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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 Z es El No El N/A <br /> 16 1 Check valve ®Yes ❑No ❑N/A <br /> ❑Gate valve �es LJ No ❑N/A <br /> ❑Pressure regulator valve FVes ❑No ❑N/A <br /> ❑Expansion relief valvees ❑No El <br /> ❑Solenoid valve <br /> ❑t=ire valve es ❑No ❑N/A <br /> ❑Shear valve t4Yes ❑No 171 NIA <br /> 17 Are strainers and filters clean and in good condition? Yes LINO ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? ❑Yes LINO N/A <br /> 18 Insulation free of visible signs of damage? <br /> Insulation adequately protected from water intrusion? <br /> 79 Insulation free of noticeable areas of moisture? ❑Yes ❑NO N/A <br /> 20 Insulation free of mold? ❑Yes LINO /A <br /> 21 Free of visible signs of coating failure? ❑Yes ❑NO N/A <br /> Tank/Piping Release Detection <br /> 22 Is inventory control being performed and documented Yes ❑NO ❑N/A <br /> if required? <br /> 23 Is release detection being performed and documented []Yes ❑NO 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 NrYes ❑NO El N/A <br /> 25 the tank been tested as required by <br /> the designing engineeO <br /> Annual Checklist Page 3 of 4 <br />