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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: 06/16/2022 <br /> Address: 3250 W GRANT LINE RD ,TRACY 95377 <br /> Requestor: M.ALEXIA INIGUES, BARGHAUSEN CONSTULTING ENGINEERS INC Telephone: (425)251-6222 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0083815 <br /> Inspection Type: 198-UST RETROFIT REPAIR PLAN CHECK <br /> Onsite Service Technician: Daniel Uribe ICC Service Tech/Installer Exp. Date: 06/25/2023 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -Verified tank size and manufacturer-Containment Solutions,40,000 gallons <br /> -Verified UL label on tanks <br /> -Verified tank installation checklist on site <br /> -Verified with contractor's third party inspector that the inside of the tanks were dry and no leaks were observed inside of the <br /> tank <br /> -Verified deadmen in place <br /> -A brine leak was observed in the middle of the tank. Contractors are verifying with manufacturer next steps on repair or tank <br /> replacement. Updates on tank status to be send to EHD. Please provide written confirmation from manufacturer that the tank <br /> is certified to be used for its intended use if repairing and that a certified person has conducted the repair. <br /> Please schedule additional inspection with 48-hour written notice to UST@sjgov.org. Refer to permit dated May 17, 2022 <br /> section 5 for inspections required. <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.Note: CSI certifications were not observed on site. Please provide CSI certifications to the EHD. <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 Joseph Malcom, Project S <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0013810 SR0083815 SC198 06/16/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />