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v <br />E <br />Inspection <br />Coaxid 2 -Point Phase I and BalancePhase It Vapor Recovery Systems <br />McnthfYeaf: Q13 <br />Station Name., - i�G ' <br />Address' iL C C3 4_V t7 <br />Facility \\ <br />This form eras designed for use at stations vAth 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 vAth Balance Phase fl Record descriptions of the noted defects and repairs on the Daly Repair log. - "accessible in the Operations & Maintenance Manual for inspection <br />vapor recovery systems. Place aChack mark in Record your initials at -the bottom of the forth affet 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 'poples of work orders and/or equipment part receipts <br />problem, and an "V in each box where.your <br />(Use TRAFFIC CON ES and SAFETY VESTS) <br />TANK AREA <br />i, Vent line PV valve(s) -present, yellow sticker, no vaporshadotvs <br />V ✓ <br />V- V ✓ ✓ "° <br />�° <br />2. Spin containers -clean and dry <br />V ✓ <br />✓ ✓ <br />�/ ✓ <br />3, Spill container drains -operative and closed, chain attached.{rt applrcabte) <br />✓�% ✓ ✓ V ✓ <br />�/' <br />4. Vapor caps -gaskets present & Ugtrt, caps not missing, broken or loose <br />-77 <br />✓ ✓ <br />t/ <br />s. Vapor adapters -hghf on riser, dry break poppet is not missing/damaged <br />� <br />►/ t1 ✓ <br />`� <br />s Fill caps-gaskeli present and tight caps not missing broken or loose <br />✓- <br />e/' 'A' <br />t. Fill adapters ,attached ttgtttty to riser, inside gasket not missing or tom <br />V- <br />✓ ✓ v `I <br />s. Fit tube (coaxial spfing-Loaded) present round, spring riot broken orsagying <br />V✓ ✓ <br />✓ `� `� <br />�' <br />s. Coaxial gasket -in place, seating vapors <br />✓ ✓ <br />✓ '✓ `� `� <br />✓ <br />,o. Fill tube - (Z Pdird) present, round <br />✓ ✓` <br />✓ ` - ✓ <br />IPECT AT LEAST ONCE PER WEEK <br />Drain vapor hose to remove excessive <br />