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raZ <br />--'Inspection lis <br />Coaxial/ 2 -Point Phase I and Balance Phase II Vapor Recovery Systems <br />Month/Year: 2527— ZP77M <br />Station Nair' '5757 /JCLC <br />Address; "O <br />This form was designed for use at stations with inspection turned up equipment defects or other issues requiring further action. related to the noted repairs vrifh the Log. Keep these reeds <br />Coaxial or 2 -Point Phase I Ktth Balance Phase I I Record descriptions of the noted defects and repairs on the Daffy Repair Log, accessible in the operations & Maintenance Manual for inspection <br />vapor recovery systems. Place aCheck mark in Record your initials at the bottom 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 your inspection revealed no inspection Keep copies of work orders andior equipment part receipts <br />problems, and an ")V' In each box where your <br />✓r✓ ✓✓ ✓✓ Dav of the Month <br />(Use TRAFFIC CONES and SAFETY VESTS) <br />TANK AREA <br />i. Vent liana PV valve(s) -pres <br />z. Spill containers -dean end <br />s. Spill container drains .open <br />a. Vapor cans - oaskefs OMs <br />0 <br />s. Vapor ada <br />9 s. Fill caps - <br />7. Fill adapts <br />a. Fill tube (c <br />a. Coaxial ga <br />1i a. FIN tube -f <br />On <br />t, yellow sticker, no vaporshadows <br />V <br />ve and closed, chain aNached (if applicabl <br />& fight; caps not missing, braken or/oose <br />dry break poppet is not missing/darnagm <br />iskefs present and US <br />atfached' Aghily fo ris <br />Aai sprhig-loaded) -p, <br />at -in place, sealing � <br />Point) present round <br />Cstios not missing broken or loose <br />inside gasket not missing or torn <br />mt round, sprung not broken or sa <br />C <br />