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SECTION 5: Equipment Checklist for Healy/VST Sites box. Record <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 <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 DAY OF THE daily I MONTH <br /> ? I'll "1 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 /> Month Alatek Year h 1 2 3 4 5 6 <br /> Moses <br /> O check hoses for leeks.kinks.flat spots.cracking.or tears and that swivel moves ✓ t _ �, L _ <br /> 1 ' ✓, V' \. 1. <br /> freely. t.. c 4 ✓ r• ✓ �., v <br /> 2. Check that breakaways are installed correctly farrow should point toward nozzle) ✓ L ✓ e, <br /> and that there are no visible leaks ✓ ✓ ✓ V v ✓ "' �-' <br /> 3.II hose retractors are present, <br /> check that hose retractors function and have v w.. ✓ 4.. a " <br /> less that 3 inches of cord showing. <br /> VST/BALANCE ONLY)check that gasoline hoses do not touch the ground. <br /> 5.(VSTBALANCE ONLY)Drain liquid from hoses into an appropriate container <br /> and check that amount is less man a few ounces after 2 attempts. <br /> Nozzles ,.' •V .v'✓ ✓ ✓ v ✓ `,. V, C. L. L., <br /> 6.Check nozzles for tlrip s leaks,or odors <br /> 7.Check that tacein uc,acecone is in good contlition.Look Ior tears.slits 8 _ ✓ v .✓ C ` �, ✓ v,. Lr v - <br /> deterieration.Plastic seat <br /> on lacecone surrounding spout is not cracked or broken. ✓ k. s.. l� �. � <br /> ✓ c. C.. ✓ ✓ r v ✓ v t. <br /> 9. Check mini booVvapor collection sleeve for tears or slits. ✓ ✓ �. 6- V ✓ . ✓ t, <br /> 9.Check that insertion interlock mechanrsm functions properly. ✓ ✓ � ✓ ✓ - <br /> Irr Check that auto shutog9lold Open latch Is present and functional. L, k,,, ✓ ✓ ✓ " tt ✓ C.: .. <br /> 11. Check that nozzle check valve is funmioning,properly clamped with no vapor ✓ ✓ v c_, r/ 4. ` t t„ <br /> V <br /> 12.Check that Ins ni spout is i s.-rountl and clear of obstruction. ✓ ✓ V <br /> M <br /> t3.Check that the latch ring(raised metal ung an speut7 is present. 4v, <br /> of users t a- ,onead <br /> 14. Check that the following tlecals are pros Tall Free NubeIorNozleProblemsV ✓Insirucli¢nsGasol,he Warning,Octane, r <br /> applicable). _ - ✓ c. <br /> Tank Area '✓`:.: y v v ✓ �' <br /> V y ✓ r' V V' 4.� ✓ p �' l <br /> 15 Check that splen buckets are clean and <br /> Are drain valves IuncLonal and pull chains attached' � ✓ ✓ �; 4, ✓ ✓ G <br /> 7. Are gaskets in IIII and vapor caps In good contlition? v ✓ ✓ pi c" i:' <br /> 18.Check that fill&vapor adapters lock in place and cannot be turned with hand. <br /> ✓ V ✓ 4 L Y <br /> 19.Check that vapor drybreak seal is tight and sprang is working. �_ o- ✓ t. �,: !. <br /> Monitorm Area we �. L•' ✓' r' <br /> 2D. UST Monitoring System Is powered on and net in alarm 4IM1#e of <br /> Week Ins tion: <br /> 21.Complete the Hazardous Waste Weekly Checklist(go to the additional <br /> r <br /> Hazardous Waste Checklists provided is Ihis booklet) j ^ •r <br /> .Complete the HealyNST-Cuvided in ipment Weekly InspeoIn this booklet) <br /> and Testing Checklist <br /> 22 (? 1 <br /> O <br /> (go to the additional Healy Weekly Checklists proRid date tlt <br /> Months Ins Ion eI ct <br /> 23.Confirm and record that noszle Clow rat¢Is between filo 10 gallons p7 <br /> er mmute. . \ <br /> 24.Visually theca for PN valve on vent riser N Ina'yellow/white sticker is visible& , <br /> Isere are no vapor a shows. .- <br /> 25.Did you complete the Monthly Throughput Logi <br /> Inspecmr's Initials. <br /> Time of Inspection.A requiretl <br />