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Environmental Health Department <br /> Facility Name: <br /> ARCO 05450 <br /> Facility Address: <br /> 1617 W FREMONT ST, STOCKTON, CA 95203 <br /> Facility Phone: <br /> (209) 462-1617 <br /> Inspection Type: <br /> Routine <br /> Date: <br /> July 01, 2024 <br /> CERS ID: <br /> 10181235 <br /> Consent For: <br /> Phone: <br /> (360) 970-2296 <br />T Inspection T Photos T Samples <br />CP22 - UST FULL Inspection Report <br /> Inspection Contact: <br /> Kimberly Medicus <br /> Title: <br /> Environmental Contact <br /> Program: <br /> 2361 - UST FACILITY <br /> Consent Given By: <br /> Stephanie Arcos, Manager <br /> Service Technician Manufacturer's Training: <br /> FF, 12/3/2025; VR, 6/27/2026; VMI, 3/28/2025 <br /> Service Technician Onsite: <br /> Gabriel Solario <br /> Exp. Date: <br /> 9/1/2024 <br /> Designated Operator: <br /> Sergio Tejeda <br /> Exp. Date: <br /> 5/23/2026 <br />R = Repeat violation COS = Corrected on site during inspectionOUT = Violation <br /> □ OUT □ R □ COS2030021 - Facility has a valid Permit to Operate from the CUPACA Health and Safety <br />Code 25284; CCR <br />2711(d) <br /> 1 <br /> □ OUT □ R □ COS2010010 - Complete and accurate UST Operating Permit Application has been submitted.CA Code of Regulations <br />2711 <br /> 2 <br /> □ OUT □ R □ COS2010013 - Facility has submitted a complete and accurate UST Monitoring Plan.CA Code of Regulations <br />2632(d)(1), 2634(d) <br /> 3 <br /> □ OUT □ R □ COS2010014 - Facility has submitted a complete and accurate UST Response Plan.CA Code of Regulations <br />2632(d)(2), 2634(e) <br /> 4 <br /> □ OUT □ R □ COS2030041 - A current facility plot plan is maintained and has been submittedCA Code of Regulations <br />2632(d), 2641(h) <br /> 5 <br /> □ OUT □ R □ COS2010006 - Owner/Operator has not made false statements, certifications, or representations on <br />documents <br />CA Health and Safety <br />Code 25299(a)(8), <br />25299(b)(7) <br /> 6 <br /> □ OUT □ R □ COS2010003 - Owner/Operator submitted DO form and/or informed the CUPA of any change (s) within <br />30 days (TCR 10) <br />CA Code of Regulations <br />2715(a)(1)(B), 2715(a) <br />(3) <br /> 7 <br /> □ OUT □ R □ COS2010016 - "Underground Storage Tank Statement of Understanding and Compliance Form " <br />submitted (TCR 10) <br />CA Code of Regulations <br />2715(a)(1)(A), 2715(a) <br />(2) <br /> 8 <br /> □ OUT □ R □ COS2030002 - Leak detection equipment tested by qualified service technician every 12 months (TCR <br />9d) <br />CA Code of Regulations <br />2638, 2641(j), 2715(f) <br /> 9 <br /> □ OUT □ R □ COS2030074 - Annual Monitoring System Certification Form to the CUPA within 30 days of completion of <br />the test <br />CA Code of Regulations <br />2638(c), 2638(d) <br /> 10 <br /> □ OUT □ R □ COS2030048 - Sec containment testing conducted per requirements & records kept for 36 mths (TCR <br />9d) <br />CA Code of Regulations <br />2637(a-d), 2712(b)(1) <br />(F) <br /> 11 <br /> □ OUT □ R □ COS2010009 - Secondary containment test results submitted to the CUPA within 30 days after the test.CA Code of Regulations <br />2637(e), 2637(f) <br /> 12 <br /> □ OUT □ R □ COS2010017 - Spill bucket testing results submitted to the UPA within 30 days of testingCA Code of Regulations <br />2637.1(d), 2637.1(e) <br /> 13 <br /> □ OUT □ R □ COS2010018 - Overfill prevention equipment inspection report form submitted to the UPA within 30 daysCA Code of Regulations <br />2637.2(d&e), <br />2665(a&b) <br /> 14 <br /> □ OUT □ R □ COS2030042 - Line integrity test completed on DW press piping every 12 mths if no fail safe / + <br />shutdown (TCR 9d) <br />CA Code of Regulations <br />2636(f)(3), 2643(c)(3) <br /> 15 <br /> □ OUT □ R □ COS2030050 - 0.1 gph piping test conducted on SW suction systems every 36 mths and after piping <br />repair (TCR 9d) <br />CA Code of Regulations <br />2643(d), 2661(f) <br /> 16 <br />FA0003606 PR0231923 SC001 07/01/2024 <br />EHD Rev. 12/06/2021 CP22 - UST FULL OIRPage 1 of 6 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD