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Environmental Health Department ,.. .�° SAWJ0A0UIN y°. COUNTY Greatness grows here. Cq�•f F...R�jiP 0 Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: PARKWOODS GAS & FOOD1(209) 951-9707 May 30, 2025 Facility Address: CERS ID: 1612 W HAMMER LN, STOCKTON, CA 95209 10181241 Inspection Contact: Title: Phone: Emailed to Jesse Tiwana Manager 209 482-2580 Inspection Type: Program: Routine 2361 - UST FACILITY Consent For: Consent Given By: ■ Inspection ■ Photos ❑ Samples Susana Reyes, Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: David Winkler 1/30/2026 David Winkler 2/22/2026 Service Technician Manufacturer's Training: OPW, 3/10/2026; VR, 1/28/2026; VMI 11/12/25; Bravo, 1/19/2027 OUT=Violation R=Repeat Violation COS=Corrected on site during inspection 1 CA Health and Safety 2030021 - Facility has a valid Permit to Operate from the CUPA ❑ OUT ❑ R ❑ COS Code 25284; CCR 2711 (d) 2 CA Code of Regulations 2010010-Complete and accurate UST Operating Permit Application has been ❑ OUT ❑ R ❑ COS 2711 submitted. 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 ❑ OUT ❑ R ❑ COS Code 25299(a)(8), 25299 representations on documents (b)(7) 7 CA Code of Regulations 2010003-Owner/Operator submitted DO form and/or informed the CUPA of any ■OUT ■ R ❑COS 2715(a)(1)(B), 2715(a)(3) change(s)within 30 days(TCR 10) 8 CA Code of Regulations 2010016-"Underground Storage Tank Statement of Understanding and ❑ OUT ❑ R ❑ COS 2715(a)(1)(A), 2715(a)(2) Compliance Form"submitted (TCR 10) 9 CA Code of Regulations 2030002-Leak detection equipment tested by qualified service technician every ❑ OUT ❑ R ❑ COS 2638,26410), 2715(f) 12 months(TCR 9d) 10 CA Code of Regulations 2030074-Annual Monitoring System Certification Form to the CUPA within 30 ❑ OUT ❑ R ❑ COS 2638(c), 2638(d) days of completion of the test 11 CA Code of Regulations 2030048-Sec containment testing conducted per requirements&records kept for ❑ OUT ❑ R ❑ COS 2637(a-d), 2712(b)(1)(F) 36 mths(TCR 9d) 12 CA Code of Regulations 2010009-Secondary containment test results submitted to the CUPA within 30 ❑ OUT ❑ R ❑ COS 2637(e), 2637(f) days after the 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 ❑ OUT ❑ R ❑ COS 2637.2(d&e),2665(a&b) UPA within 30 days 15 CA Code of Regulations 2030042-Line integrity test completed on DW press piping every 12 mths if no fail ❑ OUT ❑ R ❑ COS 2636(f)(3), 2643(c)(3) safe/+shutdown (TCR 9d) 16 CA Code of Regulations 2030050-0.1 gph piping test conducted on SW suction systems every 36 mths ❑ OUT ❑ R ❑ COS 2643(d), 2661(f) and after piping repair(TCR 9d) 17 CA Code of Regulations 2030051 -0.1 gph piping test conducted on SW gravity systems every 24 mths and ❑ OUT ❑ R ❑ COS 2643(e), 2661(f) after piping repair(TCR 9d) 18 CA Code of Regulations 2030029-Tank lining inspected Win 10 years of lining, every 5 years after, cert ❑ OUT 771 2663, 2712(b)(6) submitted to CUPA(TCR 9c) EHD-CUPA Inspection Report IS01 Page 1 of 6 FA0003611 PR0231127 4513852 5/30/2025 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD