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• SAN JOAQUIN COUNTY <br /> 4 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www sigov.oLg/ehd/uni ii.html <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Inspection data: <br /> Facility name: <br /> March 10, 2011 <br /> Costco Wholesale #38 <br /> usrar 1 2 3 <br /> Facility address: <br /> 1616 E Hammer Lane Product 87A e76 s1 <br /> Facility contact: Title: Phone: <br /> Sty Phornsavanh Attendent 425-427-7653 <br /> Monitoring panel: Piping system: Overfill prevention: Violations: <br /> ❑XPressurized❑Sudion❑Gravity ❑ ech <br /> Manical ❑X M1-RDeted❑M2-RPrev❑M3-Both <br /> Veeder-Root TLS-350 1—Audi6leNisual <br /> Inspection type: <br /> Designated operator. ICC exp.date: <br /> NRoutine ©monitoring Certification E]installation ❑Other JhustinAbeleda 9-26-11 <br /> On site Service Technician's name: ICC exp.date: Manufacturers training: <br /> Chad White 6-9-12 VR x-8-5-12 <br /> VIOLATIONS V R <br /> # Code Section HSC=CA Health&Safe Code;CCR=CA Code of Regulations;V=Violation; RV=Re at Violation V <br /> 1 HSC 25284 No permit to op2rate <br /> Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test <br /> 2 CCR 2637 notification not provided to the Environmental Health Department(EHD)at least 48 hours prior to <br /> conductin the test <br /> 3 CCR 2711 b Current Unified Pro ram Consolidated Fonns not on file with the EHD Fadli and tank form) x <br /> 4 HSC 25292.2 Current financial responsibility documents not on file with the EHD <br /> 5 CCR 2632(b) MonitoringPro ramMonitorin &Res onse Plans is not current ora roved b the EHD <br /> 6 CCR <br /> 2712(i) monitoring plan, response plan,and/or o wi ating permit and all conditions not onsite <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6'f. IMtI <br /> years,written performance claims pertaining to release detection systems for 5 years,or records of <br /> repairs, linings,and upgrades for the life of the tank. Monitoring records include: (1)date and time of <br /> 7 CCR 2712(b) all monitoring or sampling;(2)monitoring equipment calibration and maintenance records;(3)results <br /> of any visual observations;(4)results of sample analysis performed a lab or in the field;(5)logs of all <br /> readings of gauges or other monitoring equipment,ground water elevations,or other test results; (6) <br /> results of inventory readin(Is and reconciliations <br /> 8 CCR 2643 d Dail monitoringof suction i in reJanua 1 1984 not rfortned fall) <br /> 9 HSC 25292.1 UST system is not operated to revent unauthorized release,includin s ills and overfills <br /> 10 CCR 2632 c 2 Monitorin system is not present in the interstitials ace of a double walled UST (Mt <br /> 11 CCR 2630 d UST monitorin equipment is not installed or maintained to detect a leak at the earliest o ortunit (Mt) X <br /> 12 HSC 25291(b) UST monitoring system incapable of detecting leak from primary containment into secondary (Mtl <br /> containment <br /> 13 CCR 2636(f)(1) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (Mt) <br /> an audible and visual alarm or stops flow of product at the dispenser when it detects a leak <br /> 14 CCR 2631 a Primary containment is not to uct ti ht <br /> 15 HSC 25291 a 2 Seconda containment for UST s tem is not ti ht x <br /> 16 CCR 2636 c 1 All releases in secondary pi 1 1 do not flow to a collection sum <br /> 17 CCR 2636 2 Line leak detecto snot installed or failed to detect a3-gallon per hour leak at 10 si (ii <br /> Spill container failed to contain a minimum capacity of five gallons,or failed to provide a means (M21 <br /> 18 CCR 2635(b)(1) <br /> to kee the s ill container em <br /> ants in this section IMzI <br /> 19 CCR 2635 b 2 Overfill revention s stem was overridden or failed to meet overfill re uirem <br /> 20 CCR 2636 a Failed to have secondary containment for piping(Uncludes conventional suction pipin M2) <br /> 21 HSC 25291 a Water in 2°containment not removed,analyzed& ro erl dis osed of <br /> Unauthorized release that: (c)did not escape secondary containment and cleaned up within eight IMtI <br /> 22 CCR 2650 hours was not recorded;(e)escaped secondary containment, not cleaned up after eight hours,or a <br /> sudden loss of product was not reported to the EHD within 24 hours <br /> 23a CCR 2715 a Failed to inform the EHD of a than a of desi noted o rotor within 30 da s <br /> 23b CCR 2715(b) Designated operator did not possess a current ICC UST S stem O rator certification <br /> EHD ins pe Race' - - <br /> EH - 02REv ea/1 <br /> Page 1 UST INSPECTION REPORT <br />