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For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date . <br /> Also , describe what was done to correct the violation in the space provided below each violation . Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact Shewit Woldearegay at (209) 616-3063 or stwoldearegay@sjgov.org . <br /> Costco Wholesale #1031 Submit completed form <br /> Facility name : to : <br /> Facility address : CERS ID : PR0527629 WOLDEAREGAY <br /> 2440 DANIELS ST 10146143 SJC ENVIRONMENTAL HEALTH 1868 E HAZELTON AVENUE <br /> DEPARTMENT ATTN : SHEWIT STOCKTON , CA 95205 <br /> Violation #102 - Failure to submit a complete and accurate application for a permit to operate a UST. <br /> x This violation was corrected ❑ This violation will be corrected by (date) : <br /> x Supporting documents included <br /> Describe actions taken or will be taken to correct violation : CERS was corrected to indicate the correct overfill protection <br /> method for the additive tank as the audible/visual alarm . <br /> Violation #208 - Failure to comply with the designated operator inspection requirements . <br /> ❑ This violation was corrected X This violation will be corrected by (date) : 5/24/2023 <br /> x Supporting documents included <br /> Describe actions taken or will be taken to correct violation : The missing inspection report between 04/05/2022 and 05/25/2022 <br /> was conducted on 04/27/2022 . The attached report will be placed on site by 05/24/2023 . The 05/ 11 /2022 overfill prevention <br /> equipment inspection report required amendment to include the AN inspection of the T4 gasoline additive . The amended <br /> results will be placed on site by 05/24/2023 . <br /> Violation #304 - Failure to construct, operate, and maintain primary containment as product-tight. <br /> x This violation was corrected ❑ This violation will be corrected by (date) : 05/11 /2023 <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : The oil residue observed in UDC 17/18 , 19/20 & 21 /22 was a result <br /> from a previous repair to faulty o-rings . The residue was removed from the UDCs during the inspection in the presents of the <br /> inspector. Jones covey came out on 05/ 19/2023 to do an inspection with no further action required . Please see the attached <br /> photos . <br />