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Inspection Checklist <br />_. --- --. -- _ ...... ._.... .....r ....... ..-, _ .,y „y,,.r... v '. - vuml waucs I"we ifIy Iur11167 Bcoufl. reiatea ro ire nolea repairs V41h lite Log. Keep these records <br />Coaxial or 2 -Paint Phase I with Balance Phase R Record descriptions of the noted defects and repairs an the Daily Repair .log, -`accessible in the Operations & Maintenance Manual for inspection <br />vapor recovery systems. Place aCheck mark In Record your initials at the bottorn of the Form after completing each day's A 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 and/or equiprnent part receipts <br />problems, and, an "X' in each box velere your <br />(Use TRAFFIC CONES and SAFETY VESTS) ' 1 J 2 13 14 ! $ 16 17 18 19 11O 11 12 13 14 15 18 17 181fi9 20 2 t?Rf�71?Rt?4�2A't� <br />TANK AREA <br />DISPENSER AREA <br />11. Air district decals-leglbL" operabYrg instructions, correct complaint phone i ' <br />V ✓ <br />�f e/ <br />,� */ <br />�/ �/ �% ci <br />V <br />12. Hoses- CARB•approved, no kinksRearslsids, LRD installed cormctly <br />✓ <br />✓ <br />+` r✓ �/ <br />„/ / <br />,f ✓ <br />�/ <br />r3. Breakaways -GARB-approved, rro liquid stain/dust buildup <br />a/ <br />,% �/ 1j <br />✓ ,/ <br />�/ <br />e/` ti <br />�+ Y <br />14. Nozzles -GARB -approved, has all damps, swivels wlorirsmoothly, no leaks <br />`� <br />✓ <br />✓ t/ �.. ✓ <br />I.rr � <br />�% <br />✓ <br />,/ � <br />� ✓ <br />f 5. Nozzle hold -open latches -present and operating correctly <br />�/ ; <br />✓ <br />,✓ <br />1c. Nozzle bellows and racepiales light on nozzle, no teamtsfrls, good seal <br />✓ <br />+�' <br />✓ V f <br />✓ f <br />V <br />17. Nozzle spouts -not kwse, not out -of -round, have lalcr devices <br />:f <br />"� <br />�! �/ . <br />.,/ <br />�% <br />✓ / <br />1 a. Nozzle vapor valves -no vapor shadows emilling from nozzle--I�✓' <br />+/' a/° <br />r,/" <br />,, J <br />�/ <br />1s. Hose Refractor -present Wh a f0" orless hose loop unless LRD present <br />7 <br />/Iw/ <br />J, <br />-- I✓ <br />+/ <br />LA <br />L-2 <br />