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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 1�Yes []No I MA <br /> 16 ❑Check valve fYes ❑No ❑NIA <br /> ❑Gate valve WTes ❑No LIN/A <br /> ❑Pressure regulator valve ❑Yes ❑No J N/A <br /> ❑Expansion relief valve ❑Yes ❑No AN/A <br /> ❑Solenoid valve <br /> o Fire valve ❑Yes []No ION/A <br /> •Shear valve ❑Yes ❑No AMIA <br /> 17 Are strainers and filters clean and in good condition? Wes ❑No ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? ❑Yes ❑NO ISN/A <br /> is 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 A/A <br /> 30 Insulation free of mold? []Yes ENO �M/A <br /> 21 Free of visible signs of coating failure? ❑Yes ONO iSV/A <br /> Tank/Piping Release Detection <br /> 22 Is inventory control being performed and documented []Yes ❑NO UN/A <br /> if required? <br /> 23 Is release detection being performed and documented ❑Yes ONO I�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 NN/A <br /> 25 the tank been tested as required by <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />