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:K <br />ds. FAI <br />1 15 <br />CoaxiaV 2 Point Phase i and Salance-Phase 11. Vapor Recovery Systems x u <br />This form was designed for use at stations with Inspection pection turned up equipment detects or other issues requiring further action, related to the noted repairs with the Log. Keep these records <br />Coaxial or 2 -Point Phase t vnth Balance Phase 11 Record descriptions of the noted defects and repairs on the Daily Repair Log, "accessible In the Operations & Matnlenance Manual for inspection <br />vapor recovery systems. Place aCheck mark in Record your Initials at the boifom of the form after completing each day's by the Aur Pollution Control District for a period of at least Iwo years. <br />each box Mere your inspection revealed no Inspection. Keep 'copies of work orders andtor equipment part receipts <br />problems, and an' X" in each box %here.your <br />`� ✓ 0/ �./ '✓'�,/ Day of the Monti <br />(use TRAFFIC CONES and SAFETY VESTS) 1 2 3 4 $ fi 7 8 9 10 41 121311411611611711811912012112212312412512612712812913-u <br />TANK AREA <br />t, Vent line PV valve(s) . Q##il'i#■##�#■■moi##■■#■�i##■��## <br />r_• gasked present • tFght, caps. , broken or loose���©©#■#�■�■##�■■■�##.�■�#■#■ <br />eFill tube (coaxial spring-foaded) present, round, sipfingnotbroken <br />DISPENSER AREA <br />f i. Air district decals -legible operafrng instntWons, correct complaint phone # <br />12. Hoses - CRRB-approved; no kinks1ears1slAs, LRD insfalW cotrectiy <br />13, Breakaways -CARE 2proved, no Uquid staloldust hulldup <br />m, Nozzles - CARB-spproued, has aD clamps, 31"Vels Ivork smoothly, no leaks <br />1s. Nozzle hold -open latches -present and operating correctly <br />is, Nozzle bellows and Faceplates tight on nozzle, no fearsYslils, good seal <br />17. Nozzle spouts -not base, not ouf'af-round, have latch devices <br />c�a 1 a. Nozzie vapor valves -no vapor shadows emi(bng from nozzle <br />a , 1s. Hose Retractor -present it*b a 10" or less hose loop unless LRD present <br />0 <br />m <br />0 <br />ev <br />0 <br />--3 <br />