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U <br />U <br />'Inspection CheG <br />Coaxial/ 2 -Point Phase I and Balance Phase ii Vapor Recovery Systems <br />This form was designed for use al stations with insp <br />Coaxial or 2 -Paint Phase I with Balance Phase II Rec <br />vapor recovery systems. Place aCheck mark in Rec <br />each box where yoto inspection revealed no insp <br />problems, and an "X- in each box where your <br />(Use TRAFFIC CONES and SAFETY V <br />TANK AREA <br />t. Vent fine PV valve(s) -present, yellow sticker, no vapor shat <br />z. Spill containers -clean and dry <br />s. Spill container drains -operative and closed, chain aftached <br />a. Vapor raps -gaskets present R fight, ceps not missing. brow <br />g. Vapor adapters -fight on riser, dry break poppet is not missii <br />F. Fill caps -gaskets present and tight, coos not missing broke <br />r. Fill adapters attached UghUy to riser, inside gasket not miss <br />a. Rid tube (coaxial spring-loaded) present, round, spring not t <br />s. Coaxial gasket -in place, sealutg vapors <br />i o. Fill tube - (2-Pnint) present, mind <br />Mon(Wear: O �% <br />Staiinn Name:' • '�' g <br />Address: U3 '7f 7X#CP 6L V P <br />acrty PTO 9: <br />m lurned up equipment defects or other Issues requiring further action. related to the noted repairs with the Log. Keep these records <br />descriptions of the noted defects and repairs on the Daily Repair Log. arcessible in the Operations & Maintenance Manual for inspection <br />your initials at the bottom of the form after completing each nay's by the Ali Pollution Control Disirict for a per nd of at least tvm years. <br />m. Keep copies of work orders and/or equipment pad reo --tpis w , <br />or loose <br />rdamager <br />or loose <br />r or fan <br />ken or sa <br />1 <br />i <br />uoar cre ac.c <br />�r, Air district decals -legible operating lnstnrctions, correct comWfainf phone 0 <br />t/ <br />✓ <br />`� ✓ <br />— <br />w. Moses - CARS -approved, no kinks4ears/sfits. LRD installed c:prrectfy <br />`4 <br />` V <br />is, Ore akaways -CARR-approved, no liquid sfain1dust buikfup <br />, / ` <br />>f ✓ <br />'� <br />14. Nozzle% - CARS -approved, has aff cfemps, sariveis work smooUrly, no leaks <br />✓V v <br />ss. Nozzte hold -open latch -present and operating correctly <br />a/ +� �' <br />'� ''� <br />✓ <br />`� <br />is. Nozzle bellows and faceplafr's Vght on nozzle, no tears/shis,'good seas <br />V V Y <br />ir, Nozzle spouts -not loose, not out -of -round, have latch devices <br />-10 <br />`� <br />ts. Nozzle vapor valves no va<oor shadows emiffing from nozzle <br />v7 <br />7 <br />V ✓ tr^ <br />is. Hose Refractor -present with a t 0' or less hose loop unless CRD present <br />i7 <br />7/t <br />v <br />