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-- - - - - Facility name: Insuection date: Costco Gasoline Facility #658 1 September 28, 2010 Facility address: UST# 1 2 3 3250 W. Grant Line Rd., Tracy 87 87, 91. Facility contact: Title: Phone: Dennis Bock Compliance Mgr. (425)427-7653 ' - .. .._.. i Piping system: �6vme.Z",anical l prevention: Violations: Veeder-Root TLS-350 1❑XPressurizedauction❑Graviry [1101-RDeted❑M2-RPrev❑M3-Both j ❑X Audible/visual (inspection type: Designated operator: ICC exp.date: QRoutlne Qmonitoring Certification L]Installation E]Other JhustinAbdela 9/26/11 On site Service Technician's name: ICC exp.date: Manufacturer's training: Isaac Anderson 6/9/12 VMI x. 3/10/11 VR x. 8/5/12 _ VIOLATIONS = HSC=CA Health&Safety Code: CCR=CA Code of Regulations; V=Violation: RV=Re eat Violation 1 HSC 25284 No permit tooperate I conducting the test 3 CCR 2711 b) Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form 4 HSC 25292.2 Current financial responsibility documents not on file with the EHD 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plans)is not current or approved by the EHD 6 CCR 2712(i) Monitoring plan,response plan,and/oroperating permit and all conditions not onsite i results of inventory readin s and reconciliations 8 CCR 2643(d) Daily monitorinq of suction piping(pre-January1, 1984)not performed (Mt) 9 HSC 25292.1 UST system is not operated to prevent unauthorized release, including spills and overfills 10 CCR 2632(c)(2) Monitoring system is not present in the interstitials ace of a double walled UST Mt 11 CCR 2630(d) UST monitoring equipment is not installed or maintained to detect a leak at the earliest o ortunit IMt) (Mt) containment - Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (Mt) an audible and visual alarm or stops flow of product at the dispenser when it detects a leak 14 CCR 2631 a Primary containment is not product tight 15 HSC 25291(a)(2) Secondary containment for UST system is not tight 16 CCR 2636(c)(1) All releases in secondary piping do not flow to a collection sum 17 CCR 2636(f)(2)__-_ Line leak detectors)not installed or failed to detect a 3-gallon per.hour leak at 10 psi (Mt) (11112) -"- to keep the spill container empty 19 CCR 2635(b)(2) Overfill prevention system was overridden or failed to meet overfill requirements in this section 111112) 20 CCR 2636(a) Failed to have secondary containment for piping(includes conventional suction in ) tMz) F45 1-a=_ is Water in 2'containment not removed,analyzed&properly disposed of Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight (M1) sudden loss of product was not reported to the EHD within 24 hours 23a I _CCR [715;a1 Failed to inform the EHD of a change of designated operator within 30 days 23b ;esi nated operator did not possess a current ICC UST System Operator certification EHD ived by: Title: