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SECTION 5: Equipment Checklist for Healy/VST Sites re riots box. Record <br /> Ispection must be performed daily.If no problem exists,place a"✓"in the appropriate box. If a detect is identified, place al"ro in the app p <br /> is &repairs on the"Equipment Repair Log".Keep copies of repair orders or receipts in the Orange Binder.Proper personal protective equipment(PPE)must be used <br /> I times. Refer to the Process Card in the pocket of the Orange Binder for assistance in performing this DAChecklist. <br /> OF TMEMFill <br /> Month W a Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 <br /> e <br /> ;heck hoses for leaks.kinko..flat spots,cracking.or tears and That swivel moves <br /> seely. ✓ ` <br /> ;heck that breakaways are installed correctly(arrow should point toward nozzle) / ✓, ✓ ✓ <br /> Ind that there are no visible leaks. V• lr ✓ ✓ V <br /> If hose refractors are present, <br /> check that hose retractors function and have ✓ ,.i <br /> less that 3 inches of cord snowing. <br /> (VSTIBALANCE ONLYI Check that gasoline hoses do not touch the ground. <br /> ANCE ONLY)Brein liquid from hoses into an appropriate container <br /> an hats. ,,116s less than a few ounces after 2 altempts. <br /> 22183 ✓, ` ` _ _ .. <br /> Inaks.or Odors s ✓ v- � ✓ ✓ ✓ <br /> Check nozzles for drips, �. c, - ✓ `✓ ✓ V ✓ <br /> ✓ ..� ✓ 1. ✓ - v �.• � / <br /> Check Ihal faceplale/iacecone is n good cpntlition.Look far tears.slits& ✓ ✓ ✓ ✓ ✓ � <br /> deterioration.Plastic seal an facecone sorrountlln9 spout Is not cracked or broken ✓ ✓ ✓ ✓ ✓ ✓ <br /> Check mini boorhapor collection sleeve for tears or slits. ✓ ✓ ✓ ✓ ✓ r- v `�' <br /> i.Check that Insertion interlock mechanism functions properly. ✓ ✓ ✓ ✓ ✓ ✓ ,/ <br /> I. Check that auto shu-1....Id open latch Is present and function ✓ ✓ ✓ v ✓ - ✓ y J ,�. <br /> g, ro erl clamVapor ✓ ✓ <br /> I. Check that nozzle check ved with no lve Is(undionin p p Y P � ✓ ✓ ✓ '"' ✓ ✓ <br /> ✓ ✓ ✓ ✓ <br /> 2.Check that the nozzle spout is tight round and clear of obstruction. ✓ t.- <br /> 3.Check that the latch ring(raised metal ring on spoup is present. <br /> 4.Check that the following decals are presp nt on each dispenser Nozzle `� vz ✓ .. �' '✓ <br /> Tell Free Number for Nozzle Problems(If ✓ ✓ ✓ ✓ <br /> instructions.Gasoline Warning Octane, („ 1/ <br /> applicable) ..i•M1V ✓ L: ✓ ✓ lI c/ .�. v v ✓ ✓ <br /> v ✓ ✓ ✓ ✓ ✓ ✓ ✓ _ . ✓ ✓ <br /> 15.Check that spill buckets al clean and dry ✓ V ✓ ✓ ✓ ✓ ✓ �, v ✓ ✓ <br /> 16 Are drain valves functional and pull chains attached? .i 4 ✓ V ✓ ✓ <br /> (/ 4 V' V V V v ✓ V ✓ r/ V ✓ ✓ <br /> 17_ skets in till a18 ntl vapor caFs in good condition? ✓ '� ✓ y J V <br /> that fill a vapor adapters lock in place and cannot be turned with hand. ` ✓ ✓ c. , <br /> 19. ck that vapor drybreak seal is tight and spring is working. ' ✓ 1 L/ ✓ ✓ ✓ ✓ �/ v,. <br /> MonNori Area ;v '" V ✓. ✓ v <br /> 20.UST Monitoring System is powered on and not in samn, <br /> W <br /> 21 sold Ins flow s Waste Weekly Checklistt Igo to the addi[onal <br /> Complete the Hazardou ` <br /> Hazardous Waste Checklists provltle t In this booklet) <br /> r <br /> d T <br /> 22.Complete the Healy(VST Equipment Weekly Ins provided In climb <br /> snbooklet) Checklist / <br /> Igo to the additional Heary Weekly Checklists p R�Or, d 11"date of <br /> Will Ina on. <br /> 23.Confirm and record that nozzle flow rate Is between 6 to 10 gallons per minute. <br /> 24.Visually check for PIV valve on vent riser S that y--...white sticker is visible B / <br /> there are no vapor shadows. <br /> 25.Did you complete the Monthly Throughput Log? <br /> Inspector's Initials. <br /> Time of Inspection,it required <br />