Title Page
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Facility
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API
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Facility Sign
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Conducted on
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Inspection Completed By
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Location
AVO Inspection
VISUAL
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Was visual inspection performed for defects, which may include cracks, holes, or gaps in piping or covers; loose connections; liquid leaks; broken or missing caps; broken, cracked or otherwise damaged seals or gaskets; broken or missing hatches; or broken or open access covers or other closure or bypass devices
AUDIO
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Was an audio inspection of the site conducted for pressure leaks and liquid leaks
OLFACTORY
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Was an olfactory inspection conducted for unusual or strong odors
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Were any leaks discovered as a result of the AVO inspection of this location?
LEAKS
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Leaking Componenet
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Leaking Equipment Type
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Describe Leak
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Leak Picture
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Does this location have natural gas powered pneumatic control devices?
PNUEMATICS
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Pneumatic controllers were inspected and are in good working order
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Pneumatic controllers were maintained in accordance with the manufacturer's recommendations
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Pneumatic controllers were not venting in excess of what is required for normal operation
Verification
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Signature