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SAN J D A Q U I N Environmental Health Department <br />f COUNTY <br />- Grey{n�rs 9r�14' �� <br />Corrective Action Statement <br />RE: November 08, 2022, Underground Storage Tank inspection report <br />For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, <br />describe what was done to correct the violation in the space provided below each violation. Submit this completed <br />form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please <br />contact Frederick Ernest at (209) 616-3026 or fernest@sjgov.org. <br />COSTCO WHOLESALE #658,3250 W GRANT LINE RD, CERS ID: 10146285, PR0518288 <br />Violation #203 - Failure to maintain monitoring records for 36 months and maintenance records for 60 <br />months. <br />Ml This violation was corrected ❑ This violation will be corrected by (date): <br />PQ Supporting documents included <br />Describe actions taken or will be taken to correct violation: Enclosed is a copy of the following items: <br />Alarm history repport from the replaced monitoring panel during the requested timeframe; <br />work orders from 9/14/22, 9/27/22, and 10/10/22; monitoring records from the last 3 years. <br />All these records are also available on eBinder <br />Violation #208 - Failure to comply with the designated operator inspection requirements. <br />(8[ This violation was corrected ❑ This violation will be corrected by (date): <br />❑ Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />All Designated Operators performing visual inspections shall include all required information <br />on the reports and that they are performed within the required time frames. <br />Violation #214 - Failure to comply with UST operating permit conditions. <br />M This violation was corrected ❑ This violation will be corrected by (date): <br />(8( Supporting documents included <br />Describe actions taken or will be taken to correct violation: <br />Enclosed is a permit obtained for the Overfill Prevention Equipment replacement approved on <br />November 14, 2022. <br />Page 3 of 7 <br />Rev. 9/16/2020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />