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SAW dOAQUIN Environmental Health Department COUNT CP22 - UST FULL Inspection Report Facility Name: Facility Address: Date: SAFEWAY FUEL CENTER#0055 1 19533 S MOUNTAIN HOUSE PKWY MOUNTAIN September 18 2025 87 CA Code of Regulations 2060021-Striker plate installed and positioned correctly. ❑OUT ❑R ❑COS 2631(c),2662(d) 88 CA Code of Regulations 2060007-Primary and secondary containment designed and constructed to an engineering ❑OUT ❑R ❑COS 2631(b&d),2666(b&e) specification. 89 CA Health and Safety 2060008-Enhanced leak detection testing performed before the tank is placed in use ❑OUT ❑R ❑COS Code 25290.10) 90 CA Code of Regulations 2060029-SW piping has been upgraded to continuously monitored DW piping when replacement ❑OUT ❑R ❑COS 2666(b)(2) or repair needed 91 CA Health and Safety 2010-Administration/Documentation-General ❑OUT ❑R ❑COS Code 25291(e) 92 2015-Administrative/Documentation-General Local Ordinance ❑OUT ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 5 CA Code of Regulations 2632(d), 2641(h)2030041 -A current facility plot plan is maintained and has been submitted. OBSERVATION:An accurate UST Monitoring Site Plan was not submitted. Map does not show vacuum sensors, sump brine sensors and incorrectly lists 301 sensors on all sumps. REGULATION GUIDANCE:A site plan must be submitted identifying the locations where monitoring will be performed. The site plan must show the general layout of tanks and clearly identify locations of the following equipment, if installed: 1)monitoring panels; 2)in-tank liquid level probes(if used for leak detection); 3)devices monitoring tank annular spaces or vault; 4)devices monitoring product piping; 5)devices monitoring fill piping; 6)devices monitoring vent piping; 7)devices monitoring vapor recovery piping; 8)devices monitoring vent/transition sumps; 9)devices monitoring under-dispenser containment; 10)line leak detectors; and 11)devices monitoring any other secondary containment areas. CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov/ and upload a copy of the UST Monitoring Site Plan. This is(Minor)Violation. 8 CA Code of Regulations 2715(a)(1)(A),2715(a)(2)2010016-"Underground Storage Tank Statement of Understanding and Compliance Form"submitted (TCR 10). OBSERVATION:The Underground Storage Tank Statement of Understanding and Compliance Form was not found in CERS.The submitted form does not list this site in the attachment of covered facilities. REGULATION GUIDANCE: This form must be uploaded to the California Environmental Reporting System (CERS). CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov and upload the Underground Storage Tank Statement of Understanding and Compliance Form for this facility. FA0027204 PR0547762 SCO01 09/18/2025 EHD Rev.12/06/2021 Page 5 of 7 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