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FORM 3 <br /> 1 and 12 - Annual Inspection and Testing Checklist (1.3) <br /> Checklist results may be used to assist with filling out GDF maintenance log. Date: Page of <br /> Section: 1.3.1 1.3.2 or 1.3.4 1.3.3 1.3.5 1.3.6 <br /> CAS,Exhibit Pressure Decay Test, Dispenser Dispenser Vapor Fuel Grade Nozzle V/L Test, <br /> Or TP-201.3 & Exhibit 8 Number Line Tightness Tested Exhibit 5 <br /> Permeator,Exhibit 15 Test <br /> circle one (circle one) (circle one) (circle one) (Circle one) <br /> Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> Pass Pass Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> Complete Complete <br /> Weekly Quarterly Pass Fail 87 89 91 Pass Fail <br /> Inspection Inspection <br /> Checklist Checklist Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> Fail Fail Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> Pass Fail 87 89 91 Pass Fail <br /> I-9 <br /> CARB Approved IOM 1 -Systems Scheduled Maintenance—EO's VR-201 and VR-202 <br />