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AST SPOO1 ANNUAL INSPECTION Item Task Status 5.3.4 Solenoid valves Cycle power to valve and confirmed operation. (Electrical r Yes r No P NIA solenoids can be verified by listening to the plunger opening and closing. If no audible confirmation, the valve should be inspected for the presence and operation of the plunger-)(enter manufacturer and model number in Comments if available) 5.3.5 f=ire and shear valves a. Manually cycle the valve and confirmed components are r Yes No W NIA moving freely and that the valve handle or lever has clearance to allow valve to close completely.(enter manufacturer and model number in Comments if available) b. Valves must riot be wired in open position. r Yes r No F NIA c. Make sure fusible element is in place and correctly r Yes [—No F NIA positioned. d, Be sure test ports are sealed with plug after testing is r Yes r No W NIA complete and no temporary test fixture or component remains connected to valve. Cbmments: 5.4 Interstitial leak detection Check condition of equipment, including: equipment • Make: ,Model: • The window is clean and clear In sight leak gauges. r Yes r No W NIA • The wire connections of electronic gauges for tightness and r Yes r•No W NIA corrosion. • Activate the test Button, if applicable- r Yes "No NIA 5.5 Spill containment boxes a. Confirmed SB is free of corrosion, damage, or wear that r Yes r No P NIA on fill pipe has compromised the ability of the unit to perform spill containment functions(enter manufacturer and model number in Comments if available b. Confirmed connections to the AST are tight, and all bolts, 1�Yes r No W NIA nuts, washers are in good condition. c. Confirmed drain valves are operational. r-Yes r No R NIA 5.6 Strainer a. Confirmed that the strainer is clean and in good condition. rYes r No r NIA (enter manufacturer and model number in Comments if available b. Confirmed strainer basket, cap, bolts and gasket seal are r-Yes r No P NIA in good condition. 5.1 Filter a. Confirmed that the filter is in good condition and is within r Yes r No W NIA the manufacturer's expected service life. Replace, if necessary.Make:.Model: b. Confirmed no leaks or decreased fuel flow, r Yes r No W NIA 5.8 Flame arrestors Inspected for proper operation per manufacturer's instructions r Yes r No W NIA and no corrosion or blockage of air passages-(enter manufacturer and model number in Comments if available 5.9 Leak detector for Have been or were tested per manufacturer's instructions and r Yes r'No W NIA submersible pump systems authority having jurisdiction (AHJ)and verify leak detectors are suited and properly installed for above ground use. Make: ,llllodel: 5.10 Liquid level equipment a. Make: Krueger,Model:Te H b. Has equipment been tested to ensure proper operation? P Yes r•No r NIA c. Does equipment operate as required? rw Yes r No r NIA d. Roes the equipment perform per manufacturer's W Yes r No r NIA instructions? W0: 6703206 _.. _. SEPTEMBER 2016