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SAN JOAQUIN COUNTY <br />N: ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />RL� 5T2 <br />Telephone: (209) 468-3420 Fax: (209) 464-3433 Web: www.sigov.org/ehd. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAMEITYPE: Ivlanteca Costco <br />DATE: , Icln 2 � , 2016 <br />ADDRESs: 2440 (Daniels St. <br />CITY: Manteca <br />ZIP CODE: 95338 <br />OWNER/OPERATOR: Charle Morris <br />TELEPHONE #: 209 8258200 <br />TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION ® OTHER <br />PROGRAM I_ R <br />ELEM ENT: <br />RECORD <br />I D#: <br />NATURE OF COMPLAINT/CONSULTATION: <br />Received a spill notification from Rob with 3E (800) 451-8346 that a four gallons of fuel spilled from <br />a customer's fuel tank. <br />OEISER VATIONSICOMMENTS: <br />On site with Charlie Morris and Stacy Rodrigues of Costco. The spill occurred next to pump number <br />9. Stacy confirmed that the spill had been cleaned up with FM 186 and absorbent material. She <br />confirmed that the waste generated from the clean up was placed into the hazardous waste drum on <br />site. <br />Costco personal have completed the spill clean up. <br />CORRECTIVE ACTIONS: <br />No further action at this time. <br />Continue to manage any hazardous waste generated properly per California Title 22 Hazardous <br />VVaste Regulations. <br />Hazardous waste disposal records will be verified during the next routine hazardous waste <br />inspection. <br />Time spent on this issue may be billed at the SJCEH© current hourly rate. <br />CORRECT BY: <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE: <br />EHD 48-05 Rev. 04119/12 INSPECTION REPORT <br />