Laserfiche WebLink
f <br />m <br />Inspection <br />�MontfWear: <br />Station Name: Y ALE <br />Address: • 3 7 r OL e I -N <br />Coaxial/ 2 -Point Phase I and BalanceVhase 11 -Vapor Recovery Systems 1 ac' <br />This form vias designed for use at stations with inspection turned up equipment defects or other issues requiring further action. related to itre noted repairs with the Log. Keep these records <br />Coaxial or 2 -Point Phase I with Balance Phase If Record descriptions of the noted defects and repairs on the Daily Repair Log. ''accessible in the Operalions & Malnlenanoe Manual for inspection <br />vapor recavery,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 Ivo years. <br />each box where your Inspection revealed no inspection. Keep 'copies of work orders and/or equipment part receipts <br />problems, and an' R" in each box where your <br />'�,/�./'-/✓'. e' a i �°�if . / _ / Day of the Month <br />(Use TRAFFIC CONES and SAFETY VESTS) <br />.TAf�tK.AREA_.._..-----......_......-,--•--.._._.._.__.:_._�._......_...._...._._ <br />r, Vent line PV valve(s) -present, yellow sfkker, no vapor shadows <br />✓ ✓ ✓ ✓ <br />,/ ✓ ✓ <br />z. Spill containers -clean and dry <br />✓ ✓ ✓ c/ ✓ <br />✓ <br />s. Spill container drains-opemfive and closed, chain at/ached (tf applicable) <br />✓ ✓ ✓ ✓ <br />V ✓ <br />s, Vapor caps -gaskets preseat & tight, caps not missing, broken or loose <br />✓ f ✓ ✓ <br />✓ <br />s. Vapor adapters -9—hl on riser, dry break poppet is not missingk amaged <br />✓ ✓ ,/ ✓ <br />✓ r/ <br />s. Fill caps - gasketi present and tight, caps not missing broken orloose <br />/ <br />✓ ✓ v <br />✓ <br />r. Fig adapters attached tightly to riser, (aside gasket not missing or tom <br />+� ✓ <br />V ✓' <br />a, Fill tube (coaxial spring-loaded) present, round, spring not broken orsag" <br />✓ <br />✓ <br />s. Coaxial gasket do place, seafrng vapors <br />7 <br />✓ ,/ <br />ic, Fill tube -(2-Point) present, round <br />✓ ✓ ✓ V I <br />✓ <br />DISPENSER AREA <br />11. Air district decals -legible operating (nshuctians, correct complain! phone # <br />✓ <br />✓ <br />12, Noses - CARB-approved, no kinWears/sMs, LRD installed correctly <br />/777 <br />✓ ✓ `/ <br />ra. Breakaways -CARS -approved, no liquid stakWust buMup <br />,./ ✓ <br />J I V✓ <br />94, Nozzles - CARS -approved, has aff clamps, swivels work smoothly, no leaks <br />f <br />\/ ✓ ✓ <br />m5. Nozzle hold -open latches -present and operating correctly <br />✓ <br />✓ <br />1a, Nozzle bellows and faceplates tight on nozzle, no tears4MR good seal <br />✓ <br />V ✓' <br />tt. Nozzle spouts -not loose, not out -of -round, have latch devices <br />✓ ✓ <br />ia. Nozzle vapor valves -no vapor shadows emitting from nozzle <br />77777 <br />7 <br />to. Hose Retractor -present L40 a 10' or less hose loop unless LRD present <br />INSPECT AT LEAST ONCE PER WEEK <br />zo. Drain va r hose to remove excessive gasoline <br />INSPECTOR'S HTIALS: <br />It'1 aJvi . r7 <br />. , •`7 6 <br />C <br />