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ARB Approved IOM-HealyNeeder-Rook Phase II EVR System-VR-202-A(Scheduled Maintenance) <br /> HealyNeeder-Root EO VR-202-A - Weekly Inspection and Testing Checklist <br /> Checklist results may be used to assist with filling out GDF maintenance log. Date: 31.1912015 Page 1 of 1 <br /> Dispenser Nozzle Hose Breakaway VP1000 Vacuum Pump Normal Operation <br /> Number Unihose or Fuel Grade Inspection Inspection Inspection (select one) <br /> (select one) (select one) (select one) <br /> 1 Unihps 87 89 91 Other V Pass r Fail r Pass r Fail P Pass r Fail Pass r Fail <br /> 2 Unihps 87 89 91 Other_ ry-1 Pass r Fail W Pass r Fail r1/'Pass r Fail W Pass r Fail <br /> 3 Unihos 87 89 91 Other 10—Pass r Fail W Pass r'Fail rv-Pass r Fail w Pass r Fail <br /> 4 Unihos 87 89 91 Other W Pass r Fail fl—/ Pass r Fail P—Pass r Fail P—Pass r Fail <br /> 5 Unihos 87 89 91 Other_ Pass r Fail W Pass r Fail PoO Pass r Fail P Pass r Fail <br /> 6 Unitros 87 89 91 Other_ rv—Pass r Fail W Pass r Fail W Pass r Fail P-Pass r Fail <br /> 7 Unihos 87 89 91 Other_ W Pass r Fail ry Pass r Fail rv—Pass r Fail r,—/ Pass r Fail <br /> 8 Unihos 87 89 91 Other_ P—Pass r Fail r Pass r Fail W Pass r Fail P-0 Pass r Fail <br /> 9 Unihos 87 89 91 Other_ r Pass r Fail W Pass r Fail R-0 Pass r Fail rl—/ Pass r Fail <br /> 10 Unihos 87 89 91 Other_ w Pass r Fail r Pass r Fail 11-1 Pass r Fail W Pass r Fail <br /> 11 Unihps 87 89 91 Other_ W Pass r Fail w Pass r Fail W Pass r Fail W Pass r Fail <br /> 12 Unihos 87 89 91 Other r1-0 Pass r Fail r%—o�Pass r Fail ry Pass r Fail V Pass r Fail <br /> VVO:2321928 <br />