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'So C, Pn.0" . SAN JOA Q UIN Environmental Health Department : .�' 2. y COUNTY cq ;FoaN`tr Greatness grows here. Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: CHEVRON STATION #94275* 1(209)478-5555 1 December 15, 2025 Facility Address: CERS ID: 2905 W BENJAMIN HOLT DR, STOCKTON, CA 95207 10181335 Inspection Contact: Title: Phone: Kenisha Jenkins Store Manager 209 478-5555 Inspection Type: Program: Routine 2351 - UST FACILITY- 2481 COMPLIANT Consent For: Consent Given By: ■ Inspection ■ Photos ■ Samples Kenisha Jenkins, Store Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Jesus Saldivar, Jr. 5/12/2027 Fernando Solis 3/26/2027 Service Technician Manufacturer's Training: VR, 3/31/2027; VMI, 10/24/2027; SB, 1/7/2027 CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations EHD=Environmental Health Department OUT=Violation R=Repeat Violation COS=Corrected on site during inspection 1 25284; CCR 2711(d) 2030021 -Facility has a valid Permit to Operate from the CUPA ❑ OUT ❑ R ❑ COS 2 2711 2010010-Complete and accurate UST Operating Permit Application has been ❑ OUT ❑ R ❑ COS submitted. 3 2632(d)(1), 2634(d) 2010013-Facility has submitted a complete and accurate UST Monitoring Plan. ❑ OUT ❑ R ❑ COS 4 2632(d)(2), 2634(e) 2010014-Facility has submitted a complete and accurate UST Response Plan. ❑ OUT ❑ R ❑ COS 5 2632(d), 2641(h) 2030041 -A current facility plot plan is maintained and has been submitted ■OUT ❑ R ❑ COS 6 25299(a)(8), 25299(b)(7) 2010006-Owner/Operator has not made false statements, certifications, or ❑ OUT ❑ R ❑ COS representations on documents 7 2715(a)(1)(B), 2715(a)(3) 2010003-Owner/Operator submitted DO form and/or informed the CUPA of any ❑ OUT ❑ R ❑ COS change(s)within 30 days(TCR 10) 8 2715(a)(1)(A), 2715(a)(2) 2010016-"Underground Storage Tank Statement of Understanding and ❑ OUT ❑ R ❑ COS Compliance Form"submitted (TCR 10) 9 2638, 2641(j), 2715(f) 2030002-Leak detection equipment tested by qualified service technician every ❑ OUT ❑ R ❑ COS 12 months (TCR 9d) 10 2638(c), 2638(d) 2030074-Annual Monitoring System Certification Form to the CUPA within 30 ■OUT ❑ R ❑COS days of completion of the test 11 2637(a-d), 2712(b)(1)(F) 2030048-Sec containment testing conducted per requirements& records kept for ❑ OUT ❑ R ❑ COS 36 mths(TCR 9d) 12 2637(e), 2637(f) 2010009-Secondary containment test results submitted to the CUPA within 30 ❑ OUT ❑ R ❑ COS days after the test. 13 2637.1(d), 2637.1(e) 2010017-Spill bucket testing results submitted to the UPA within 30 days of ❑ OUT ❑ R ❑ COS testing 14 2637.2(d&e),2665(a&b) 2010018-Overfill prevention equipment inspection report form submitted to the ❑ OUT ❑ R ❑ COS UPA within 30 days 15 2636(f)(3), 2643(c)(3) 2030042-Line integrity test completed on DW press piping every 12 mths if no ❑ OUT ❑ R ❑ COS fail safe/+shutdown (TCR 9d) 16 2643(d), 2661(f) 2030050-0.1 gph piping test conducted on SW suction systems every 36 mths ❑ OUT ❑ R ❑ COS and after piping repair(TCR 9d) 17 2643(e), 2661(f) 2030051 -0.1 gph piping test conducted on SW gravity systems every 24 mths ❑ OUT ❑ R ❑ COS and after piping repair(TCR 9d) 18 2663, 2712(b)(6) 2030029-Tank lining inspected w/in 10 years of lining, every 5 years after, cert ❑ OUT ❑ R ❑ COS submitted to CUPA(TCR 9c) 19 2644.1(a)(5) 2010005-ELD testing results sent to the board and the CUPA within 60 days of ❑ OUT ❑ R ❑ COS completion of the test EHD-CUPA Inspection Report IS03 Page 1 of 7 FA0003712 PR0231952 4588104 1/28/2026 CP22-U aST FULL g 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD