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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 applicabley <br /> o Anti-siphon valve I(Yes ❑No ❑N/A <br /> 1s ❑Check valve 1MP'es ❑No ❑N/A <br /> ❑Gate valve I&es []No [71 N/A <br /> ❑Pressure regulator valve ❑Yes []No MI/A <br /> ❑Expansion relief valve <br /> (i Solenoid valve ❑Yes ❑No $NIA <br /> ❑Fire valve ❑Yes ONO 4LI1WA <br /> •Shear valve OYes ❑No 4MllA <br /> 17 Are strainers and filters clean and in good condition? lirfes ❑NO ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? ❑Yes ONO VNJA <br /> 18 Insulation free of visible signs of damage? <br /> Insulation adequately protected from water intrusion? 1cT <br /> 19 Insulation free of noticeable areas of moisture? ❑Yes [:]No67 N/A <br /> 20 Insulation free of mold? ❑Yes ONO NN/A <br /> 21 Free of visible signs of coating failure? ❑Yes LINO Ol/A <br /> Tank I Piping Release Detection <br /> 22 Is inventory control being performed and documented ❑yes LINO V/A <br /> if required? <br /> 23 Is release detection being performed and documented ❑Yes ❑NO aN/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 LINO �r/A <br /> 25 the tank been tested as required by <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />