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FMS Site Compliance Report <br />GVR ID: 279397 Period: January 2020 to January 2022 <br />Site Id: 658 Customer: Costco <br />999 Lake Dr <br />Site: TRACY Issaquah, WA 98027 <br />3250 W GRANTLINE RD <br />TRACY, CA 95304 <br />Report Created: 01/06/2023 10:37 AM <br />Tank Product Test Date Type Method Volume % Volume Result <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />4 <br />ADDITIVE <br />09/14/2021 <br />Int. Sensor <br />N/A <br />N/A <br />N/A <br />Normal <br />Line Release Detection Results <br />Line Product <br />Test Date Type <br />Method <br />Result <br />1 UNLEADED 87A <br />09/12/2021 0.2 GPH Monthly <br />N/A <br />Passed <br />1 UNLEADED 87A <br />09/14/2021 0.2 GPH Monthly <br />N/A <br />Passed <br />2 UNLEADED 87B <br />09/11/2021 0.2 GPH Monthly <br />N/A <br />Passed <br />2 UNLEADED 87B <br />09/13/2021 0.2 GPH Monthly <br />N/A <br />Passed <br />3 PREMIUM <br />09/11/2021 0.2 GPH Monthly <br />N/A <br />Passed <br />3 PREMIUM <br />09/13/2021 0.2 GPH Monthly <br />N/A <br />Passed <br />Sensor Status <br />Sensor Category <br />Sensor Label <br />Test Date <br />Status <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/10/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />Piping Sump <br />87A FILL SUMP—HYDRO <br />09/14/2021 <br />Normal <br />STP Sump <br />87A TANK 1 STP <br />09/10/2021 <br />Normal <br />STP Sump <br />87A TANK 1 STP <br />09/14/2021 <br />Normal <br />This report documents tank and line tests performed at the above location for the indicated date and period. <br />This report and the tests performed are part of the Costco monitoring and reporting program, and <br />are intended to satisfy federal EPA UST release detection and record keeping requirements Fuel Logistics Services <br />VR101: Page 24 of 34 <br />Gilbareo Veeder—Root 7300 W. Friendly Avenue Greensboro, NC 27420 Telephone: 1-800-997-7725 <br />