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SANJAQUIN COUNTY V Greotness grows i, u. Environmental Health Department CP22 - UST FULL Inspection Report Facility Name: Date: CHEVRON USA#201761' January 14 2025 Facility Address: Facility Phone: Program Record: 1103 S MAIN ST, MANTECA, CA 95337 (209) 825-0714 PR0232587 Inspection Contact: Title: Phone: Emailed to Veronica Corona Manager () Inspection Type: Program: Routine 1 2361 - UST FACILITY OUT = Violation R = Repeat violation COS = Corrected on site during inspection CP22 - UST FULL 1 CA Health and Safety 2030021 - Facility has a valid Permit to Operate from the CUPA ❑ OUT � R n COS Code 25284; CCR 2711(d) 2 CA Code of Regulations 2010010 - Complete and accurate UST Operating Permit Application has been submitted. ❑ OUT ❑ R ❑ COS 2711 3 CA Code of Regulations 2010013 - Facility has submitted a complete and accurate UST Monitoring Plan. ❑ OUT ❑ R ❑ COS 2632(d)(1), 2634(d) 4 CA Code of Regulations 2010014 - Facility has submitted a complete and accurate UST Response Plan. ❑ OUT ❑ R ❑ COS 2632(d)(2), 2634(e) 5 CA Code of Regulations 2030041 - A current facility plot plan is maintained and has been submitted ❑ OUT ❑ R ❑ COS 2632(d), 2641(h) 6 CA Health and Safety 2010006 - Owner/Operator has not made false statements, certifications, or representations on ❑ OUT ❑ R ❑ COS Code 25299(a)(8), documents 25299(b)(7) 7 CA Code of Regulations 2010003 - Owner/Operator submitted DO form and/or informed the CUPA of any change(s) ❑ OUT ❑ R ❑ COS 2715(a)(1)(B), 2715(a) within 30 days (TCR 10) (3) 8 CA Code of Regulations 2010016 - "Underground Storage Tank Statement of Understanding and Compliance Form" ❑ OUT ❑ R ❑ COS 2715(a)(1)(A), 2715(a) submitted (TCR 10) (2) 9 CA Code of Regulations 2030002 - Leak detection equipment tested by qualified service technician every 12 months (TCR ❑ OUT ❑ R ❑ COS 2638, 26410), 2715(f) 9d) 10 CA Code of Regulations 2030074 - Annual Monitoring System Certification Form to the CUPA within 30 days of completion ❑ OUT ❑ R ❑ COS 2638(c), 2638(d) of the test 11 CA Code of Regulations 2030048 - Sec containment testing conducted per requirements & records kept for 36 mths (TCR ❑ OUT ❑ R ❑ COS 2637(a -d), 2712(b)(1) 9d) (F) 12 CA Code of Regulations 2010009 - Secondary containment test results submitted to the CUPA within 30 days after the ❑ OUT ❑ R ❑ COS 2637(e), 2637(f) test. 13 CA Code of Regulations 2010017 - Spill bucket testing results submitted to the UPA within 30 days of testing ❑ OUT ❑ R ❑ COS 2637.1(d), 2637.1(e) 14 CA Code of Regulations 2010018 - Overfill prevention equipment inspection report form submitted to the UPA within 30 ❑ OUT ❑ R ❑ COS 2637.2(d&e), days 2665(a&b) 15 CA Code of Regulations 2030042 - Line integrity test completed on DW press piping every 12 mths if no fail safe / + ❑ OUT ❑ R ❑ COS 2636(f)(3), 2643(c)(3) shutdown (TCR 9d) 16 CA Code of Regulations 2030050 - 0.1 gph piping test conducted on SW suction systems every 36 mths and after piping ❑ OUT ❑ R ❑ COS 2643(d), 2661(f) repair (TCR 9d) 17 CA Code of Regulations 2030051 - 0.1 gph piping test conducted on SW gravity systems every 24 mths and after piping ❑ OUT ❑ R ❑ COS 2643(e), 2661(f) repair (TCR 9d) FA0004521 PR0232587 SCO01 01/14/2025 EHD Rev. 04/07/2022 Page 1 of 5 CP22 - UST FULL OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD