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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> Greotr+ess �row3 here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: COSTCO WHOLESALE#658 Date: 06/30/2022 <br /> Address: 3250 W GRANT LINE RD ,TRACY 95377 <br /> Requestor: M.ALEXIA INIGUES, BARGHAUSEN CONSULTING ENGINEERS INC Telephone: (425)251-6222 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084603 <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 inspection: <br /> -Witnessed continuation of soil sampling of additional piping removed <br /> -2 samples taken between 2 feet and 3 feet <br /> -Shovels and an excavator were used to dig into soil <br /> Sampler Firm: Kleinfelder <br /> Sampler Name: Sarah Winn <br /> Laboratory: Pace Analytical National Center <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> 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: Emailed to Austen Downey, Jones Co <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0084603 SC298 06/30/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />