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Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name:Facility Phone:Date: <br />CHARTER WAY SHELL*(209) 466-1901 December 19, 2025 <br />CERS ID:Facility Address: <br />620 W DR MARTIN LUTHER KING JR BLVD, Stockton, CA 95206 10181363 <br />Phone: <br />(209) 990-6297 <br />Title: <br />Managing Member <br />Inspection Contact: <br />Tara Turk <br />Inspection Type: <br />Routine <br />Program: <br />2361 - UST FACILITY <br />Consent Given By: <br />Tara Turk, Managing Member <br />Consent For: <br />n Inspection o Photos o Samples <br />Service Technician Onsite:Exp. Date:Designated Operator:Exp. Date: <br />2/22/2026David Winkler1/30/2026David Winkler <br />Service Technician Manufacturer's Training: <br />OPW, 3/10/2026; VR, 1/29/2026; VMI, 11/11/2027 <br />CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations EHD = Environmental Health Department <br />OUT = Violation R = Repeat Violation COS = Corrected on site during inspection <br />1 CCR 23 CCR 16 2711(d); <br />HSC 6.7 25284 <br />2030021-Facility has a valid Permit to Operate from the CUPA o OUT o R o COS <br />2 CCR 23 CCR 16 2711; <br />HSC 6.7 25284, 25286 <br />2010010-Complete and accurate UST Operating Permit Application has been <br />submitted. <br />o OUT o R o COS <br />3 CCR 23 CCR 16 2632(d) <br />(1), 2634(d), 2641(h) <br />2010013-Facility has submitted a complete and accurate UST Monitoring Plan.n OUT n R o COS <br />4 CCR 23 CCR 16 2632(d) <br />(2), 2634(e), 2641(h) <br />2010014-Facility has submitted a complete and accurate UST Response Plan.o OUT o R o COS <br />5 CCR 23 CCR 16 2632(d) <br />(1)(C), 2641(h) <br />2030041-A current facility plot plan is maintained and has been submitted o OUT o R o COS <br />6 HSC 6.7 25299(a)(8) <br />and/or 25299(b)(7) <br />2010006-Owner/Operator has not made false statements, certifications, or <br />representations on documents <br />o OUT o R o COS <br />7 CCR 23 CCR 16 2715(a) <br />(1)(B), 2715(a)(3) <br />2010003-Owner/Operator submitted DO form and/or informed the CUPA of any <br />change(s) within 30 days (TCR 10) <br />o OUT o R o COS <br />8 CCR 23 CCR 16 2715(a) <br />(1)(A), 2715(a)(2) <br />2010016-“Underground Storage Tank Statement of Understanding and <br />Compliance Form” submitted (TCR 10) <br />o OUT o R o COS <br />9 CCR 23 CCR 16 2638(a) <br />& (b), 2641(j), 2715(f) <br />2030002-Leak detection equipment tested by qualified service technician every 12 <br />months (TCR 9d) <br />o OUT o R o COS <br />10 CCR 23 CCR 16 2638(c), <br />2638(d) <br />2030074-Annual Monitoring System Certification Form to the CUPA within 30 <br />days of completion of the test <br />o OUT o R o COS <br />11 CCR 23 CCR 16 2637(a), <br />2637(b), 2637(c), 2637 <br />(d), 2712(b)(1)(F) <br />2030048-Sec containment testing conducted per requirements & records kept for <br />36 mths (TCR 9d) <br />o OUT o R o COS <br />12 CCR 23 CCR 16 2637(e), <br />(f) <br />2010009-Secondary containment test results submitted to the CUPA within 30 <br />days after the test. <br />o OUT o R o COS <br />13 CCR 23 CCR 16 2637.1 <br />(d), 2637.1(e) <br />2010017-Spill bucket testing results submitted to the UPA within 30 days of testing o OUT o R o COS <br />14 CCR 23 CCR 16 2637.2 <br />(d), 2637.2(e), 2665(a), <br />2665(b) <br />2010018-Overfill prevention equipment inspection report form submitted to the <br />UPA within 30 days <br />o OUT o R o COS <br />15 CCR 23 CCR 16 2636(f) <br />(3), 2643(c)(3), 2661(f); <br />HSC 6.7 25291(f), <br />25290.2(g), 25292(e) <br />2030042-Line integrity test completed on DW press piping every 12 mths if no fail <br />safe / + shutdown (TCR 9d) <br />o OUT o R o COS <br />16 CCR 23 CCR 16 2663, <br />2712(b)(6) <br />2030029-Tank lining inspected w/in 10 years of lining, every 5 years after, cert <br />submitted to CUPA (TCR 9c) <br />o OUT o R o COS <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />Page 1 of 6EHD - CUPA Inspection Report IS03 <br />CP25 - UST DW <br />12/19/2025FA0003738 PR0231058 4577130