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F -Insimiecti <br />CoaxiaV 2 -Point Phase I and Balance Phase 11 Vapor Recovery Systems <br />WonthlYear: <br />Station Name.• <br />Address: %' r¢ci( LV ig <br />8 <br />This form was designed for use at stations with <br />inspection turned up equipment defects or other issues requiring further action. • related to the noted repairs vAth the Log. Keep these records <br />Coaxial or 2 -Point Phase I writh Balance Phase It <br />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 aChack mark in <br />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 <br />inspection. Keep copies of work orders andlor equipment part receipts <br />problerns, and an ")C' in each box where your <br />f� .%✓ a/ r/✓ he I <br />(t3se,TRAFFICCONES and SAFETYVESTS) 11 121314151617181911011111211311411MMIMIWMilMSM23 <br />TANK AREA <br />1. Vent line PV valve(s) present, yellowsBcker, no vaporshadows <br />s. Spilt containers -clean and dry'� ✓ '� ✓ `� <br />a. Spill container drains-openstOve and closed, chain attached rif applicable) ✓ ✓ °� <br />a_ Vapor caps -gaskets present & fight, caps not missing, broken or loose '" TV" °� 77 ✓ <br />S. Vapor ad apters -6 ht on riser, dry break poppet is nW missfngydanrager <br />s. Fill caps -gaskets present and fight, caps not missing broken or loose <br />T. Fm adapters-atrached tfghtiy to rfser, Inside gasket not missing or tom <br />e. Fill tube (coaxial spring-toaded) -present, round, spring not broken cr sa <br />a. Coaxial gasket -in plan <br />D, Fill tube -(2-Point) pre <br />it, round <br />AT LEAST (INCE PER WEEK <br />Payor hose to remove excessive gasolfn <br />INSPECTOWS INMA S: <br />11 <br />=) <br />+.. o <br />O <br />0 <br />