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COMPLIANCE INFO_2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0535432
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
9/17/2020 4:24:16 PM
Creation date
7/15/2020 9:26:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0535432
PE
2351
FACILITY_ID
FA0020431
FACILITY_NAME
COSTCO WHOLESALE #1091
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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BARGUAUSEN <br /> June 13 , 2019 <br /> FedEx <br /> (209 ) 953 -7311 <br /> R , CV <br /> Ivt � <br /> �� N 2019 <br /> Zuna Barker 14 <br /> San Joaquin County C 8L ► IEAL� N <br /> Environmental Health Department LN`' ► IZOy � ;i- NT <br /> 1868 East Hazelton Avenue , 1) <br /> Stockton , CA 95205 <br /> RE : Application for UST Retrofit or Piping Repair Permit <br /> Costco Gasoline — NOV Sensor Replacement <br /> 2680 Reynolds Ranch Parkway, Lodi , California 95240 <br /> Costco Loc , No . 1091 / Our Job No . 14573 ( 6213 . 5 ) <br /> Dear Zuna : <br /> On behalf of Costco Wholesale , Barghausen Consulting Engineers , Inc . is submitting the enclosed <br /> documentation for the replacement of the Veeder- Root 857280 - 100 Vacuum Sensor in the 87A Turbine <br /> Sump ( S10 ) at the Costco Gasoline facility referenced above . <br /> The following items are enclosed for your review and approval : <br /> 1 . Three (3 ) completed San Joaquin County Environmental Health Retrofit or Piping Repair Permit <br /> Applications <br /> 2 . Three ( 3 ) completed San Joaquin County Environmental Health Service Request Applications <br /> 3 . One ( 1 ) check issued by Barghausen Consulting Engineers , Inc. in the amount of $ 912 , made <br /> payable to San Joaquin County <br /> 4 . One ( 1 ) Agent Authorization letter from Costco Wholesale dated November 14 , 2017 , <br /> empowering Barghausen Consulting Engineers , Inc . to act as Costco 's Authorized Agent on all <br /> matters pertaining to the regulatory compliance of Costco Gasoline facilities . <br /> 5 . One ( 1 ) copy of the Notice of Violation issued on May 21 , 2019 <br /> 6 . One ( 1 ) copy of Work Order SR #892-4369 , dated January 11 , 2019 , for the repair <br /> 7 . Three ( 3 ) copies of the contractor' s license and ICC Technician Certification <br /> 8 . Three ( 3 ) copies of the manufacturers' equipment cut sheets <br /> 9 . Three ( 3 ) copies of the site maps in 11 - inch by 174ch format , dated June 12 , 2019 , identifying <br /> the locations of the repairs <br /> After you have reviewed and approved the documentation , please forward the permit to my attention . <br /> BARGHAUSEN CONSULTING ENGINEERS , INC. <br /> 18215 72ND AVENUE SOUTH KENT, WA 98032 P) 42S-251 -6222 F) 425-251 -8782 <br /> BRANCH OFFICES: TUMWATER , WA KLAMATH FALLS , OR LONG BEACH , CA ROSEVILLE , CA SAN DIEGO, CA <br /> barghausen .com <br />
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