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AJ O A U I l i Environmental Health Department <br /> OUITY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Costco Wholesale#1031 2440 DANIELS ST, MANTECA August 13, 2019 <br /> Other Violations <br /> 2010 1 See below Unlisted General violation V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 103 HSC 25292.2, 25299.30 Failure to submit and maintain complete and current financial responsibility documents. <br /> The most recent financial responsibility documents in CERS are dated 06/12/19. The financial responsibility <br /> documents found on site are dated 03/11/19 and 5/20/19 .Immediately locate a copy of the most recent financial <br /> responsibility documents and keep on site or log into the California Environmental Reporting System (CERS) at <br /> http://cers.calepa.ca.gov/, and upload the required documents. <br /> This is a minor violation. <br /> 206 CCR 2712 Failure to comply with UST operating permit conditions. <br /> Maintenance and monitoring records for the last three years were not found on site. <br /> The alarm history included sensors out alarms on the 3/4 dispenser low liquid alarm (L16) on 01/22/19, and additive <br /> vent-hydro sensor out alarm L14 on 12/9/18, 12/18/18 10/3/18, 10/6/18, 10/10/18, 10/21/18, and 10/26/18 no work <br /> order found on site indicating the alarms were investigated and repaired . Ensure that all alarms are responded to <br /> by a qualified service technician and must have a work order. <br /> 1. The service company must install the part and test the system to verify functionality. <br /> 2. The service company must provide the following documentation to the tank owner/operator for inspector review <br /> during annual UST inspection: <br /> a. Description of part(s) installed <br /> b. Name& UST ICC#of Service technician doing the work (manufacturer certification proof) <br /> c. Testing done to verify functionality of the repair <br /> Provide proof of functionality verification testing conducted at the time of sensor replacement a copy of the test <br /> results submitted to EHD within 30 days of testing <br /> This is a minor violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by September 12, 2019. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> Documents Provided: Return to Compliance Certification Form and a list of scheduled free CUPA classes. <br /> FA0018721 PRO527629 SCO01 08/13/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 4 of 5 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />