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F. <br />MonthNear. 07— _.-��^ <br />Inspection ChecklistStation Name:' `3 % j7QG <br />Address: Gt/O <br />CIO, <br />Coaxial/ 2 -Point Phase I and Balance Phase Il Vapor Recovery Systems Facility <br />This form was designed for use at stations with inspection turned up equipment defects or other issues requiring rather action. related to the noted repairs with the Cog. Keep these records <br />Coaxral or 2 -Point Phase I with Balance Phase It 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, Place aCheck mark in Record your initials at the bottom of the form aftez completing each days by the Air Pollution Control District for a period at at least two years. <br />each box where your inspection revealed no inspection. Keep copies ofvmrk aiders and/or equipment part receipts U <br />problems, and an 'W' in each box whereyour <br />Wof <br />(Use TRAFFIC CONES and SAFETY VESTS) 1112 13 1 Q $ $ 7 o 9 Iii 11 12 13 1d 13 i6 17 18 19 20 2i 22 23 24 25 26 27 2S 29 3t1 31 <br />fff'jUr-T t 1 <br />OISRENr.FR AREA <br />i z. Air district decals -legible operating insfrucfions, covert complainl phone tt ✓ ✓ ✓ ✓ � ✓ <br />12. Hoses - CAROappmved. no kinksitears/sflls, LRD imstaliad correctly ✓ ✓ `'� v ✓ ✓ ✓ <br />✓ <br />✓ <br />'✓ <br />13. Breakaways -CARS -approved, na liquid sladnMusl buildup✓ `� ✓ ✓ a-. ✓ ✓ <br />✓ ✓ <br />1q. Nozzles - CARR -approved, has all clamps, swivels ww* smoafhiy, no leaks ✓ �i ✓ ✓ ✓ ✓ ✓ <br />✓ <br />in. Nozzle holo -open latches ;oresentend operaliny correctly ✓ <br />✓ ✓ <br />V' <br />ts.. Nozzls bellows and faceplates dight on nozzle, no fears/silts, good seal ✓ <br />'� ✓ <br />✓ <br />17. Nozzle spouts -not loose, not out -of -round, have latch devices q/ ✓7 ZV <br />✓ ✓ <br />is. Nozzle vapor valves -no vapor shadows ernd ting from nozzle ✓ ✓ <br />✓ <br />1s. Bose Retractor -present Witt a ?0`oriess hose loop unless LRD present <br />✓ <br />EAST ONCE PER WEEK <br />hose to remove exoaaslve gasalir <br />INSPECTOR'S JNMA LS: <br />