76 ❑Check valve , Yes ONO ❑NIA <br /> ❑Gate valve MrVes ❑No [I NIA <br /> ❑Pressure regulator valve ❑Yes ❑No VIA <br /> ❑Expansion relief valve ❑Yes []No iiCN/A <br /> ❑Solenoid valve <br /> ❑Fire valve ❑Yes ❑No WNIA <br /> ❑Shear valve []Yes []No eNIA <br /> 17 Are strainers and filters clean and in good condition? V-yes ❑No ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? ❑Yes ❑ 91 NO N/A <br /> 18 Insulation free of visible signs of damage? <br /> Insulation adequately protected from water intrusion? <br /> 7s Insulation free of noticeable areas of moisture? ❑yes ❑NO CN/A <br /> 20 Insulation free of mold? ❑Yes ❑NO RM/A <br /> 21 Free of visible signs of coating failure? ❑Yes ❑NO <N/A <br /> Tank 1 Piping Release Detection <br /> 22 Is inventory control being performed and documented ❑Yes []No fSN/A <br /> it required? <br /> 23 Is release detection being performed and documented ❑Yes ❑No XN/A <br /> if required? <br /> Other Equipment <br /> 24 Are electrical wiring and boxes in good condition? CQYes ❑No N/A <br /> Has the cathodic protection system on ❑Yes ❑NO W /A <br /> 25 the tank been tested as required by <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />