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c� <br />00 CC - <br />C=) <br />0 <br />c�a <br />0 <br />ria <br />\ <br />m <br />0 <br />c.� <br />w <br />ction Mecklist <br />Coaxial/ 2 -Point Phase I and BalancellPhase II Vapor Reoovery Systems <br />Station Name: • <br />Address. 351 TVZC�4ZLMD <br />.y <br />This form was designed for use at stations with inspection turned up equipment defects or other issues requiring further action. related to the rested repairs with the Log. Keep these records <br />Coaxial or 2 -Point Phase I with Balance Phase I I Record descriptions of the noted defects and repairs on the Daly Repair Log. " accessible in the Operations & Maintenance Manual for Inspection <br />vapor recovery systema,. Place aChark rrba* in Record your iniilals at the bottom of the tomo after 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 inspection. Keep 'collies of work orders andlor equipment part receipts <br />problems, and an "X" in each box whereyour <br />(Use TRAFIFIC CONES and SAFETY VESTS) <br />Vapor r.. gasWs present S tFghl, <br />caps notmissing, brokenor kose <br />s. Vapor adapters -tight on riser, dry break poppet is not rrlssingldarnaged <br />a, Fill caps - gasketspresent and tight, caps not missbVbroken orkose <br />z. FIA adapters -attached tightly to riser, inside gasket not missing or tom <br />s. FW tube (ooa)dai spring-loaded) -present, round, spring not broken or sag <br />D. Coaxial aaskel4h. place, sealing vapors <br />1p, Flit tube-(242dnt) present, round <br />DISPENSER AREA <br />LEAST ONCE PER <br />INSPECTORIS ramal s: <br />?1. Air district decals -legible operating insbuctions, eonecf complaint phone # <br />✓ `� °� <br />., ✓ , <br />`/ ✓ ✓ <br />% <br />12. Hoses - CARB-approved, no klnksRears/sfits, LRD brsfalled cow cVy <br />✓ ✓ <br />✓ ✓ ti/ ✓ <br />✓ <br />`f ✓ <br />is, Breakaways-CARB-aWoved, no liquid stainftst buildup <br />V <br />.„i ✓' <br />,% <br />✓ <br />14. Nozzles - CARS -approved, has all Vamps, swivels work smooltrly, no leaks <br />✓ <br />✓ ✓ <br />'✓ 7,77✓ <br />' � ✓ ✓ <br />✓ l J <br />1s. Nozzle hold -open latches -present and operafirng correctly <br />✓ ✓ <br />V <br />f ✓ <br />✓ ✓ <br />1s. Nozzle bellovis and faceplates 41ghton nozzle, no tears/slits, good sea! <br />'y 'r <br />✓ ✓ <br />✓ ✓ <br />✓ ✓ <br />.1 ✓ t <br />17. Nozzle spouts -not krone, not oaW-round, have latah devices <br />✓ <br />✓ ;7 Z70 <br />7 ✓ ✓ ✓ <br />✓ ✓ <br />77777 <br />Nozzle <br />1a. Nzle vapor valves -no vapor shadows emiitAxy M= nozzle <br />'r <br />it <br />-7 ✓ Z;;--,771—,./ <br />./ <br />9a. Hose Retractor - present with a 10" or less hose loop unless LRD present <br />✓ <br />✓ ✓ " <br />-.✓ L/ <br />✓ <br />✓ ti/ <br />� <br />LEAST ONCE PER <br />INSPECTORIS ramal s: <br />