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11 <br />Inspection Checklist <br />1 <br />This form was designed for use at stations with inspection fumed 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 t with Balanoe 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 aC heck marls in Record your initials at the boltorn 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 yors inspection revealed no inspection. Keep copies of viork orders andlor egdipment part receipts <br />problems, and an "X" in each box where your �r <br />�,.i' t/' ,/ ti/-✓ •tJ� f the Month <br />(Use TRAFFIC COMES and SAFETY VESTS) 1 2 3 4 5 S 7 8 9 110119 12113114115116117118119120121122 <br />23 24 25 26 27 2$ 29 30 31 <br />AREA .;;7 <br />jr, Nozzle hold -open latches -present and operaUng correcUy <br />RetractorDISPEASER <br />io. Hose , - . , , , . ass lmseftp. unlessLRD present <br />©llliIU <br />Ei■lJ■L�i�/L�1hi <br />�l■■■■■■■■■■■■■■■M■ <br />