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Forms are in Word and Adobe Acrobat PDF formats. If you do not have Word 2007 or later, please print out forms available in PDF.
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BALANCE SYSTEM
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DAILY INSPECTION CHECKLIST
The Balance Systems checklist is used for any facilities that have Phase II equipment described on the Permit to Operate as "Balance System".
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Word
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PDF
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ANNUAL INSPECTION CHECKLIST (GDF FORM B5) - OPW or EBW Phase I System with <100K gal/yr
The Balance Systems <100K gal/yr checklist is used for facilities that has Phase I equipment described on the Permit to Operate as either OPW or EPW and have a throughput less the 100,000 gallons per year.
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Word
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PDF
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ANNUAL INSPECTION CHECKLIST (GDF FORM B6) - PHIL-TITE Phase I System with <100K gal/yr
The Balance Systems <100K gal/yr checklist is used for facilities that has Phase I equipment described on the Permit to Operate as Phil-Tite and have a throughput less the 100,000 gallons per year.
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Word
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PDF
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WEEKLY INSPECTION CHECKLIST (GDF FORM B2) - Card-lock System
The following facilities are approved to use this checklist: Coast Oil Company
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Word
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PDF
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WEEKLY INSPECTION CHECKLIST (GDF FORM B4) - Fleet
The following facilities are approved to use this checklist: Tanimura & Antle
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Word
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PDF
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WEEKDAYS CHECKLIST (GDF FORM B3) - County of Monterey
The following facilities are approved to use this checklist: All County of Monterey's Permit to Operate that has it Phase II equipment described as Balance System
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Word
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PDF
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HEALY EVR (E.O. VR-201-XX/VR-202-XX)
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GDF & ISD MAINTENANCE LOG
District GDF Form 2 "GDF & ISD Maintenance Log"
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Word
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PDF
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WEEKLY INSPECTION - PHASE I VAPOR RECOVERY
District GDF Form 1 "Weekly Inspection Checklist - EVR Phase I"
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Word
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PDF
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WEEKLY INSPECTION - PHASE II VAPOR RECOVERY
CARB Executive Order VR 201 & VR-202 - Weekly Inspection and Testing Checklist
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Word
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PDF
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QUARTERLY INSPECTION
CARB Executive Order VR 201 & VR-202 - Quarterly Inspection & Testing Checklist
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Word
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PDF
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ANNUAL INSPECTION
CARB Executive Order VR 201 & VR-202 - Annual Inspection & Testing Checklist
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Word
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PDF
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FUEL DELIVERY LOG
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Word
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PDF
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VST Membrane/Veeder-Root Vapor Polisher (E.O.VR-203-XX/VR-204-XX)
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GDF & ISD MAINTENANCE LOG
District GDF Form 2 "GDF & ISD Maintenance Log"
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Word
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PDF
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GDF MAINTENANCE RECORD and ALARM HISTORY RECORD
VST "Maintenance and Alarm History Record"
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Word
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PDF
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DAILY INSPECTION - PHASE II VAPOR RECOVERY
"Daily Inspection and Testing Checklist"
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Word
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PDF
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WEEKLY INSPECTION - PHASE I VAPOR RECOVERY
District GDF Form 1 "Weekly Inspection Checklist - EVR Phase I"
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Word
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PDF
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FUEL DELIVERY LOG
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Word
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PDF
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VST w/ HIRT VCS 100 (E.O.VR-205-XX)
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GDF & ISD MAINTENANCE LOG
District GDF Form 2 "GDF & ISD Maintenance Log"
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Word
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PDF
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DAILY INSPECTION - PHASE II VAPOR RECOVERY
"Daily Inspection and Testing Checklist"
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Word
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PDF
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WEEKLY INSPECTION - PHASE I VAPOR RECOVERY
District GDF Form 1 "Weekly Inspection Checklist - EVR Phase I"
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Word
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PDF
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FUEL DELIVERY LOG
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Word
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PDF
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HIRT MODEL VCS-200 (EO G-70-139)
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DAILY INSPECTION CHECKLIST (GDF FORM H12) - Hirt VCS-200 System Daily Inspection Checklist
The Hirt VCS-200 System Daily Inspection Checklist is used for facilities with aboveground tank(s) that use a Hirt Model VCS-200 processor.
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Word
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PDF
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HEALY EXECUTIVE ORDER PHASE II TEST DATA FORMS - (EO G-70-187)
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INSPECTION CHECKLIST (GDF FORM HE1) - Healy Model 400 ORVR Inspection Checklist
The Healy Model 400 ORVR Inspection Checklist is used for County of Benito Public Works Dept PTO 9601B and Monterey Peninsula Engineering PTO 12167.
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Word
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PDF
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Programs