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Inspection Checklist SMO0tation Nau..Na - Q <br /> mo <br /> Coaxial/2-Point Phase I and.Balance Phase II Vapor Recovery System! Address: k <br /> This form was desi .. o,t <br /> gI`Td for use al stations with inspection turned up equi{Jment defects or other issues r --'"-' '---' <br /> Coaxial ort-Point Phase I with Baliurci Phase II equlnng lurtber pcli(xr relatpd to the noted repairs with the L <br /> RecoNtlescriplions of the noted defor-ts and repairs on the Maily Repair I.Og arcr,ssible In the Operations R Matnlenanceo Manua'for Inspection <br /> vapor recovery systems Place aChock mark in .Record your initials at the bottom of the form alter core Iet{n a cli du s <br /> each box where your insp Ilion revealed no e - B 9 y' by the Air Pollution Control District for a period of at least o year <br /> t inspection Keep copies of vnxk orders and/or equipment pan sere{pts <br /> problems.and an"X"in each box wherQ your .� <br /> _ _ Da of the Month __ <br /> tUee TRAFFIC CONES nntl SAFETY yESTS) 1 213 4 =56-F 719 j 9110 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29L3( <br /> TANK AREA _. _ -..� I I. ��- .�-..11_1-_ .� _ I I. _ <br /> I Vent luso PV valve(s) Parsonf yellow stickor.nn vapor sl jArn s r ---— -I`'-//ISL - <br /> V � <br /> 2 <br /> Spill containers r In m and dry - V f / J � N/ _ V1 Vf <br /> — _ . . .. / <br /> ] Spill crTlalnCr drain aporafrve a )r losetl Ir nn,rll.narnr>(I ippbrable) - - - V ✓ /� —In <br /> -- - <br /> x_Vapor"Ps�gaskets prese U 4 I Ohl (:lips not rurssrny. f okan or loose � �, � � / " — _ � _ <br /> V -.Vapor adaPlers byte r)nsr rdy Mnkpoppet rs n01amagev /Ve FQI Daps-gaskets present n rd Irghf caps rrol m �'T FBI adaptersattachedlightlytonsor nidegaskalicorcrossing o/tom 1 / - N n Fill lube coaxlRls nn -boded( p g )Pnt r r l vpnny ut t r k rr saggn /e Coaxial gasket m place.seahno v,grcns /10 Fill lube-(2-Pornl)prsen/ .uurd --- - ""' -DISPENSER AREA � - <br /> 11 Air district decals leyrhlo npr 1 p ry c:hm from -lorcl r r nl I nrrl phuno ff v,,/ - <br /> __._ _. ._ V V. _ <br /> aJ 12 Hoses CAHB approved,no i6tigr+,usLtiGls 1/ O -..- _- - - __ - -- _ - <br /> .■I .. —_ fillol erectly / <br /> _._—. .__ -. v <br /> IJ Breakaways CARF�apProvr tl ulrgmd 9l ✓Ju,IbWdvp - / - - -- <br /> V <br /> V <br /> N Nozzles CARB ePProvOd.Ir s n 1 r hnpls. swivels a ik srnnolhly,no leaks L/ v J ✓� _. <br /> f <br /> V y <br /> 15 Nozzle hold-open Ialdles{vr sr nl ar d opo r nnry correctly - - <br /> �l ` ✓ <br /> Ifr Nozzle bellows and I u,n Plates hghl nn r;o. I nr h-u:t/ lS flood seal V V V / <br /> +�-Nozzle spout, not loose.fMN out of round h ry I ilrti dBmrrs v / � \ <br /> In. Nozzle vapor /elves np vapor S/raa0ws nrndl ng//Om r10zI/e / / U __ <br /> Io Hose Retractor / - - / - V <br /> preserrl wilAa 10-01 foss hose Y _ V - ..- <br /> _._._._. ... c _..— _.. .-kx)p unless LRD present ... ..- . . .. _. _ ✓ ✓ l� <br /> INSPECT AT LEAST ONCE PER WEEK � � - " <br /> 20. Dralll Vapor hose to lBrrgVe ex Rss've <br /> INSPECTOR'S INITIALS �- <br /> 1 <br />