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SAN JOAHI Environmental Health Department <br /> C U NTY Time In: <br /> Time Out: <br /> ' SS grows hoj— <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Costco Wholesale#1031 Date: 02/07/2020 <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: ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following soil samples collected by Jeffrey D. Sala of Kleinfelder ( bright people bright solutions) 6801 <br /> Koll Center Parkway# 150 , Pleasanton, CA 94566, at removed under dispenser containment(UDCs), removed piping and <br /> under vent sump. <br /> 1) D-1, 2 feet of native soil <br /> 2) D-2, 2 feet of native soil <br /> 3) D- 3, 2 feet of native soil <br /> 4) D-4, 2 feet of native soil <br /> 5) P- 1, 2 feet of native soil <br /> 6) P-2, 2 feet of native soil <br /> 7) P- 3 2 feet of native soil <br /> 8)V- 1 2 feet of native soil <br /> No noticeable discoloration was observed <br /> Discussed sampling and analytical requirements with the sampler referencing the sampling protocols approved in the permit. <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 /> Received by: Name and Title: Anthony Young, Superintendent <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0018721 SR0081514 SC298 02/07/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />