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SANJOANIN Environmental Health Department <br /> C O U N T Y Time In: <br /> Time Out: <br /> r'eatAess 9rpv,-. )1 c,-!- <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Costco Wholesale#38 (Gas Station) Date: 03/04/2021 <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: Joshua Smith ICC Service Tech/Installer Exp. Date: 10/23/2022 <br /> Manufacturer training: NOV,03/30/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following the inspection: <br /> - Visual inspection of piping within the vent sump. <br /> * This facility is approve to receive fuel in the 87 Tank-1 <br /> * Secondary containment testing for the 87 turbine tank-1 sump and vent sump is required six months after installation/repairs. <br /> Provide 48 hours notification to the EHD when this test is scheduled. <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: Joshua Smith, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209) 616-3049 <br /> FA0024496 SR0083323 SC298 03/04/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />