Laserfiche WebLink
0 <br />r� <br />• <br />• <br />Inspection Checklist <br />Coaxial/ 2 -Point Phase I and Balance Phase li Vapor Recovery Systems <br />MonlhlYear: %%T— <br />Station Name; G — a <br />Address:7 T�.4c�' Gl✓'D <br />a n W. 26 1 <br />This form ►vas designed for use at stations with inspection turned up equipment defects or other issues requiring father ac(ion. ' related to the noted repairs with the Log. Keep these records <br />Coaxial or 2 -Point Phase i with Balance Phase 11 Record descriptions of the rated defects and repairs on the Daity Repair Log. accessible in the operations & Maintenance Manual forinspection <br />vapor recovery systems. Place aCheck mark in Record your initials al the bottom of the form after oompieting each day's by the Air Pollution Gontrol District for a period of at feast two yeats. <br />each box where your Inspection revealed no inspection. Keep copies of work orders andloT equipment part receipts <br />problems, and an "X" in each box where your <br />(t1seTRAFFIC COMES and SAFETY VESTS) 1 2 3 4 15 16 17 18 19 1b 11 12 13 14 15 16 17 18 l9l2Ul2l l22I2af 2411S126I27EZ$12 d <br />TANK AREA <br />1. Vent line PV valve(s) -present, yellow sticker, no vapor shadows <br />2. Spill containers -clean and dry <br />a. Spill container drains -operative and closed, chain attached #t appikeble) <br />a. Vapor caps - gaskets present 8 tight, caps not missing, broken or loose <br />5. Vapor adapters -tight on riser, dry break poppet is not missing/damaged <br />s. Fit caps -gaskets present and light caps not missing broken or loose <br />7, Fill adapters attached tightly to riser, inside gasket not misslrrg or torr, <br />a. Fig tube (coaxial spring-loaded) -present, round, sprung not broken or sagging <br />a. Coaxial gasket -in place, seefing vapors <br />in, Fig tube - (2 -Point) present, round <br />UAWMYSCn AT%CA <br />t t. Air district decals - legible operating instructions, correct complaint phone 9 <br />12. Hoses - C41RSapprovmt no kinksRears/slits, LRD installed correetty <br />13. Breakaways -CARS -approved. no liquid stainidust buildup <br />14. Nozzles -GARB-approved, has all clamps, swivels worksmcothly, no leaks <br />is. Nozzle hold -open Patches -present and operating correctly <br />15. Nozzle bellovs and faceplates fight on nozzle, no fears/shts, good seat <br />FI,. Nozzle spouts -not loose, noiotd-o:f-round, have latch devices <br />.,& Nozzle vapor valves -no vapor shadows emitting from nozzle <br />19. Hose Retractor -present with a 10" or less hose loop unless [RD present <br />INSPECT AT LEAST ONCE PER WEEK <br />20. Drain vappy hose to remove excessive gasoline 1% - g� - $•� R <br />INSPECTOR'S [ UTIALS; % % +� �% r • 7 :? a 7 c7 'y <br />� c. <br />