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SECTION 5: Equipment Checklist for HeaIyNST Sites <br /> M Inspection must be performed daily.If no problem exists,place a"✓"in the appropriate box. If a defer:is identified,place ct"e in the appropriate box.Record defects <br /> &repairs on the"Equipment Repair Log If Keep copies xi repair orders or receipts in the Orange Binder.Proper personal protective equipment(PPE)must be used at all <br /> in performing this daily checklist. <br /> DAV OF THE MONT. <br /> times.Refer to the Process Card in the pocket of the Orange Binder for assistance <br /> Year 12_j_ _ 1 . 2 3 4' 5 .6. 7 .8. 9 10 11 12 13 14 15 .16. 17 18. 19 '20. 21 22 23 -24 25 26 27 28 29 30 31 <br /> Month <br /> ✓ � J J �. � d. J ✓ J'✓ <br /> Check hoses for leaks kinks.Dal spots,cracking,or tears and That swivel moves <br /> t lowa <br /> J ' J <br /> 2,Chock Nal breskaweys are installed rgrrecllY(arrow should poinN nozzle) <br /> and that there are he vaible leaks. <br /> 3.N hone mtractore are V—.—check that hose Mair-Whitener antl have less <br /> that 3Inches of cord showing. <br /> 4. That gasoline hoses do not Much <br /> IYaTIBAINICE ONLY)Check the ground. <br /> 5. (VSTIBALANCE ONLY)Drain liquid from hoses into an appropriate wntainer . <br /> antl check that amount Is less loan a Few ounces after 2 adempts. <br /> 6.Check nozzles for drips,mansor odors <br /> 7.Check that Is"I' ourrudeeone is In good contlkbn.Look for tears,slits& <br /> deteriorated.Plastic seal on facecone surrounding spout is not cracked or broken. <br /> 8.Check mini booVvapor cofNction sleeve for tears or slits. <br /> lF Check that insertion Interlxk mechanism functions properly. <br /> 1g.Check that auto shuloBBtold open latch is present a df u�iµM1^no vapor <br /> 11.Check Net nozzle check valva is functioning,properly <br /> • 12.Check Nal the nozzm spout lis light round and clear of obsvuctbn J ✓. <br /> 13.Check Nat Ne latch nng( i1 ea vela19 1sp 11 u'esen, <br /> 14 Check that Me Malowing deems are present on eacM1 tluspenser.Noum J � j I J <br /> Instructions,Gasoline War.,,y,Comer, Tell Free Number for Nozzle Problems(It , ,� J <br /> epphcablel y,. � d� ' <br /> Jia ✓ .' <br /> 15 Check ghat spill buckets are clean antl dry. ✓ s/. <br /> 16.Are dreln valves Umv. III <br /> In8g. . <br /> functional and pull chains attached° <br /> s in good condition g <br /> 17.Ara gaskets in fit and vapor caP g lace and cannot be turned with hantl. <br /> 18.Check Nat He&vapor adaptere lock in p <br /> 19 Check Nat vapor drybreak seal K tight and spr nG s woMmy. J f lr �, <br /> 20 UST Monitor eg System is po ered on antl not m alarm ✓ ✓ I pifOn �' <br /> w <br /> Waste Weekly Checklist(go to Meal q 71�I . <br /> 21 Complete the Hazardous r ..C���. � <br /> Hazardous Nast.Checkhsls provided m this booklet ty �.:! f•L'', <br /> 22 Complete the HeaIyNST Eqm pment Weekly Inspection and Testing Checklist .^ T / VVV <br /> dqO to the adddlonal HeelY Weokly Checkliss p ovmed n th5 bookie[) the date Of t OO <br /> 23 Confirm and record that er, le Bow rate is between 6W le gallons per minute. <br /> 24.Visually check for PN valve on vent riser&that yelbwAMM stickers visible& <br /> morn aro on VWQr Shadows. <br />