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SECTION 5Equipment Checklist for Healy/VST Sites <br /> An Inspection must be performed daily.It no Problem exists,place a' <br /> •✓"in the appropriate box. If a defect is identified,place an"X" in the appropriate box.Recon <br /> check <br /> he pocket of the Orange Binder for assistance in performing this daily <br /> A OF THEMONTHq 25 26 27 28 29 30 31 <br /> detects&repairs on the"Equipment Repair Log".Keep copies of repair orders or receipts in the Orange Binder.Proper personal protective equi2ment(PPE)must used <br /> at all times.Refer to the Process Card p <br /> MOnth Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 i6 17 18 19 20 21 22 23 / <br /> clacking v.Orleans and that swivel moves ✓ r J ✓ <br /> Check hoses for leans.kinks.Ilan spots, ✓ ✓ <br /> Ireely. V ✓ r ✓ <br /> 2. Check that breakaways are installed cprreclly lartow 6hOWtl paint toward nozzle) <br /> and that there are no visible leaks <br /> hose retractors are present,check that hose retractors junction and have <br /> ass than 3 inches of card showing. rountl. <br /> A. (VSTIBALANCE ONLY)Check that gasoline hoses do not touch the 9 <br /> 5.(VST/BALANCEONLY)Drain liquid from hoses Into an appropnane container <br /> and check that amount Is less than a few ounces after 2 atiempls. ✓ ✓ ✓ ✓ 4, <br /> Z, V <br /> pieces ✓ L- v �' <br /> 6.Check nossles Ion drps leaks, ✓ ✓ ✓ v ,i <br /> 1. .� yz ✓ .� ✓ <br /> Z Check that taceplaleRacecone Is n good contlhion.Look for tears.slits 8 ✓ ✓ v t✓. <br /> deterioration.Plastic seal on Iacecone surrounding spout is not cracketl or broken. ✓ V K ,� r <br /> ✓ ✓ ` ✓ ✓ ✓ ✓ <br /> 8. Check mini boopvapor collection sleeve for tears or sfokserl ✓ v, tt v 4 <br /> 9. Check That Insertion interlock mechanism functions n p Y ✓ _ ✓ ✓ ✓ <br /> ✓ ✓ l ✓ v r/ t u / <br /> to Check that auto shu e k valve <br /> open latch n pr Property with no vapor ✓ / ✓ y ✓ ✓ <br /> ✓ ✓ ✓ <br /> 1 t. Check that nozzle check valve is funduning.p P Y ✓ ✓ ✓ v - <br /> 12.Check that the nozzle spout is light,round and clear of obstruction. ri4'M <br /> 13.Check that the latch ring(raisetl metal ring an spouq is present. <br /> Dis Gem. v w °- ✓ 4' �'. <br /> n4. Check that the lotowing decals are pre6enl on each tlapenser.Nozzle ✓ k ✓, <br /> Tall Free Number for Nozzle Problems(II v t ✓ <br /> Instrucllons.Gasoline Warning,Octane, t,v ry ,�-_ � �, v- • <br /> ✓ y ✓ <br /> applicable) v ✓ ✓ `� � / ✓ � �� � ,� ,� <br /> rank nee _ ✓ ✓ " . <br /> J K f �I y ✓ S. ✓ <br /> 15.Check that spill buckets are clean and ✓ _ ... ✓ ✓ ,✓ t <br /> 16.Are drain valves functional and pull chains attached? ✓ <br /> or <br /> caps In good condition? ✓ ✓ v ✓ <br /> r7. Are gaskets Infill,and vap P ,f J <br /> t&Check that 11118 vapor adapters lock in place antl cannot be turned with hantl. Y ✓ / <br /> r. <br /> 19.Check that vapor drybreak seal Is right and spring is working. _ ✓ K <br /> Acea - - .. ✓ ✓ <br /> o UST t ruto <br /> Monttori ing System is powered on and not in alarm. <br /> eek) Ins tion: - <br /> 2r.compunethe Hazardous Waste Weekly Checklist(garotte add,comf I Yom, <br /> Hazardous Waste Ghecklisrs provitletl in This booklet) � r , <br /> n <br /> 22.Complete' HealylVST Equipment Weekly Inspection and Testing Checklist I e <br /> Igo to the add')"" Heat'Was <br /> kiy Ghecklisrs provided In this booklet) <br /> Month 'M$ inn <br /> 23. Confirm and record that hassle now rate 5 between 6 to 10 gallons per minute. <br /> 2a.Confit ry check for P'V valve on vent riser&that yellowlwhite sticker 5 visible& <br /> e, re <br /> there are no vapor shadows <br /> 25. Did You complete the Monthly Throughput Loe,? <br /> Inspectors Initials_. <br /> Time o1 Inspection.II required J <br />