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Environmental Health Department <br />AMENDED <br />2/13/2023 <br />Underground Storage Tank Program Inspection Report <br />Date: <br />February 13, 2023 <br /> Facility Address: <br /> 9484 WEST LN, STOCKTON <br /> Facility Name: <br /> CHEVRON STATION #372736/2223 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br />OBSERVATION: The designated operator failed to check and note the correct test dates for the overfill prevention <br />equipment inspection on the designated operator inspection reports. The correct date for overfill prevention test is <br />3/23/2021. <br />-Overfill prevention equipment inspection was performed on 2/11/2021 for only the 91 and diesel tanks. <br />-Overfill prevention equipment inspection was performed on 3/23/2021 for all tank. The drop tube on the 91 tank <br />was replaced on 11/24/2021. <br />REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and <br />maintenance for the UST system have been completed and document the dates they were done. <br />CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of <br />the required information on the reports. <br />This is a repeat violation, Class II. <br />Overall Inspection Comments: <br />An inspection report was provided to the facility operator on the day of inspection. The report was amended <br />and replaces the initial report. Violation 208 was added. <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, within 30 days of receiving the amended inspection report. <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Inspector Phone: <br /> SHEWIT WOLDEAREGAY, EH Specialist <br /> Inspector:February 13, 2023 Date: <br />Printed Name and Title: <br />Emailed to permitdesk@chevron.com, <br />(209) 616-3063 <br />FA0004525 PR0232601 SC001 02/13/2023 <br />EHD 23-01 Rev. 12/06/2021 Underground Storage Tank Program OIRPage 5 of 5 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD