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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: Costco Wholesale#38 Phone:Facility Date: Facility Address: (209)47 March 01, 2018 1616 E Hammer Ln, Stockton, CA 95210 CERS ID: 10146199 Inspection Contact: Title: Phone: Raj Mohan Supervisor Inspection Type: (209)475-9180 Program: ROUTINE INSPECTION-Operating Permit 2371 -UST FACILITY-1702 COMPLIANT Consent For: Consent Given By: O Ins ection O Photos 0 Sam les Raj Mohan, Supervisor Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Isaac Anderson 06/15/2018 Kaylynn Rammell 06/15/2018 Service Technician Manufacturers Training: VR, 09/26/18;VMI, 04/07/19 CCR=CalHomia Cade of Regulations HSC=ii and Safety Cade CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees o V o R o COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V QR o COS 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted o V o R o COS 104 CCR 2711 UST operating permit application for fatality and tank information not submitted or current o V in R o COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V a R o COS 2634(d 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V o R o COS 2634(e) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R o COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prorto conducting testing o V o R3CO S 109 CCR 2637 Failed to test secondary containment o V o RS 110CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R n COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V o R o COS 112 HSC 25284.2 Failed to test spill containers annually o V o R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days mV o R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down OV OR o COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change vein 30 days o V OR o COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R o COS 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after QV o R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to Conduct proper tests o V o R o COS 119 HSC 25299(a)(8), Documents were falsified or misrepresented o V a R o COB 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R COOS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V OR o COS 122 CCR 26316) Failure to submit and maintain UST system component statement of compatibility for substance stored o V o R o COS On Site Records 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records o V o R o COS 202 CCR 2712(b) Failed to maintain Cathodic protection test records on site for at least 6 1/2 years c V OR o COS FA0001705 PRO518624 Scoot 03/012018 EHD 23-01 Rev.09122/16 Page t of 4 Underground Storage Tank Program OIR 9171 9690 0935 0159 9051 78