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ro <br />d [ s �t� Station Name: <br />[ Address: Ir 9 PA ty 18 'L' <br />Coaxial/ 2 -Point Phase I and BalanwAase li_ Vapor Recovery Systemsr-Facilly "10 11 <br />p " This form was designed for use at stations with inspection pection 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 1 vtith ealarme 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. Piave aCheck mark in Record your initials at the bottom of the form after completing each days �. by tate Air Pollution Control Disblct for a period of at least two years. <br />each box where your Inspection revealed no inspection. Keep 'eoples of work orders andlor equipment part receipts <br />problems, and an "X" In each box vAiere.yoar / <br />(Use TRAFFIC CONES and SAFETY VESTS) 1 2 13 14 15 16 17 18 19 110 111121131141 IS IS 117118119 2021 22 23 24 25 26 2T 2$ 29 3 , <br />U <br />v <br />0 <br />