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E <br />E <br />07-- 0 /-- /Z <br />t, <br />a i <br />Monttstyea€: o <br />Checklst <br />Station Name:Inspect <br />Address. RS -15 -7 raLr-Y b1v4-l— <br />Coaxial( 2 -Point Phase 1 and Balance Phase 11 Vapor Recovery Systems Facility <br />This €onn was designed fur use at stations vst#r inspection turned up equipment defects or other issues requiting further action. related: to the Noted repairs with the Log. Keep these records <br />Coaxial or 2 -Point Phase I vrith Balance Phase It Record descriptions of the noted defects and repairs on the Daily Repair Long_ accessible in the Operations & Maintenance Manual for inspection f , <br />vapor recovery systems. 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 two years. <br />each box where your Inspection revealed rxr Inspection. Keep copies of vrork orders andior equiprrr=rt part receipts <br />problems, and an "X" to each box where your <br />Oa of the Monett <br />(usetRaFFlccortEsandsat SAFETY VESTS) BIT— 3 4 5 6 7 8 3 1p 11 12 13 14 15 16 1? :8119120121122123 ? 2a 26 27129129130131 <br />rerun star c <br />i. Vent tine PV valve(s) -present, yeflow sticker no vapor shadows <br />✓ v�- <br />2. Spilt oontair)ers -cL-an and dry <br />✓ v �/ ✓ c� v <br />v v t/ v v v v <br />ti/ <br />d <br />3. Spill container drains-operab've and closed, chain attached (if applicable) <br />v v V Ve L-' v ✓ <br />v ✓ ti ti/ r✓ t,- -1 v <br />f <br />4. Vapor caps -gaskets present & fight, caps notmissing, broken orkose <br />t/- 6- <br />5, <br />5. Vapor adapters-tfylrf on riser, &Y break poppet is not missiregs/o'arnaged <br />V ✓ v v <br />V <br />a. FRI caps -gaskets present and fight, caps not mdssdng broken or loose <br />L, v/ <br />✓ 6 <br />/ �,/ ✓ J <br />t, Fdl adapters -Oached lightly to riser, inside gasket nod missing orfom <br />v <br />,/ V L/ <br />v L/ <br />&. FIN tube (coaaia] spring-loaded) present, rovnd, spring not broken orsagongr <br />e/ ✓ <br />✓ ✓ <br />s. Coaxial gasket -fn place, seating varrors <br />J' v V,v V- V, V ✓' VI --I \1e � / c� <br />,71 <br />to, Fill tube - (2 -Paint) present, rorxxl <br />N/ t/ t/ <br />✓ <br />✓ <br />t i. Air district decals -legible operating lnstrucVons, correct complaint phone # J ✓ B/ <br />12. Hoses -CARE-aoproved, no kinkvtearVsirta, LRD installed com,c fy ✓ t/ 1/ ✓ ✓ i/ <br />ts, Breakaw3ys -CARS-approved; no liquid sWo/Mrst buildup <br />14. Nozzles -CARS-approved, has ail damps, suvivels tii*rk smoothly, no leaks �' V^ t� t/ V v V v L'' ✓ <br />15. Nozzle hold -open latches present and operating comcfty ✓ V V v V t/' ✓ • or t0 <br />16. Nozzle bellows and faceplates {lsdat on nozzle; no tearslsllts, goad seal <br />U. Nozzle spouts -nof loose, not oul-of-rourxd, have latch devices <br />18. Nozzle vapor valves qv vapor shadben emitting from nozzle <br />