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SECTION 5: Equipment Checklist for Healy/VST Sites <br /> An Inspection must be performed daily. If no problem exists, place a'i in the appropriate box. If a defer:is identified,place an "i in the appropriate box. Record defects <br /> - <br /> & repairs on the"Equipment Repair Log". Keep copies of repair orders or receipts in the Orange Binder.Proper personal protective equipment(PPE)must be used at all <br /> times.Refer to the Process Card in the pocket of the Orange Binder for assistance in performing this daily checklist. <br /> II <br /> Month Year DAYOFTHE MONTH <br /> 1 2'1 3 1.'4'1 5 1. 11 7 1.8.j 9 110 111112113 114115 16.1171-18.1191201211-22 j 23124125126127120129 j 31Y 131 <br /> 1 Check hoses for leaks.kinks,11x1 spots,aucking.or tears and that swivel moves / ✓ .J v ✓ ✓ ✓ ✓ v ./ L/ V � _ / �. / _✓ / <br /> freely. Y V V V V ✓ V <br /> 2. Check that breakaways are installed correctly(arrow should point toward nozzle) ✓. .� ✓ •✓ _✓ .{ .� J /. /, <br /> and that there are no visible leaks. [' e! V. <br /> 3. N hose retractors are present,check that hose retractors function and have less <br /> that 3 inches of cord showing. <br /> 4. (VSTBALANCE ONLY(Check that gasoline hoses do not touch the ground. <br /> 5.(VSTBALANCE ONLY(Drain liquid from hoses into an appropriate container <br /> and check that amount is less than a few ounces after 2 attempts. <br /> ,, �..�. <br /> 6.Check noules for drips,leaks,or odors. <br /> . . <br /> 7.Check that faceplatexaeecone,is In good condition.Look for tears,sas 8 �t <br /> deleroration.Plastic seal on(acetone surrounding spout is not cracked or broken. ✓ �. •. '!✓ ✓ ✓' ✓ 'V J ; ,/ J :;� ✓. ✓ :✓ ✓ V. <br /> B.Cback mini bootivil collection sleeve for tears or slits. 'sI' a, of be.- <br /> 9.Check that insertion Interlock mechanom functons properly. t/ � <br /> 10.Check that auto ahube/hold open latch is present and functional. s/ <br /> 11.Check mat nock+check valve is functioning,properly clamped with no vapor <br /> r �. 'y <br /> 12. Check that the nozzle spout is tight,round and clear of obstruction. yV V!- <br /> 13. Check Mat latch ring(raised metal mg on spout)is present. ley' 2 LZ <br /> 14. Check that the following decals are present on each dispenser:Nozzle <br /> Instructions,Gasoline Warning,Octane,Toll Free Number for Nozzle Problems 0f / �. ,/ % / ✓ . ✓ :s� <br /> applicable) III + Y VVV ✓ ✓ <br /> Area - . . <br /> 15. Check that spill buckets are clean and dry. <br /> 16.Are drain valves functional and pull chains aaached? / OF <br /> 17.Are gaskets in fill and vapor caps in good condition? <br /> t2l" <br /> heck that fill&vapor adapters lock o pace and cannot be turned with hand. / : fam <br /> heckthat vapor drybreak s ealistghtiodspirm is v.,,king. kI .� /hg Area ;�,::1ST Monitoring System ' rered or and not in a;a«r, tV1 V <br /> - -/ ./Ina 1x1:. . --Recortlt" te ofin Mort- Y Vomplete the Hazardous Waste Weekly Checklist Igo to the atltlhional <br /> azardous Waste Checklists provd this booklet). omplete the HeaIyNST Equipment Weekly Inspection and Testing Checklist <br /> Igo to the additional Healy Weekly_,) cklis-Is oroviCed in Inls booklet) ..�.4 J w• 1 O.t.7. 5 l "( <br /> Record the Oftoll'InsiNecUon <br /> 23. Confirm and record that nozzle flow rate is between 6 to 10 gallons per minute. <br /> 24.Visually check for PIV valve on vent neer&that yellowte hha slicker is visible& <br /> mere are no vapor shadows. <br /> 25. Did you complele the Monthly Throughput Log? <br /> Inspector's Initials: <br /> Time of Inspection,if required <br /> C <br />