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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir- ' COUNTY— <br /> Greol less grows he: . . <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: COSTCO WHOLESALE#658 Date: 07/15/2022 <br /> Address: 3250 W GRANT LINE RD ,TRACY 95377 <br /> Requestor: M.ALEXIA INIGUES, BARGHAUSEN CONSULTING ENGINEERS INC Telephone: (425)251-6222 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084603 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Daniel Uribe ICC Service Tech/Installer Exp. Date: 06/25/2023 <br /> Manufacturer training: NOV, 02/18/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -witnessed secondary piping soap test, no bubbles were observed during soap test <br /> -witnessed secondary piping one hour pressure test. 87#, 87#2, 87#1, and 91 did not hold the 1 hour.Vapor and chase held <br /> for 1 hour. <br /> -verified slope for piping under canopy <br /> -verified piping setbacks, cross-overs and burial depth <br /> -witnessed one hour pressure test on all UDCs, all held one hour <br /> Pressure re-test must be witnessed by EHD for the 87#1, 87#2, 87#3 and 91 secondary piping. <br /> See approval letter dated May 18, 2022 section 3 for required inspections. Send all inspection requests in writing to <br /> UST@sjgov.org with a 48-hour notice. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Emailed to Austen Downey, Jones Co <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0084603 SC298 07/15/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />