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0 <br />W . Inspection Checklis <br />Coaxial/ 2 -Point Phase 1 and Balance Phase H. Vapor Recovery Systems a <br />Month/Year.. ' <br />Station Name: At—IC- 'LO <br />Address; <br />This form was designed for use at stations with inspection turned up equipment defects orother issues requiring further action. related to the noted repairs with the Log. Keep these records <br />Coaxial or 2 -Point Phase t vith Balance Phase II Record descriptions of the noted defects and repairs on the Daily Repair Log. •"accessible in the Operations & Maintenance Manual for inspection <br />vapor recovery systems. Place aCtwit mark in Record your initials at.the bottom of the form after completft each days . 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 andlor equipment part receipts <br />problems; and an *W' in each box wtsere your <br />(Use TRAFFIC CONES and SAFETY <br />TAIM ®RPA <br />i. Vent line PV valves) -preser>t yellow slacker, no vaporshadI <br />a. Spill containers -clean and dry <br />✓ ✓ r/ <br />t/ ✓ „/ �/ ✓ <br />✓ <br />✓ �/ <br />a. Spill contalner drains -operative and closed, chain attached (if applicable) <br />✓ ✓ ✓ <br />1% <br />✓ <br />a. Vapor caps -gaskets present 6 right, caps not missing, broken or hose <br />✓ ✓ ✓ ✓ <br />✓ V <br />s. Vapor adapters -tight on riser, dry break poppet is not missingkiarnaged <br />s. Fig caps - gaskets present and tight, caps not missing broken or inose <br />✓ ✓ ✓ ✓ �/I ✓ s/ <br />vj v, v ✓ ✓ ✓ <br />1,/V✓ • ✓ ✓JV <br />✓ ✓ <br />r, Fill adapters aBached tightly to riser, Inside gasket not missing or tom <br />✓ ✓ ✓ <br />a. FIN tube (coa)dal spring-loaded) -present round spring not broken -or sagging <br />s. Coaxial gasket -an place, sealing vapors <br />V <br />�,/ ✓ <br />✓ ✓ <br />t/ �/ ✓ 111A -1V <br />/ y/ <br />to. Fig trate -(2 Point) present, rouW <br />V, w/ <br />• t <br />Hoses - CARB-approved no installed correctly <br />era+nvi. �f ��J�J�/.ill�1/.J���J��i'! l7��� ���r��f•I <br />..: > ._ . „ �n-,•,�.,;�:��, ..• �x�...�,«��.;.F.,.,,�x� VIr'�i:/ti��/��i%Ali/ii/s'iY��/IM'/rC/����i•���>i����": <br />-17. Nozzle spouts -notlaose, not oul-cf-round, have h&t?dev)ces <br />20. Drain vapor hose to remove excessive t3asofine <br />m� ,�i�17.•�'sT,�a;r'f�bT,fir?'L'�rE".T.�.'7,6'�b'�'L�f��►T,E:7.c.Tt.L.�%.:��►al���t <br />