Laserfiche WebLink
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: 06/22/2022 <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: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Daniel Uribe ICC Service Tech/Installer Exp. Date: 06/25/2023 <br /> Manufacturer training: CSI, 02/18/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -Observed repair on tank that was approved by manufacturer <br /> -Verified inside of tanks are still dry and free of brine <br /> -Verified deadmen set <br /> -Witnessed tank set and anchor straps installed <br /> -Verified tank orientation matches plans <br /> -Witnessed additional corrosion protection sprayed on exposed metal <br /> -Witnessed tank pressure test at 5 psi for 30 minutes, held 5 psi for 30 minutes <br /> -Verified proper backfill on site <br /> -Witnessed the start of backfill <br /> Additional inspections are required. Please refer to approval letter dated May 17, 2022 section 5 for additional inspections <br /> required. Send all inspections requests in writing to UST@sjgov.org with 48-hour notice. <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 Joseph Malcolm, Project S <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0013810 SR0083815 SC131 06/22/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />