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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:Mm.s' ov.or /ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: Costco Wholesale#38 209 478-2040 FacilityAddress: March 05 2015 1616 E Hammer Ln Stockton CA 95210 CERS ID: Inspection Contact 10146199 Title: Phone: Brian Sono Assistant General Manager 209 478-2040 Inspection Typal Program: ROUTINE INSPECTION-O eratn Permit 2371 -UST FACILITY- 1702 COMPLIANT Consent For. Consent Given By: Inspection Photos Sampling Ra Mohan Gas Station Su ervisor Service Technician onsite Exp.Date: Designated Operator. Exp Date: Chad White 06/20/2016 Gabriel Martin 06/05/2016 Service Technician Manufacturers Training VR, 09/02/16; VMI, 04/30/15 CCR=Califomia Code of Regulations HSC=Health and Safety Cotle CFR=Code of Federe egu ions V=Violation R=Repeat violation COs=Conected on site during inspection File Review 101 HSC 25284 No permit to operate u V o R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V c R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted o V o R o COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or cement ❑V ❑R ❑COS 105 HSC 25286(c) Current BOE number not submitted o V o R o COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ❑V ❑R ❑COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V ❑R o COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS 109 CCR 2637 Failed to test secondary containment ❑V u—Ru COS 110 CCR 2637(,) Failed to submit secondary containment test report within 30 days ❑V ❑R ❑COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R ❑COS 112 HSC 25284.2 Failed to test spill containers annually o V o R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R u COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑V ❑R ❑COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ❑V ❑R ❑COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC mrfification— DV ❑R ❑COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well ❑V o R ❑COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑V ❑R ❑COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑V ❑R ❑CO5 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R ❑COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ❑R ❑COS 122 HSC 25299 Documents were falsified or misrepresented o V o R o COS 123 CCR 2661 Permit to repair UST system not obtained o V o R u COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modificetion u V u R o COS 125 CCR 2712(1) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R o COS Received by Inspector. Phone: Date: (initial): Y-C— FATINAH ZAREEF, REHS (209) 953-7311 03/05/2015 Page 1 of 4