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SAN J O A Q U I N Environmental Health Department <br /> COUNTY- <br /> Greatness <br /> OUNTY- <br /> Greatness grows het <br /> - <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: COSTCO WHOLESALE#658 Date: 01/04/2024 <br /> Address: 3250 W GRANT LINE RD ,TRACY 95304 <br /> Requestor: BRUNO ESPINOZA, JONES COVEY GROUP INC Telephone: (909)543-8904 <br /> Program Element: 2308-UST RETROFIT Request#: SR0087469 <br /> Inspection Type: 298-UST SERVICE REQUEST-FIELD ACTIVITY <br /> Onsite Service Technician: Shawn Rodriguez ICC Service Tech/Installer Exp. Date: 11/19/2024 <br /> Manufacturer training: Bravo, 12/01/26 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify the manometer entry fitting in UDC 23/24 was repair <br /> -Witnessed pressure testing of the UDC for 1 hour with soap test. Passed. <br /> -Witnessed vacuumed testing of the UDC 23/24 for 2 hours. Passed. <br /> -Verified BRAVO brine was used and witnessed addition of brine into the UDC 23/24 <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. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate($162). To schedule an <br /> appointment, please call (209)468-3420. <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 Bruno Espinoza, Contract <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> FA0013810 SR0087469 SC298 01/04/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />