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S A N J 0 A Q I I I Irl Environmental Health Department CCUN r Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: WILSON WAY CHEVRON 437 N WILSON WAY, STOCKTON February 07, 2023 Single-Walled Non-Pressurized Piping 404 CCR 2643(e),2661(f) Failure to conduct 0.1 gph test on single-walled gravity piping biennially or post repair(pre-1984) ❑V ❑R ❑COS Other Violations 2010 See below Unlisted General violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. OBSERVATION: Designated operator reports were not signed within the required time frame. -The 11/3/22 designated operator report was not signed by the owner/operator. -The 11/3/22, 12/2/22, & 12/31/22 designated operator reports were not signed by the designated operator. REGULATORY GUIDANCE:Within 48 hours of the completion of the designated UST operator visual inspection, the designated operator shall sign and provide the owner or operator with a copy of the inspection report. Within 72 hours of being provided a signed copy of the report,the owner or operator shall provide a description of each corrective action taken or to be taken and shall sign and date the report, acknowledging the identified compliance issues. CORRECTIVE ACTION: Ensure all designated operator inspection reports are completed and signed within the required time frame in the future. This is a repeat violation, Class II. Overall Inspection Comments: Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by 3/9/2023. To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($156). To schedule an appointment, please call (209)468-3420. NOTE: While pulling the wrap around annular sensor located in the 87 fill sump, the wiring was disconnected. The 87 annular sensor was replaced at the time of inspection, like for like. The sensor was tested and passed. AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS FACILITY BACK INTO COMPLIANCE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. Received by: Date: February 07, 2023 Inspector: Inspector Phone: Printed Name and Title: GABRIELA GARCIA-MEJIA, EH Specialist (209)616-3037 Emailed to Aman Mehroke, Manager FA0002313 PR0506406 SCO01 02/07/2023 EHD 23-01 Rev.12/06/2021 Page 4 of 4 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD