Laserfiche WebLink
Time In: <br /> Time Out: <br /> opQ.�tN. San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �<<FORtN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Costco Wholesale#1031 Date: 03/11/2020 <br /> Address: 2440 DANIELS ST , MANTECA 95336 <br /> Requestor: ALEXIA INIGUES, COSTCO WHOLESALE C/O BARGHAUSEN CONSULT Telephone: (425)251-6222 <br /> Program Element: 2308-UST RETROFIT Request#: SR0081514 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Isaac Anderson ICC Service Tech/Installer Exp. Date: 06/12/2020 <br /> Manufacturer training: VR, 10/22/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following: <br /> -Verified brine and vacuum communication on the vent sump. Passed <br /> This service request has been completed. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> " 41 -b <br /> ��v <br /> Received by: % Name and Title: AnthonyYoung, Superintendent <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0018721 SR0081514 SC298 03/11/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />