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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 &Yes ❑No I N/A <br /> 1s ❑Check valve *Yes El No [!N/A <br /> •Gate valve ijeyes El No IN/A <br /> ❑Pressure regulator valve ❑Yes ❑No t$NlA <br /> ❑Expansion relief valve ❑Yes [I No WIA <br /> ❑Solenoid valve <br /> ❑Fire valve ❑Yes El No WN/A <br /> ❑Shear valve 11 Yes ❑No V11A <br /> ?frtJ�Or <br /> 1T Are strainers and filters clean and in good condition? es ❑NO ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? ❑Yes ❑NO V/A <br /> 18 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 6/A <br /> 20 Insulation free of mold? ❑Yes ❑NO UN/A <br /> 21 Free of visible signs of coating failure? ❑yes ❑NO Wfi/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 [k1/A <br /> If required? <br /> Other Equipment <br /> 24 Are electrical wiring and boxes in good condition? &Ye4 ❑NO ❑N/A <br /> Has the cathodic protection system on ❑Yes ❑No 9TN/A <br /> 25 the tank been tested as required by <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />