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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax; (209) 468-3433 Web: www.sjaov.orcI/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />CHEVRON STATION 4307709* <br />10858 TRINITY PKWY STOCKTON <br />March 20 2019 <br />Other Violations <br />2010 1 <br />See below <br />Unlisted General violation <br />❑ V ❑ R ❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />320 <br />CCR 2635, 2637.2, 2665, 2712 Failure to comply with the installation, inspection, or record keeping of the overfill <br />prevention. <br />No test results were received for the audible/visual overfill alarms. According to EHD records, this testing was <br />conducted on October 5, 2018. All test results are required to be submitted within 30 days of testing. Immediately <br />submit a copy of test results for the electronic overfill at this site. <br />The test results submitted for the mechanical overfill flappers included an incorrect test method of "lake test", listed <br />incorrect certifications for FFS (the flappers are OPW), and left the number of attached pages blank despite several <br />attached pages. All test results are required to be submitted to the EHD within 30 days of testing and shall include <br />complete and accurate information. Immediately submit updated, accurate test results to the EHD. <br />This is a Class II violation. <br />Overall Inspection Comments: <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by April 19, 2019. <br />Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($152). To schedule an <br />appointment, please call (209) 468-3420. <br />Documents provided: Return to Compliance Certification form, schedule of free CUPA classes <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br />FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received by: Date: March 20, 2019 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />STACY RIVERA, Senior REHS <br />(209) 468-3440 <br />Delia Hermosillo, Assistant Manager <br />FA0017737 PRO526212 SCO01 03/20/2019 <br />EHD 23-01 Rev. 09/22/16 Page 4 Of 4 Underground Storage Tank Program OIR <br />