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t a <br /> `rt'InspeStation Nanw. V At-E .._..__...., <br /> Addim. `i r R C Lv <br /> Co " V 2-Point Phase I and Balance ase{I Vapor Recovery Systems & a • <br /> This form was designed for use at stations writh inspection turned up equipment defects or other issues requiring further ardtan. 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 dellects and repalrs on the Daily Repair Log. •`accessible in the Operations&Maintenance Manual for inspection <br /> vapor reoovery systerns. Place aCheck mark in Record your initials at the bottom of the farm after completing each day's by the Air Pollution Control District for a period of of least two years. <br /> each box where yaw inspection revealed no inspectron.Keep'copies of work orders and/or equipment part receipts <br /> problems,and an"X"in each box where your , <br /> (Use TRAFFIC CONES and SAFETY VESTS) 111213J415161 &1171 1811 9 20 21 22 23 24 25 26 27 28 29 30 31 <br /> TANK AREA <br /> i.Vent lame PV valve(s)present yellow sticker,no vapor shadows ✓ ✓ ✓✓ <br /> 2.Spilt containers-clean and dry ✓ J /,j✓ ✓✓�/✓ ✓ <br /> 3.Spill container drains-operative and dosed,chain allached(if aWf cablej ✓ ✓' ✓ tf ✓ <br /> s.Vapor caps-gaskets present S Ugh;caps not messing,broken or loose ✓ ✓ ✓ 7,1 ✓ ✓ e/ ✓ <br /> s.Vapor adapters 417N on neer,dry break poppet!s not misstngldamaged ✓ ✓✓ ✓ ✓ ✓ ✓✓ ✓ .! ✓ ✓ <br /> s.Fifl caps-gaskets ✓✓ ✓ ✓ <br /> present acrd tKPub caps not missing broken or loose ✓ <br /> T.FM adapters cached HgW to riser.inside gasket not missbg or tom ✓ A✓ ✓ IA ✓ <br /> a.FIR like(coaxial spring-loaded)•present round,spring not broken•orsa . w"7 1/rig <br /> ✓ ✓✓ '� ✓ <br /> e.Coaxial gasket,Fir place,sea ft vapors ✓ ✓ ✓ ✓ '✓✓✓ ✓ ✓ ✓ <br /> to.Fill tube-j2-Poir present rourxi ✓ ✓ ✓✓ ✓ ✓✓✓ ✓ ✓ <br /> DISPENSER AREA <br /> IS <br /> ii.Air dlstrtct decals-legible operadng arst uctkuts,carred complaint phone 0 ✓. ✓ m ✓ 1 ✓ t/ ✓ <br /> 12.Hoses-CARB-approved,no kinksRearsrs&ts,LRD insra)W correctly vv,777,1J ✓✓✓ ;/ ✓ ,�',/✓�,/✓ <br /> 13_Breakaways-CARSappnmved,no liquid sfakWust buildup7 7- .f ✓ J ✓✓ ✓ ✓ <br /> 14.Nozzles-CARBatttpproded,has aA clamps,sorb work smoothly,no teaks f ✓ ✓`/✓ ✓ ✓ ✓ <br /> is.Nozzle hold-open latches-present and aperabirg correctly ✓ ✓ ✓ i/ `� ✓ ✓ <br /> 1s.Nozzle bellows and faceplates SO#on nozzle,no teardsi Ls,good seal ✓ +✓ ✓ ✓ ✓ '! ✓ � <br /> 17.Nozzle spouts-not lose,not outcf-rawc(have/stet}devices ✓✓ ✓ ✓ ✓ ✓ <br /> 5 <br /> C-, ts.Nozzle vapor valves Ito vapor shadows emWngg from nozzle ✓ ✓ `� ✓ ' ✓ ✓ ✓ <br /> 77 7 <br /> ig.Hose Retractor-present with a 10"or lass hose loop unless LRD present V J ✓ <br /> 0 <br /> INSPECT AT LEAST ONCE PER WEEK <br /> 5 <br /> o 2o.Drain vapor hose to remove excessive gasoline <br /> m }N6PECTOWS IWT}ALS: h r <br /> 0 <br /> N <br /> an <br /> N <br /> C: <br /> d <br />