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SECTION 5: Equipment Checklist tor. HeaIyjVST Sites lace an -X"in the appropriate box.Record <br /> r rsonal protective equipment(PPE)must be used <br /> lace a"�"in the appropriate box. It a defect is identified,p <br /> e Binder.Prope Pe <br /> pection must be performed daily.If no Log" <br /> Keep P this daily checklist. <br /> tea of repair orders or receipts in the ran <br /> Repair Log' P Binder for assistance in performing I)AY OF THE MONTH <br /> s&repairs on o the"Equipment <br /> rimes.Refer to the Process Card in the pock11 et of the Orange18 19 20 21 22 23 24 25 26 27 28 29 30 3 <br /> r 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 <br /> Month <br /> Year — <br /> ms.cracking.or tears and that swivel moves <br /> ✓ / . r ✓ � <br /> Teck hoses for leaks,kinks Ilal sp ✓ ✓ J V ✓ ,. V . ✓ <br /> ely y Point toward nozzle) W ✓ ✓ '� '� /' <br /> lack that breakaways are'mst.11ed correcll farrow snoultlp ✓ ✓ ✓ ✓ ✓ <br /> id that there are no visible teaks <br /> e . <br /> hose retractors are p check that hose retra<tars Wncoon Shales- <br /> 3 <br /> ndhave3 inches OR cord showing <br /> q ground <br /> VSTIBALANCE ONLY)Check that asoline hoses do not touch the <br /> om hoses into an appropriate containerVS - <br /> NCE ONLY)Drain IW old fr ✓ / ✓ r �" <br /> and Ihat amount Is less Than alew ounces atter 2 attempts. ` L ✓ <br /> ales4. .o ✓ .' ✓ ✓ ✓ ✓ s <br /> Check nozzles lOr dopa.leaks ar od9rs- ontlilion.Look for tears,slits o s ✓ ✓ ., ✓ ✓ ✓ ✓ i W, <br /> ✓ ✓ ✓ / ✓ <br /> Check that laceplateifacecone sin Doric v ✓ v ` / �„ <br /> ✓ ✓ I <br /> deterioration.Plastic seal on lacecone surrounding spout Is not cracketl or broken ✓ e � V ✓ ✓ r / <br /> o ✓ ✓ / . ✓ ,. ✓ v e <br /> Check mini bootivapor collection sleeve <br /> functions properly. ✓, yz y, ,� ✓ ✓ r _ <br /> heck that insertion lnlerlo<k mac 1, ✓ ✓ ✓ .. " J <br /> resent antl functional J y <br /> ✓ ✓ ✓ ✓ i <br /> Gheck that auto shNo&hold open latch ing rO erl clamped with no vapor " u ✓ <br /> I.Check that nozzle check valve Is"I round <br /> p P y ✓ ✓ ✓ <br /> t round and clear of obstmchon. y,. <br /> v <br /> 2.Check that the nozzle spool is tlg ll' ut is resent <br /> 3.Check that the latch ring(raised molal ring on spo1 P ` ✓� ✓ <br /> ✓ 6 4 <br /> C � r <br /> its ensers �, ,. ✓. <br /> Toll Free Number for Noule Problems(If ✓' ✓ r, _ ,✓ `; �, <br /> 14,Check that the bllowing decals are present on each dispenser Nozzle v v ✓✓ <br /> Instructions.Gasoline Warning. ✓ ✓ ✓ v ✓ a ✓ <br /> apPticablel. _ J J ✓ W ./ y v G `, <br /> ill buckets are clean l chain, <br /> h dry_ ✓ v <br /> 15-Check that sp <br /> 16.Are drain valves Wnctional and pull good..drao d? ✓ ✓ ✓ <br /> s In good contlitioncan <br /> ✓ ✓ t< `�' <br /> .7 aske[s in frit and v-Per caP g tate antl cannot be turned with nantl. ✓ � -. � • <br /> Is that fill&va or adapters lock inp - c k o-, ✓ v <br /> J ✓ <br /> 19.Gheck that vapor diva es seal is rght and spring is working. ✓ tc � �y/ � J <br /> Area ✓ <br /> Monitor) <br /> 2o.OST Monitoring System is poweretl on and not in alarm. R ;w v <br /> tion: _ °� 13 -7 <br /> Week) Ina Checklist(ge to the additional 4 j i „ '�• (, <br /> z_1.Completetha Hazardous Waste Weakly q / <br /> Hazardous aste h <br /> WCeck 1..provided in.his booklet) <br /> 22.Complete the Hearly'VST Equipment Weekly Inspe <br /> oviction and Testing Checklist <br /> (go to the adtlrtional Healy Weekly Checklists prded in this booklep <br /> I fit <br /> ell,mrnule. <br /> Month) In „ a <br /> 23.CO..... and record that nozzle flow rate Is between 6 to 10 gallons p <br /> 24.Visually check for PIV valve on vent riser&that yellow while Slicker is visible 8 a 1 ' ' <br /> there are no vapor shadows. <br /> 25.Ditl you complete the Monthly Throughput Log? <br /> Inspector's Indials. <br /> Time of Inspection.11 required / <br />