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SECTION 5: Equipment Checklist for Healy/VST Sites <br /> An Inspection must be performed daily. If no problem exists, place a"✓"in the appropriate box. If a defect is identified, place an "X"in the appropriate box. Record <br /> defects&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 /> at all times.Refer to the Process Card in the pocket of the Orange Binder for assistance in performing this daily DAY OF THklist. H <br /> Month r i Year 0/? 1 2 3 q 5 6 7 8 9 10 11112113114115116117 18 19 20 21 22 23 24 25 26 27 28 29 30 31 <br /> Hotres <br /> i Check hoses for leaks,kinks..flat spots,cracking.or leans and that swivel moves <br /> freely. s <br /> 2.Check that breakaways are Installed correctly(arrow should pont lowartl nozzle) .r ✓. ai l-' <br /> and that there are no visible leaks. , <br /> 3. If hose retractors are present,check that hose retractors(unction and have �. 1. 91 <br /> c_ 1, c.f <br /> less that inches of cord showing. <br /> (VST/BALANCE ONLY)Check that gasoline hoses do not touch the ground. <br /> 5.(VST/BALANCE ONLY)Drain liquid from hoses into an appropriate container <br /> and cneck that amount is less than a few ounces atter 2 allempts. <br /> 6 Check nozzles lar dripsleaks.or costs. ✓ <br /> 7 Check that faceplatelfacecone is in good condition.Look for tears slits& "• tI '� I J �- w <br /> r t <br /> deterioration Plastic seal on facecone surrounding spout's not cracked or broken. V y ✓ l 4' ' to <br /> r, sem' <br /> 8. Check mini bomnapor collection sleeve far tears or slits. ~ ✓ z, .r ✓ <br /> v J y. ✓ k_ ✓ � � i ✓ <br /> 9.Check that insertion interlock mechanism functions properly. ✓ ✓ V �' r tr ` t�� <br /> 10. Check Thal auto shutoff/hold open latch is present and functional. ✓ ✓ V ✓ ..• L ✓ ✓ ✓ v v y <br /> 11 Check that nozzle check valve is functioning,properly clamped with no vapor a ✓ V- r N v <br /> 12.Check that the nozzle spout is lighl,round antl clear of obsiru-- <br /> a C. ! V ✓ ✓ <br /> 13. Check Thal[he latch ring(raised metal ring on spouq is present. v 'r ✓ r <br /> 14 Chech That the following decals are present on each.dispenser.Nozzle (,- ✓ ✓ ✓ W t <br /> Instructions.Gasoline Warning.OctaneTollFree Number for Nozzle Problems(If V <br /> r . <br /> ✓ V 4• . ✓ L. i. t <br /> applicable) <br /> Tan Area ` <br /> 15.Check that spill buckets are clean and dry. ,. „ v ' .. ✓ <br /> 16. Are drain valves functional and pull chains attached? c' k <br /> 17.Are gaskets in till and vapor caps Ingootl condition? v s �; I, ✓ c t.. 6' w <br /> 18. Check that fill&vapor in pladapters leek ace antl cannot be turned with hand. ✓ <br /> 19. Check that vapor drybreak sepia tight and spring is working <br /> L v <br /> Monitoring Area 4 <br /> 20 UST Monitoring System is powered on and not in alarmal <br /> . c, (/ `" °' ` ✓ �' <br /> Weekly.Ins tion: te.of irq <br /> n, <br /> 21. Complete the Hazardous Waste Weekly Checklist(go to the additional U I � f� s ,� � ' /. 70 —/ ) <br /> Hazardous Waste Checklists provided in this bookish _ <br /> 22.Complete the HealylVST Equipment Weekly Inspection and Testing Checklist L I J C,yf J `�7 . f• <br /> go to the addhional Healy Weekly Checklists provided in this booklet) - <br /> Monthl Ins on Ree ddb at. <br /> 23.Confirm and record that nozzle flow rate.is between 6 m 10 gallons per minute. 4. <br /> 24. Visually check for P'V valve on vent Ilse,&that yellow/white sicker Is visible& <br /> there are no vapor shadows. ar <br /> 25. Did you cam late the Monthly Throughput Log? <br /> I <br /> Inspector's Initials. <br /> Time of Inspection It required `/ <br />