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ARB Approved IOM-HealyNeeder-Root Phase II EVR System-VR-202-A(Scheduled Maintenance) <br /> Healy EQ VR-202-A - Annual Inspection and Testing Checklist <br /> Checklist results may be used to assist with filling out GDF maintenance log. Date: 3/19/2015 Page 1 of 3 <br /> Clean Air Pressure Decay Dispenser Nozzle V/L <br /> Separator Test,TP-201.3 Dispenser Vapor Line Dispenser Fuel Grade Tested Test, <br /> Test, Exhibit 4 &Exhibit 8 dumber Tightness Test Number (circle one) Exhibit 5 <br /> (select one) (select one) (circle one) (circle one) <br /> 112 Passf`Fail 1 87 89 91 Other— f:Pass r Fail <br /> 314 t:Pass(—Fail 1 87 89 91 Other IT Pass r Fail <br /> Pass Pass 5/6 a Passr Fail 1 87 89 H Other C Pass r Fail <br /> t: C: — <br /> 718 re Passr Fail 2 87 89 91 Other r Pass r Fail <br /> 9110 t+Passr"Fail 2 87 89 91 Other r Pass(—Fail <br /> 11/12 C?P--r Fail 2 87 89 91 Other 111*'Pass r Fail <br /> Complete Complete <br /> Weekly Quarterly r Pass(—Fail 387 89 91 Other f+Pass?"Fail <br /> Inspection Inspection — <br /> Checklist Checklist >✓'Passr Fail 3 87 E 91 Other (?Pass r Fail <br /> Fail Fail Fail s 87 89 Pa55f Pass r Fail <br /> C` Passr Other <br /> r Passr Fail 4 87 89 91 Other— (:Pass r Fail <br /> r Passr Fail 4 87 H 91 Other f."Pass r Fail <br /> f r Pass(—Fall 4 87 89 91 Other [:Pass r Fail <br /> 1'- f Pass("Fail 5 87 89 91 Other r Pass r Fail <br /> n - <br /> r r PassFail 5 <br /> ' O 87 89' 91 Other f?Passr Fail <br /> rT <br /> +� r Passr Fail 5 87 89 91 Other r Pass r Fail <br /> Pass"Fail 6 $7 89 91 Other (:Pass r Fail <br /> z <br /> WO:2321928 <br />