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ARB Approved IOM-H ealyfVeede r-Root Phase II EVR System-VR-202-A(Scheduled Maintenance) <br /> i <br /> Healy EO VR-202-A - Quarterly Inspection and Testing Checklist <br /> Checklist results may be used to assist with filling out GDF maintenance log. Date: 3119!2015 Page 3 of 3 <br /> i <br /> Weekly Product <br /> Dispenser Unihose or Fuel Grade(circle one) Inspection VP1000 dispensing Fuel Grade Tested Clean Air Separator <br /> Number Unihose Complete Inspection Rate (circle one) Configuration <br /> (circle one) (circle one) (gallons (see figure on back) <br /> per minute) <br /> 11 Unihose 87 89 91 Other— Yes No Pass Fail 8.52 gpm Unihose 87 89 91 Other Valve Circle One <br /> 12 Unihose 87 89 91 Other— Yes No Pass Fail 8.10 gpm Unihose 87 89 91 Other— A en Closed <br /> 12 Unihose 87 89 91 Other, Yes No Pass Fail 7,81 gpm Unihose 87 89 91 Other B Open lased <br /> 12 Unihose 87 89 91 Other91, Yes No Pass Fail 8.63 gpm Unihose 87 89 Other C Open lased <br /> Unihose 87 89 91 Other— Yes No Pass Fail gpm Unihose 87 89 91 Other— D Open lased <br /> Unihose 87 89 91 Other Yes No Pass Fail <br /> gpm Unihose 87 89 91 Other � Plug Circle One <br /> — —3 <br /> Unihose 87 89 91 Other Yes No Pass Fail gpm Unihose 87 89 91 Other j E Installed missing <br /> Unihose 87 89 91 Other Yes No Pass Fail gpm Unihose 87 89 91 Other F Installed missing <br /> Unihose 87 89 91 Other Yes No Pass Fail gpm Unihose 87 89 91 Other <br /> — i <br /> { <br /> Unihose 87 89 91 Other— Yes No Pass Fail gpm Unihose 87 89 91 Other— <br /> - 4 I <br /> Unihose 87 89 91 Other Yes No Pass Fail gpm Unihose 87 89 91 Other <br /> Unihose 87 89 91 Other Yes No Pass Fail gpm Unihose 87 89 91 Other <br /> Unihose 87 89 91 Other_ Yes No Pass Fail gpm Unihose 87 89 91 Other— <br /> � r <br /> AilUnihose 87 89 91 Other_ Yes No Pass Fail gpm Unihose 87 89 91 Other— <br /> n Unihose 87 89 91 Other, Yes No Pass Fail gpm Unihose 87 89 91 Other— <br /> q Unihose 87 89 91 Other_ Yes No Pass Fail gpm Unihose 87 89 91 Other—I <br /> -- -----._.- ..----- ....._..- - _.._..... - - ------ -- --- ....... - - - -- --- --- - - - <br /> m <br /> 2 V\02321 <br /> i� <br />