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r [Address: <br /> nth/Year: <br /> Ii Checklist <br /> tiCoaxial/2-Point Phase•I and Balance Phase I I Vapor Recovery Systemsility PT #' <br /> This form was designed for use at stations with inspection turned up equipment defects or other issues requiring further action. related to the noted repairs with the Log. Keep these records <br /> Coaxial or 2-Point Phase I with-Balance Phase II Record descriptions of the noted defects and repairs on•the Dally Repair Log' accessible in the Operations&Maintenance Manual for inspection <br /> vapor recovery systems. .Place aCheck mark in Record your initials at the bottom of the form after completing each day�s by the Air Pollution Control District for a period of at least two years. <br /> each box where your inspection revealed no inspection. Keep copies of work orders and/or equipment part receipts <br /> problems,and an"X"in each box where your <br /> Day of the Month <br /> (Use TRAFFIC CONES and SAFETY VESTS) 1'12 1 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 `: <br /> TANK AREA• <br /> Vent•line PV valve§ - resent allow sticker,no va brshadows <br /> 2. Spill containers-clean and d <br /> 3. Spill container drains-o erative and closed,chain attached rif a licab!e <br /> a. Vapor caps- faskett resent&ti ht,ca s not missing,broken or loose <br /> s. Vapor ads tars- `ht on riser dry brsaLannnet is not missin dame ed <br /> s. Fill caps- raskets' resent and ti ht,ca'snot missin broken or loose <br /> 7. Fill adapters-attached ;sing or tom <br /> e. s nn -loade es n ro s nn not broke n <br /> s. ace,sealina va ors <br /> c <br /> 10. Fill tube- 2-Point resent,round <br /> DISPENSER AREA <br /> 11. Air district decals:le ib/a aratln instructions,iron-eat cot /a/nf phone# <br /> loses-CARE-approved,no J fnWeara/slits,LRD installed correct/ <br /> 13. Breakawa s-CARE-a roved no li uid staln/dust.bu�7du <br /> a. Nozzles-CARB-a roved has all clam s,swivels worksmoofh ,no leaks <br /> 15. Nozzle hold-open latches resent and era ' oorred! <br /> 7-- <br /> 16. Nozzle bellows and face iotas�i ht on noaJe no tears/sllts,good seal <br /> n. Nozzle spouts-notloose not out o%round have latch devices <br /> 1e. Nozzle vapor valves•nova or shadows emiffng from nozzle <br /> re <br /> INSPECT AT LEAST ONCE PER'WEEK <br /> t <br /> 20. Drain vapor hose to remove Pirie <br /> 1 WPECTOR5tNITLA[S <br /> f ' <br /> i <br />