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E <br />Station Master Worksheet <br />VALERO store# _RPLO <br />Station Ma&W'W*i*sno0U% <br />V 07-10-2012 <br />2 of 3 <br />FUEL DISPENSERS (Cont) <br />Disp. Flex Hose (Present?: YIN) <br />Y I N <br />Y I N Y I N <br />Y / N <br />Y I N <br />y I N <br />Disp, Flex Hose Booted/CP/Coni. <br />BICP/Cont. Cont <br />B/CPI Cont. <br />BICPICont <br />1 8 1 CP I Cont. <br />Dispenser Connection' <br />avo (BrIv <br />07141AID 00V <br />(Flex Hose or Swing Joint) <br />F I S <br />F I S F I S <br />F I S <br />F I'S <br />F I S <br />OWFRP Boots Connected or Open? <br />C 1 0 <br />C/ 0 <br />C 1 0��C <br />1 0 <br />Dispenser SumWLIno <br />Type: (SumpiLinerifilone) <br />KV/ L I None (SW <br />L I None W L I None <br />(S2 L I None <br />SIL /None <br />SIL/None <br />Sump Condition (G 18) <br />M8- <br />4WI el tGj / 8 <br />G .8 <br />G/ 8 <br />G 18 <br />Beaudreau Sensors Present (Y I N)? <br />-Y 11V <br />I <br />y <br />y I N <br />Y I N <br />Positioned 3'%6effG <br />bottom? (YIN)CA=' <br />y I by <br />wyt22 <br />y I0 Y -1-W <br />y <br />Y I N <br />Y I N <br />ATG Sensors Present ( Y I N )? <br />y tov <br />y to <br />N <br />Y I N <br />Positioned 6- t2" oft bottom? (Y I N) CA - 0' <br />y I 6F <br />Y/ <br />N <br />Y / N <br />FUEL LINES <br />Tank A- Tank S. Tank * 3 <br />Tank <br />Tank C <br />Tank <br />Product Code' <br />D-111-* S D E-85 UtUCT)S <br />D E-05 V UL+ E-85 U tJL+ S 0 E-85 V UL+ S 0 E-85 U UL* S 0 E-85 <br />Typw (OWFRP, FRP. Steal,Unknown) <br />I? W N- ILe Dili r2=P *C>W T4F-p <br />STP Flex Hose Preftni (Y I N )? <br />W1 N <br />Y I N Y I N <br />Y t N <br />YJ N <br />Y I N <br />STP Flex Hose Booted/CP/Cont <br />BICP/Cont. B/CP/Cont. BICP/Cant. <br />B/CP/Cont; <br />81CP/Cunt; <br />8 / CP / Cont, <br />Sub Pump Connection: <br />(Flex Hm,Swing joint. Unknown)F <br />—F/SIU <br />FISIL) FISItJ <br />F15lU <br />I F/S/U <br />I F/SIU <br />DWFRP Boom Connected of oEn*l <br />CIO <br />C I <br />VENTS <br />Product: <br />'O)JL+ S D E�85 U <br />S D E-85 51U UL+ S D E-8611.1 LIL+ S D E-85JU UL+ S 0 E-85 <br />Location'. C-CanopyL-Loi,'a--0uAding <br />C I <br />L I <br />Mainifolded Aboveground? ( Y I N <br />N <br />N N I <br />Y I N <br />Y/ N <br />Y I N <br />PressufaiVacuum Cap Type <br />5's <br />Pili Cap Settings: jinches of W.C. <br />CATHODIC PRO GTI N <br />Impremd Current System: (Y I N) <br />y <br />y Y 1( N,1 I <br />Y I N <br />Y/ N <br />Y/ N <br />Last CP Rectifier Check Date <br />Current CP Rectifier Voltage/Amp <br />OPERATIONAL CHECKS <br />Tank Stick Condition (Good ad) <br />I B <br />Q18 G I B <br />G/ 8 <br />G/ 6 <br />G 1 8 <br />-W-j N F5 N <br />Y I N <br />Y I N <br />Y I N <br />`Tank Chan at Store (Y I N) N <br />NN <br />Max. Gallonage? (i.e.; 9728) <br />91 <br />Y I N Y I N <br />Y I N <br />Y/ N <br />Y I N <br />Oram Fuel Control Book at Store ( Y I N) <br />Emergency Shut Off (ESO) Button(s) Operational ? <br />I N If No, provide Maintenance <br />L22 #: <br />Emergency Shut Off (ESV) Valves Operational ? <br />N I If No, provide Maintenance <br />L29 9-, <br />Octane Decal Present on Dispensers <br />N <br />49 <br />LIST Fuel Delivery Certificate eresent (inside Store � <br />I N <br />STAGE 11 VAPOR RECOVERY <br />Type,- <br />Va Wao <br />UdoYneVaq Heat -1000 Healy <br />10WEVR GVRNST n4 <br />then <br />CARS Executive Order Number <br />Located in Stage 11 Ek4h : Below <br />VR Daily Inspeialons Current <br />W Comments? <br />Facility Rep Training Current <br />N: Comments? <br />Training each employee Current <br />Comments? <br />Maintenance records Current <br />EN: <br />W, Comments? <br />Annual Press Decay Available <br />W Ccimirnenti;7 <br />1-f-Lf—ll <br />Initial ystem Available <br />/N: omments? <br />C <br />CA Only; Last 3 yrs, Tests in Book? <br />N Comments? <br />5�year System Test Available <br />Y/N- Comments? <br />Monthl insptcfioq Current <br />E� =,,Comments? <br />2 of 3 <br />