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SECTION 4: Equipment Checklist for Healy/VST Sites <br /> I <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 defects <br /> &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 at all <br /> times.Refer to the Process Card in the pocket of the Orange Binder for assistance in performing this daily checklist. <br /> Month Year DAY of Wil NTH <br /> 1 2 3_1 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 2!l 29 3i) 31 <br /> 1 Check hoses for leaks,kinks,flat spots,cracking,or tears and that swivel moves <br /> freely. <br /> 2.Check that breakaways are installed correctly(arrow should point toward nozzle) <br /> r <br /> and that there are no visible leaks. <br /> 3, If hose retractors are present,check that hose retractors function and have less <br /> that 3 inches of cord showing. <br /> 4.(VSTISALANCE ONLY)Check that gasoline hoses do not touch the ground. O <br /> 5.(VST/BALANCE ONLY)Drain liquid from hoses into an appropriate container <br /> UL <br /> and check that amount is less than a few ounces after 2 attempts. <br /> D <br /> wliii �. . <br /> 6.Check nozzles for drips,leaks,or odors_ Lt <br /> 7. Check that faceplateffacecone is in good condition.Look for tears,slits& <br /> Ll <br /> deterioration.Plastic seal on facecone surrounding spout is not cracked or broken. <br /> 8.Check mini bootivapor collection sleeve for tears or slits. <br /> i <br /> 9.Check that insertion interlock mechanism functions properly. <br /> 1o.Check that auto shutoff/hold open latch is present and functional <br /> i <br /> 11.Check that nozzle check valve is functioning,properly clamped with no vapor <br /> 12.Check that the nozzle spout is tight,round and clear of obstruction. <br /> 13.Check that the latch ring(raised metal ring on spout)is present. <br /> 14.Check that the following decals are present on each dispenser:Nozzle <br /> Instructions,Gasoline Warning,Octane,Toll Free Number for Nozzle Problems(If <br /> applicable). <br /> I ILII <br /> 15.Check that spill buckets are clean and d <br /> 16.Are drain valves functional and pull chains attached? <br /> 17.Are gaskets in fill and vapor raps in good condition? <br /> 18.Check that fill&vapor adapters lock in place and cannot be turned with hand. <br /> i <br /> 19. Check that vapor drybreak seal is tight and spring is working. <br /> a; <br /> 20.UST Monitoring System is powered on and not in alarm. <br /> 21. Complete the Hazardous Waste Weekly Checklist(go to the additional <br /> Hazardous Waste Checklists provided in this booklet) <br /> 22.Print a weekly Liquid Status report and place a copy In the Orange Binder <br /> I <br /> 23.Visually check for PN valve on vent riser&that yellow/while sticker is visible& <br /> there are no vapor shadows. <br /> 24. Did you enter last month's Monthly Throughput on the first tab of the Binder? <br /> To be done by the 4"'of ft mo <br /> Inspector's Initials: <br /> Time of Inspection,if=uired <br />