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Inspection Checklist <br />Coaxial/2-Point Phase I and Balance -Phase 11.VaporRecovery Systems a <br />Monthlyear: .. <br />Station Name: A/ /q/- Egg <br />Address: 3 R.<,� c C3 zv <br />ac NN <br />This form vias designed for use at stations with inspection fumed up equipment defects a other issues requiring further action. related to the noted repairs with the Log. Keep these records <br />Coaxial or 2 -Point Phase I vfh Balance Phase it 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 aChock marls 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 irispection. Keep 'copies of viork orders aridlor equipment part receipts <br />problems, and an "X" in each box where your <br />✓ ✓ ,.� ✓✓ ✓✓ ✓/✓bay h ✓ . ✓ <br />(Use TRAFFIC CONES and SAFETY VESTS) 1 LLL3141516171819110111112113114115JItli7llMlffi@@@Rlfflllilllg6l2712829 30 <br />IArrrt Arftli <br />`� °� ✓ <br />✓ <br />✓ ✓- ,� <br />V' ✓ <br />f ✓ e% - <br />12. Noses - CARS -approved, no kinkaftaWsMs, LRD urstatled ci <br />1. Vend line PV valve(s) present, yeAbw sticker, no vapor shadows <br />✓ <br />V to ✓ ✓ <br />�/' ./' <br />+� ✓r <br />2 Spin containers -clean and dry <br />'-r V ✓ ✓' ✓ <br />✓ ✓ <br />✓ t/ <br />✓ <br />�/ <br />✓ <br />3. Spill container drains -operative and closed, chain attached #1 gopficable) <br />✓ <br />✓ ✓ ✓ ✓ ✓ ✓L, <br />'r <br />./ <br />✓ ✓ <br />ell <br />4, Vapor caps -gaskets present S dight, caps not missing, broken or tense <br />✓' <br />J ✓ <br />✓ <br />✓� <br />✓ <br />L/' <br />s. Vapor adapters -tight on riser, dry break poppet is not missingMemaged <br />✓ q/ <br />✓ t/ +/ ✓ <br />%r <br />✓ <br />✓ <br />✓ <br />s, FXI caps - gaskets present and tight caps not missing broken or loose <br />V✓ ✓' <br />�/ ✓ J, ✓' <br />Jr <br />f <br />.�/ <br />ia. Hose Ratrador -present with a 10e or less hose kwp unless LRD present <br />7. Fal adapters-etfaclred tightly to riser, inside gasket not missing or tom <br />✓ ^� <br />✓ ✓ t/ ✓ ✓ <br />�! <br />✓ <br />✓ <br />s. Fill tube (coaAal spring-loaded) present, round, spring not broken or sagging' <br />✓° <br />`� ✓ �/ ✓ <br />"i <br />�% <br />✓ <br />a. Coaxial gasket -lir place, seating vapors <br />✓ s/" <br />✓ ✓• v'' ✓ <br />✓ <br />.✓� ✓ <br />�% <br />i o• F?Q tube - (2 -Point) present round <br />✓ ✓ <br />7.—/' ✓ ✓ <br />f j ✓ <br />•win nns�a <br />ri. Air district decals -legible operating ins6uctions, correct complain! phoned 1✓ <br />`� °� ✓ <br />✓ <br />✓ ✓- ,� <br />V' ✓ <br />f ✓ e% - <br />12. Noses - CARS -approved, no kinkaftaWsMs, LRD urstatled ci <br />`�' �/ ✓r <br />:/ `f <br />�/' ./' <br />13, Breakaways -CARR-approved; no kqukt slairvt7iust buildup ✓ <br />+� ✓r <br />"� <br />�% ✓ <br />✓' <br />✓ ✓ ,/ ✓ <br />14. Nozzles -CARS-approved, has alt clamps, swivels wiork smoothly, no leaks V <br />✓ `f ✓ <br />✓ <br />ti ✓ <br />✓ <br />15. Nozzle hold -open latches presentandoperating carrectiy <br />✓ ✓ <br />✓ ✓ <br />✓ <br />a% <br />v ,% <br />w. Nozzle bellows and faceplates Might on nozzle, no tearsrslds, good seat <br />✓ ✓ <br />✓ <br />✓ <br />L/' <br />�/ ✓I.,- <br />17. <br />rr. Nozzle spouts -not loose, rtat out -of -round, have latch devices ✓ <br />V <br />✓ ✓ <br />✓ <br />J ,/ <br />ia. Nozzle vapor valves -no vapor shadows erniltfng from rtozzle <br />✓ _7 <br />✓ t✓ <br />ia. Hose Ratrador -present with a 10e or less hose kwp unless LRD present <br />_ ✓ <br />✓ <br />