Laserfiche WebLink
To.TNIIV TRAN Pn9e 7 or'13 �O'13-OB.'IS'10.33.2� OMT_09:00 12097295446 FremBonnla Jonaa <br /> RECEIVED <br /> AUG 15 2013 <br /> Standing Loss Control EVR Installation Equipment Check List ENVIRONMENTAL <br /> Installing Products per ARB Executive Order VR-301-0 HEALTH DEPARTMENT <br /> Site Location :(name) Cemerc —ks;X -t-nj (- <br /> Address: ,3x39 S• t—w..f ger <br /> City/State: T.— 4— <br /> Contact/Phone: 15ti Zu9�2E3s—fr/�'tj <br /> Installing Contractor :(name) C <br /> Address: &AWAUIX PA 3Z V72-ilo.4 <br /> City/State: <br /> Contact/Phone:. 0 N WL 210-0 a�cg A707 --)$ 7z— <br /> Tank <br /> LTank Number: Product: Capacity: <br /> Tank Number: Product: Capacity: <br /> Tank Number: Product: Cap' Ity: <br /> Installing Technician: (name): �1 <br /> Technician Certification Nu ber: <br /> Signature: <br /> 0 <br /> Yes/No Initials 1. Is all of the installed equipment for Standing Loss Control <br /> EVR listed in ARB Executive Order (E.O.) VR-301-D? <br /> Note: All Standing Loss Control Vapor Recovery installed <br /> equipment must be listed in E.O. VR-301-D. See <br /> attached Exhibit 1 Checklist, and/check each item <br /> installed. <br /> Yes/No Initials 2. Pressure Vacuum Vent Valve <br /> Is there a PN Vent valve installed on the top of each <br /> (gasoline)vent pipe (a maximum of three EVR PN valves <br /> per GDF) or manifold? <br /> a. PN vent valve(s)torqued to Sri ft. lbs. <br /> Yes/No Initials 3. White Paint <br /> ` CHas the aboveground storage tank surface been prepared <br /> L <br /> y65 • according to the white paint manufacturer's specifications? <br /> a. Describe surface preparation: SrwL F<-Q ev <br /> 54vt/8r5 r S�wrra <br /> Installation,Operation and Maintenance Manual.Executive Order VR-301-D <br /> Standing Loss Control Vapor Recovery System for Existing Installations of AST <br /> Page 6 <br />