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A NJ O A Q U l N Environmental Health Department COUNTY— Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: CHEVRON STATION#99840* 4344 E Waterloo Rd, Stockton November 21, 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 111 CCR 2637, 2638(e), 2643(g)Failed to notify the EHD 48 hours prior to conducting testing. OBSERVATION: The 91 STP sensor was replaced on 06/29/2023 by Wayne Perry Inc without providing notification to the EHD at least 48 hours in advance. REGULATION GUIDANCE: Notification shall be provided to the EHD at least 48 hours in advance of testing. CORRECTIVE ACTION: The EHD will not accept these results and testing must be rescheduled with a 48-hour notification. Immediately schedule this test and provide 48 hours notification to the EHD. This is a Class II violation. 214 CCR 2712 Failure to comply with UST operating permit conditions. OBSERVATION: The 91 STP sensor was replaced on 06/29/2023 by Wayne Perry Inc without providing notification to the EHD. REGULATION GUIDANCE: Emergency repairs relating to UST system monitoring and release detection may be performed by a properly licensed,trained, and certified contractor pursuant to the EHD's policy and a permit obtained within one business day from the EHD. All other repairs must have a permit submitted to and approved by the EHD prior to beginning work. CORRECTIVE ACTION: Immediately obtain a permit from the EHD for the replaced 91 STP sensor. A"Failure to Obtain a Permit" penalty applies. This is a minor violation. 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 12/21/23. 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 ($162). To schedule an appointment, please call (209)468-3420. FA0003717 PR0231766 SCO01 11/21/2023 EHD 23-01 Rev.12/06/2021 Page 4 of 5 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