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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 r-31 No E3 N/A <br /> 16 u Check valve ❑Yes ❑No LINIA <br /> ❑Gate valve ❑Yes ONo ❑NIA <br /> ❑Pressure regulator valve ❑Yes ❑No ❑NIA <br /> © Expansion relief valve <br /> n Solenoid valve ❑Yes ❑No ❑NIA <br /> ❑Fire valve ❑Yes ©No ©NIA <br /> ❑Shear valve ❑Yes ❑No ❑NIA <br /> 17 Are strainers and filters clean and in good condition? []Yes ❑No ❑N/A <br /> Insulated Tanks <br /> Free of missing insulation? ❑Ye$ ❑Nd El N/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 11 N/A <br /> 20 Insulation free of mold? ❑YeS ❑NO ❑N/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 11 Yes ❑NO ❑N/A <br /> i€required? <br /> 23 Is release detection being performed and documented ❑YeS ONO 1:1 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 ❑N <br /> 25 the tank been tested as required by /A <br /> the designing engineer? <br /> Annual Checklist Page 3 of 4 <br />