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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0518288
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COMPLIANCE INFO_2021
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Last modified
1/20/2022 9:50:20 AM
Creation date
1/26/2021 7:59:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0518288
PE
2361
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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S A J OAQ U I Environmental Health Department <br /> �. U N T Y— <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> COSTCO WHOLESALE#658 3250 W GRANT LINE RD, TRACY February 17, 2021 <br /> Other Violations <br /> 2010 1 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> Onsite to conduct a visual inspection. Looked inside all sumps, under dispenser containments, monitoring panel <br /> for any current alarms. Verified proper sensor locations. The monitoring system certification was conducted on <br /> 9/29/2020 and was not witnessed by EHD. Paperwork inspection was completed on 1/21/2021. An inspection <br /> report was provided to the facility operator at the time of inspection. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209) 468-3420. <br /> Documents provided during inspection: <br /> -EHD class schedule <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: February 17, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: FREDERICK ERNEST, EHS Trainee (209) 616-3026 <br /> Alexis Fong, General Manager <br /> FA0013810 PR0518288 SC333 02/17/2021 <br /> EHD 23-01 Rev.9/16/2020 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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