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SANJUAQUIN Environmental Health Department <br /> —COUNTY Time In: <br /> Time Out: <br /> ilGreorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Costco Wholesale#38 (Gas Station) Date: 03/22/2022 <br /> Address: 1630 E Hammer LN , STOCKTON 95210 <br /> Requestor: M.ALEXIA INIGUES, BARGHAUSEN CONSULING ENGINEERS INC Telephone: (425)251-6222 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084429 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Issac Anderson ICC Service Tech/Installer Exp. Date: 04/10/2023 <br /> Manufacturer training: Franklin Fueling, 01/10/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the replacement of the 87 (1), 87(2), and 91 drop tubes with shut-off valves. <br /> Verified correct measurements,flapper functionality, and tank measurements. <br /> Ball floats of the three tanks were removed. <br /> No further actions are required for the service request. <br /> Report emailed to Jay Grubb at<costco@barghausen.com>. <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: Report emailed to, Jay Grubb <br /> EH Specialist: JOHN ALANIZ Phone: (209)616-3053 <br /> FA0024496 SR0084429 SC298 03/22/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />