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S A N J O A Q U I N Environmental Health Department <br /> C.0 LJ N I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MOUNTAIN HOUSE CHEVRON 1124 N INTERNATIONAL PKWY, TRACY June 30, 2023 <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> Final inspection at a new install site. <br /> Leak detector testing was not completed. See SR0084001 for details. <br /> Facility is approved to receive fuel. <br /> Facility is NOT approved to operate. <br /> "Additional inspections and paperwork is needed. Refer to the install approval letter dated 8/2/23. <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: Date: Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Lead Senior REHS (209)616-3043 <br /> FA0027447 PR0548106 SCO01 06/30/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />