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m <br />0 <br />0 <br />cl: <br />-InspectionI <br />Coaxial/2-Point Phase I and Balance Phase li Vapor Recovery Systems <br />MonthNear: O <br />Station ICLC <br />Address: LV O <br />a <br />This form was designed for use at stations with inspection turned up equiprnent defects or other Issues requiring further action. related to the noted repairs with the Log. Keep these records <br />Coaxial or 2 -Point Phase iwith Balance Phase it Record descriptions of the noted dialects and repairs on the Daily Repair Log. accesstble in the operations & Mainlename Manual for inspection <br />vapor recovery systerris. 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 tyro years, <br />each box where your Inspection revealed no inspection_ Keep copies of work orders andlor equipment part receipts �. <br />problems, and an "X" In each box where your / <br />✓ ✓ ✓6/ ✓✓ ✓✓ ✓ ✓ /. <br />�E►f the Month <br />(Use TRAFFIC CONES and SAFETY VESTS) <br />ti, ,Lir district decals -!edible operating instructions, correct complairrt phare S <br />•I2. Moses - CARS -approved, no kinks4aarslstits, LRD installed correctly <br />i s. Brea kaways -GARB approved, no liquid stain/o'ust buildup <br />14, Nozzles - CARB-approved, has aft clamps, siWvels work smoothly, no leaks <br />is, Nozzle hold -open latches present and operating correctly <br />Is. Nozzle bellows and faceplates light on nozzle, no tears Wits, good seal <br />gar. Nozzle spouts-notlbose, not out -of -round, have fatch devices <br />is, Nozzle vapor valves qro trapor shadows emitting from nozzle <br />to, Hose Retractor -present with a W or fess hose loop unless LRD present <br />Drain vapor hose to remove exoessive yasoiir <br />IN7SPECTOWS INITIALS; <br />7j <br />