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MonIF(year <br /> Inspection Checklist 3ta9pnNane °� <br /> Address. <br /> Coaxial/2-Point Phase I and,F3alance Phase II Vapor Recovery Systems ail <br /> This Intel was design�d for it so al stations with inspection Ironed up equith o tit dldul'.Is it other issues requiting further action u.laipd to the Iloted rotors will the Lott. Keep these records <br /> Coaxial o'2-Point Phase I with Balance Phase It ReCOrO descriptions of the hotels dalerts and entrails on tile.f3aily Repair I.ug it(ci'ssiblh In the 01),,bonn: %Maintenance Manua,for Inspection <br /> vapor recovery systems Place aChock Inert,tit Record your initials at the bottmn of the tune after completing e9ch day's by Ire Au P0l11010n Control I)strict for o period of m least two years <br /> each box where your Inspection revealed no inspection Keep copies of work orders and/or equipment pan receipts <br /> Problems.and an"%"in each box where yina <br /> �' _ Daa If the M_onth <br /> (Use TRAFFIC CONES end SAFETY VESTS) F1 e.2 4 _-F 7-T8I9�10 11112413114115 16 17]18119_T20I21122j23124125126I27I2g129T301 <br /> TANK AREA <br /> I Vrnl Ir:o PV ,,IMl(,) pros:•r( vi Ilary shdu r no vapor shadow; V V p VV -IV ,/ VVVV V VV <br /> VV <br /> pJI e mlainee rlr uI cad dl/ v' - .. ✓✓ y v� �,T �/ ./� - - . /i <br /> 1,01, ."tumor di tin; etre.n! r. :d..tr ace .loin allm.hmJ(d Prppborhli I b L V', V b� - `V�/ • �/\/ V v, <br /> V /`- V — � v - <br /> inps 1Ohl cq. 1 .....til I. br rl<. I ro:e \,, �/ VV �' V/ VV / i / ^ _ <br /> I gh! re.retie Jr y bn.a4 pi rl rl r-:mrl u: ...../ria :ynd V L Vvvv ✓ yr <br /> I Ill i n s gaskets _ .. <br /> \ x dda.lilt h <br /> 't i P. -9 VrnSenf Ir 1 aphl. cafe: rt tins:r 41 he.k n nr louse. y V V �' <br /> � ! !ll adapters attached IiyOIIV In m r tic.rh.ya skin n.�I mmsny ur torn _ �� � � � : / � � V <br /> v <br /> I II IubC(enamel stnn9 loath f) present. rtnm 1,spm y not bnllam or s,ryyrny s,l ✓ r / V V <br /> V <br /> u i. malat gasket oI phi,_s,ill:q..:pars - _ _ r <br /> _ <br /> V �/ y� <br /> Im f JI lube (1-!'o nO Pr e:avtl round ✓ IV <br /> / . <br /> DISPENSER AREA V V V <br /> Ali, All district decals leydllu ape ahoy rnstnn.I.ms morel rnrnpl art phunh 11 VV� <br /> 11 -- <br /> M !v .x . CAf:H 'ylr rd. nu :H. 7.-: J:.GL. 11 lI .Ldludc :, <vlly V V- •/ vv V - <br /> v <br /> I: <br /> kl,lkaways ('ALH til prtmvl no bawd stem/dust bmldup <br /> la Nozzles CARN hill)mvu,tf n r all i lamps. .swrvels murk smoothly,no leaks V/ ___ V_,._ <br /> u. Neu le hold open lalrh�s prrsmn and epi nrGny cuuurfly �� - V <br /> It, Nozzle UBllows and lar_opLdes oyhl un no,vin,nu to a s/shls, good seal �/ / .V/ <br /> _ ✓ / ✓✓ t/ ✓ <br /> i I Notile spouts trot louse riot out of round have latch rte wr es <br /> or Nozzle vapor ralves no vapor Shadows emrthay born a0[tlo V j f / <br /> w Inose Retractor present will i t0'of less hose loop unless 1 RD present �/ �✓ <br /> -----._ _.- . . . ..__ . <br /> INSPECT AT LEAST ONCE PER WEEK <br /> se..Dram va r nose to remove eve ssive gasoline <br /> ' tesvecroas lN{rinLs: - — <br /> I <br />