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COMPLIANCE INFO_2022
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2300 - Underground Storage Tank Program
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PR0527629
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
7/1/2022 10:58:11 AM
Creation date
3/3/2022 10:27:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0527629
PE
2351
FACILITY_ID
FA0018721
FACILITY_NAME
Costco Wholesale #1031
STREET_NUMBER
2440
STREET_NAME
DANIELS
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
2440 DANIELS ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN JOAQUIN <br />COU NITY <br />,FEl [reotne&s qrows Frere, <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Phone: <br />Date: <br />Costco Wholesale #1031 <br />(209) 825-8200 <br />May 11, 2022 <br />Facility Address: <br />CERS ID: <br />2440 DANIELS ST, MANTECA, CA 95337 <br />10146143 <br />Inspection Contact: <br />Title: <br />Phone: <br />Hector Ruiz <br />Attendant <br />(209) 825-8200 <br />Inspection Type: <br />Program: <br />ROUTINE INSPECTION - Operating Permit <br />2351 - UST FACILITY - 2481 COMPLIANT <br />Consent For: <br />Consent Given By: <br />❑x Inspection ❑x Photos ❑ Samples <br />Hector Ruiz, Attendant <br />Service Technician Onsite: Exp. Date: <br />Designated Operator: Exp. Date: <br />Isaac Anderson 11/30/2024 <br />Kevin Dutra 07/28/2023 <br />Service Technician Manufacturer's Training: <br />Fill Tight, 11/10/22; VR, 11/05/22; VMI, 04/18/23 <br />CCR = Title 23 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations EHD = Environmental Health Department <br />V = Violation R = Repeat violation COS = Corrected on site during inspection <br />File Review <br />101 <br />HSC 25284; CCR <br />Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees <br />❑ V ❑ R ❑ COS <br />2711(d) <br />102 <br />CCR 2711 <br />Failure to submit a complete and accurate application for a permit to operate a UST <br />❑ V ❑ R ❑ COS <br />103 <br />CCR 2635(f), 2636(c)(2) <br />Failure to submit the UST Certification of Installation/Modification <br />❑ V ❑ R ❑ COS <br />104 <br />CCR 2632(d)(1), <br />Failure to have an approved UST Monitoring Plan <br />❑ V ❑ R ❑ COS <br />2634(d) <br />105 <br />CCR 2632(d)(2), <br />Failure to have an approved UST Response Plan <br />❑ V ❑ R ❑ COS <br />2634(e) <br />106 <br />CCR 2632(d), 2641(h) <br />Failure to submit and maintain a current facility plot plan / site map <br />❑ V ❑ R ❑ COS <br />107 <br />HSC 25292.2; CCR <br />Failure to submit and maintain complete and current financial responsibility documents <br />❑ V ❑ R ❑ COS <br />2711(a)(11) <br />108 <br />CCR 2620(b); HSC <br />Failure to implement or maintain a written agreement between the UST owner and operator <br />❑ V ❑ R ❑ COS <br />25284(a)(3) <br />109 <br />CCR 2715(a)(1)(B), <br />Failure to submit "Designated Underground Storage Tank Operator Identification Form" within 30 days <br />❑ V ❑ R ❑ COS <br />2715(a)(3) <br />110 <br />CCR 2715(a)(1)(A), <br />Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" <br />❑ V ❑ R ❑ COS <br />2715(a)(2) <br />111 <br />CCR 2637, 2638(e), <br />Failed to notify the EHD 48 hours prior to conducting testing <br />❑ V ❑ R ❑ COS <br />2643(g) <br />112 <br />CCR 2638, 26410), <br />Failure to have properly qualified service technician test leak detection equipment every 12 months <br />❑ V ❑ R ❑ COS <br />2715(f) <br />113 <br />CCR 2637(a -d), 2712(b) <br />Failure to conduct secondary containment testing <br />❑ V ❑ R ❑ COS <br />(1)(F) <br />114 <br />CCR 2636(f)(3), 2643(c) <br />Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe <br />❑ V ❑ R ❑ COS <br />(3) <br />115 <br />CCR 2638(c), 2638(d) <br />Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test <br />❑ V ❑ R ❑ COS <br />116 <br />CCR 2637.1(d), <br />Failure to submit the "Spill Container Testing Report Form" within 30 days <br />❑ V ❑ R ❑ COS <br />2637.1(e) <br />117 <br />CCR 2637(e), 2637(f) <br />Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test <br />❑ V ❑ R ❑ COS <br />118 <br />CCR 2637.2(d&e), <br />Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days <br />❑ V ❑ R ❑ COS <br />2665(a&b) <br />119 <br />CCR 2663, 2712(b)(6) <br />Failure to comply with tank lining certification, testing, and inspection requirements <br />❑ V ❑ R ❑ COS <br />120 <br />CCR 2631, 2640.1, <br />Failure to submit and/or maintain documentation regarding compatibility for UST system components <br />❑ V ❑ R ❑ COS <br />2665, 2711 <br />FA0018721 PRO527629 SCO01 05/11/2022 <br />EHD 23-01 Rev. 12/06/2021 Page 1 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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