Laserfiche WebLink
12- <br />r Checklist <br />Month/Year. p — c:v— / <br />Station Mahle:' IT (Z^ PC V -2 15, ,t+ <br />� 3 % TSG ,{�2 <br />Coaxial! 2 -Point Phase ! and Balance Phase 11 Vapor Recovery Systems AcJdress: VZ? <br />This farm was designed for use at stations with inspection fumed up equipment defects or other issues requiring funkier action, related to the nofed repairs with (lee Log. Keep these records <br />Coaxial or 2 -Point Phase l 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 nsooverysystesris. Place aChock 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 ofal least twD years, <br />each box where your inspection revealed no inspection. Keep copies of woos orders and/or equip".nt pail rep ipts <br />problams, and an "X" in each box vfiere your ` ti <br />s,✓✓�•✓'"✓v'°°J"�✓✓`,i ✓a/ ✓Rs't� 9�f timet ✓��t�✓•✓✓ ✓ ✓`� f e%�✓ <br />(tlse TRAFFIC CONES and SAFETY VESTS) � 112 1 3 14 15 16 17 18 9 10 1112 13 1415 IS 17 1R Ick 2n?� _1 77'37A -79 ->r, R -yo -an -ti <br />t. Vent line PV valve(s) -presew, yellow sticker, no <br />a. Spill container drains -operative and closed, chain attached (if applicat <br />4. Vapor caps -gaskets present & tight cans not missing, broken ar loose <br />5. Vapor adapters -tight on riser, dry break poppet is not missirWdatnage <br />a. Fitt caps - gaskets preserd and tight, caps not missing broken or loose <br />7. Fill adapters attached tightlyto riser, inside gasket not missing or tan <br />B, Flt( tube (coaxial spring-loaded) present, round, Andrignot broken oras <br />s. Coaxial gasket do place, sealing vapors <br />D. Fill tube - (2 -Point) pr eserrt, row,d <br />t1, Air district decals -legible operaftng insftwons, correct complaint phone # <br />12. Noses -CAR$-approved no kinksRearVsi#s, LRD installed correctly <br />U Breakaways -CARB-approved, no liquld stainldust buiklup <br />m, Nozzles - CARE-aptxroved, has all clamps, swivels wortc smoothly, no leaks <br />15: Wozzle hold -open latches -Present and operating correctly <br />1s. Nozzle betlaws and faceplates tight on nozzle, no tears/slits, good seat <br />i r. Nozzle spouts -not loose not out -of -round, have taich de vices <br />ti<, Nozzle vapor va Ives Oro vapor shadows emilhOg from nozzle <br />is. Hose Retractor presert7' isft a 20" or less hose Wp unless LRD present <br />III <br />