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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:www.slaov.orplehd Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: Costco Wholesale#658 3250 W GRANT LINE RD, Tracy September 21, 2017 UST System Observations 323 HSG 25283.5(a) Unburied below grade UST system failed to meet exemption status a V rr R , COS 324 CCR 2717.1(g) Tampered with red tag V n R c COS 325 CCR 2717.1(f) Deposited petroleum into a red tagged UST ri V R ❑COS 326 HSC 25299(a)(9) Tampered with or disabled leak detection devices or alarms ❑V c R n COS 327 CCR 2631.1 UST system not compatible with the substance stored ❑V u R r i COS 328 HSC 25298 Failed to comply with temporary closure requirements ❑V ❑R ❑COS 329 HSC 25298 Failed to comply with permanent closure requirements ❑V ❑R ❑COS 330 CCR 2636(!)(6) Failure to meet all requirements in lieu of a line leak detector for emergency generator tank system V ❑R o COS Single-Walled Non-Pressurized Piping 401 CCR 2636(a)(3) Suction piping not properly sloped or incorrectly located check valve :i V ❑R o COS 402 CCR 2643(d) Daily monitoring of suction pipe(pre Jan 1984)not performed -i V ❑R ❑COS 403 CCR 2643(d) Triennial 0.1 gph line test for conventional suction piping not performed(pre-January 1984) ❑V ❑R n COS 404 CCR 2643(e) Biennial 0.1 gph test for gravity piping not performed(pre-January 1984) ❑V o R o COS Other Violations 2010 See below Unlisted Administration/Documentation violation V ❑R COS 2030 See below Unlisted Operations/Maintenance violation o V R ❑COS 2060 See below Unlisted Design/Construction violation u V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS Il,or MINOR-Notice to Comply) Item# Remarks Overall Inspection Comments: No violations were observed during this routine and monitoring system certification. Please be aware that as of January 1, 20141 facility operators are required to upload the following UST program documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer(if applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written Agreement, if applicable, can be stored at the facility or uploaded into CERS. Documents reviewed: D.O. monthly inspection reports, maintenance records, employee training records, facility information, financial responsibility, monitoring system certifications, secondary containment testings, and permit. Documents received: Inspection report FA0013810 PRO518288 SC061 09!2112017 EH l7 23-01 Rev.09/22116 Page 3 of 4 Underground Storage Tank Program OIR