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San Joaquin County Environmental Health Department 1868 East Hazefton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: LA .s' ay.or lend Facility Mame: Underground Storage Tank Program Inspection Report Costco Wholesale #1031 Facility Phone: Date: Facility Address: (209) 825-$200 August 18, 2016 2440 Daniels ST, Manteca, CA 95336 CERS !d: Inspection Contact: Martin Turley Title: Phone: 10146143 Inspection Type: Manager {209) 825-$200 ROUTINE INSPECTION - Operating Permit Program: Consent For: 2351 - UST FACILITY- 2481 COMPLIANT Consent Given By: ] Ins ection �Jx Photos p Sam les Stacy Rodrigues, Gas Attendant Service Technician Onsite Isaac Anderson Exp. Date; Designated Operator: 06/15/2018 Kaylynn Rammell Service Technician Manufacturers Training Exp• Date: 06/15/2018 Veeder Root, 09/26/16; VMI Tester, 03/20/17 CCR = California Code of Regulations HSC = Health and Safety Code GFR =Code of Federal Regulations V � Violation R = Repeat violation COS = Corrected on site during inspectio Flee Review 101 HSC 25284 No permit to operate 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor DV ° R ❑ COS 103 MSC 25292.2 the tank system Current financial responsibility documents not submitted ° V ° R c COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted 0 V ❑ R o COS 105 CCR 2632 d 1 ( )() or current Failed to have an approved UST monitoring plan 11 V n R [i COS 106 CCR 2632(d)(2) Failed to have an a approved UST response plan n V n R n COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring n V ° R °COS 108 CCR 2637(f), 2638(e) is performed Failed to notify the EHD 48 hours prior to conducting testing V n R COS 109 CCR 2637 Failed to test secondary containment n V Li R u ° C05 110 CCR 2637(e) () Failed to submit secondary containment test report within 30 days n V ❑ R ❑ COS 111 CCR 2638(a) O Failed to test monitoring and leak detection equipment annually u V ❑ R o COS 112 NSC 25284.2° Failed to test spill containers annually V u R LiCOS 113 CCR 2638(d) ( Failed to submitn monitoring system certification test report within 30 days V ° R u COS 114 CCR 2636 (t} Failed to perform 0.1 gph annual line test for ° V ° R ❑COS 115 CCR 2715(a) pressurized piping without fail safe or shut down Failed to inform the EHD of designated operator n V °R ❑ COS 116 CCR 2715 identification or change within 30 day s Designated operator, service tech or installer n V n R n COS did not possess current ICC certification 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ° V ° R ° C05 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests nV ❑R aCOS 119 HSC 25299° Documents were falsified or misrepresented V ° R c, Cos 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ° V ❑ R ° COS 121 CCR 2712 (t1 Failed to submit a written response within 30 days of receiving an inspection report Li V a R ❑COS 122 CCR 26310) II) Failure to submit UST system component statement of compatibility for substance stored ❑ V ° R ❑ COS On Site Records r r ❑COS 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 112 0 a ❑COS 203 CCR 2712(b) O years Failed to maintain records of monitoring, repair, lining, and upgrades on site ° V Q R COS 0 ii nC05 Page 1 of 6