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SAN JOANI Environmental Health Department <br /> COU N T Time In: <br /> Time Out: <br /> (',reotr+ess grows ho,— <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Costco Wholesale#38 (Gas Station) Date: 02/24/2021 <br /> Address: 1630 E Hammer LN, STOCKTON 95210 <br /> Requestor: M. ALEXIA INIGUES, BARGHAUSEN CONSULTING ENGINEERS, INC. Telephone: (425)251-6222 <br /> Program Element: 2308- UST RETROFIT Request#: SR0083323 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Cesar Rodriguez ICC Service Tech/Installer Exp. Date: 09/17/2022 <br /> Manufacturer training: NOV,05/07/21; Fastech, 03/04/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> -Witnessed secondary vent piping soap test and penetration at 87 STP-Tank 1 sump to vent sump; secondary vent piping <br /> one hour pneumatic pressure test at 5psi, and primary vent piping line at 50psi -All Passed. <br /> -Witnessed secondary containment testing of 87 STP-Tank-1 and vent sumps-All passed <br /> * Still needed refer to approval letter. <br /> * Unable to verify secondary piping slope to containment sump, line had been backfilled with pea gravel except joints were left <br /> open for soap testing. <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. <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: Cesar Rodiguez, Sec Tech <br /> EH Specialist: PAUL NSO Phone: (209) 616-3049 <br /> FA0024496 SR0083323 SC298 02/24/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />