Laserfiche WebLink
REF#: <br /> INCIDENT INVESTIGATION REPORT FORM <br /> TEAM INFORMATION AND RECOMMENDATIONS <br /> Date and time that team commenced investigation: 5/26/21 @ 1200 pm <br /> Location of team's working&support documents: Costco Tracy Wet Depot 172 <br /> Team Membership(List Team Leader First): <br /> Name Title Company Approval <br /> Efrain Adame AGM Costco Wholesale E.A. <br /> Jimmee Kim Facility MGR Costco Wholesale J.K. <br /> Tom Prokes Service Foreman APCCO T.P. <br /> Christopher Evans Service Tech Trainee APCCO C.E. <br /> Recommendations(see Incident Investigation recommendation tracking sheet): <br /> ID# Description of Recommended Corrective Actions Responsible <br /> Party <br /> N/A <br /> Employees(Or Contractors,if applicable)to Review Report: <br /> 3E contacted. Reference#1535868-less than 1 Ib of ammonia <br /> Submitted to Depot Management by the following team member: <br /> Si Date <br /> Jimmee Kim Facility MGR <br /> Name Title <br /> Recommendations Approved by the Following Depot Management Personnel: <br /> N/A <br /> Name Title Approval <br /> Page 4 of 5 II FORM(7/2018) <br />