Product Grade

Dispenser ID#

Shear ValveType (Product/Vapor)

1. Is the shear valve rigidly anchored to the dispenser box frame or dispenser island?

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

2. Is the shear section posi tioned between ½ inch above or below the top surface of the dispenser island?

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

3. Is the lever arm free to move?

Yes

No

NA

Yes

No

NA

Yes

No

NA

Yes

No

NA

Yes

No

NA

4. Does the lever arm snap shut the poppet valve?

Yes

No

NA

Yes

No

NA

Yes

No

NA

Yes

No

NA

Yes

No

NA

5. Can any product be dispensed when the product shear valve is closed?

Yes

No

NA

Yes

No

NA

Yes

No

NA

Yes

No

NA

Yes

No

NA

Test Results

Pass

Fail

Pass

Fail

Pass

Fail

Pass

Fail

Pass

Fail

SHEAR VALVE OPERATION INSPECTION