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SAN aOAQUIN Environmental Health Department COUNTY— Greatness grows here. Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: CHEVRON STATION #94275" 12905 W BENJAMIN HOLT DR STOCKTON December 15 2025 20 2646.10) 2030056-SIR Report submitted to the CUPA every 12 months ❑ OUT ❑ R ❑ COS 21 2637,2638(e),2643(g) 2030064-CUPA was notified within 48 hours prior to testing ❑ OUT ❑ R ❑ COS 22 2640(e), 2644.1 2030068-Initial or triennial ELD testing conducted on UST system 1000'of public ❑ OUT ❑ R ❑ COS well 23 2635(e)(8) 2060001 -As-built plans for new installations and/or with the permit application ❑ OUT ❑ R ❑ COS have been submitted 24 2632(c), 2634(d), 2636(f) 2030003-Leak detection system maintains continuous monitoring that activates ❑ OUT ❑ R ❑ COS an audible and visual alarm 25 2631(g), 2632(c)(2) 2030016-Annular space of USTs are continuously monitored with an audible and ❑ OUT ❑ R ❑ COS visual alarm system (TCR 9d) 26 2636(f)(4) 2030017-Piping out of UDC is fail-safe/shut down, UDC leak shuts off pump/flow, ❑ OUT ❑ R ❑ COS or tightness test(TCR 9d) 27 2666(b)(2), 2636(f)(1) 2030018-DW press piping is monitored with an audible/visual alarm or stops flow ❑ OUT ❑ R ❑ COS at UDC (TCR 9d) 28 2638(a), 26410) 2030043-Leak detection equipment properly installed, calibrated,operated, and ■ OUT ■ R ❑COS maintained (TCR 9d) 29 2636(a)(1), 25291(b) 2060005-UST system constructed with a mon system capable of detecting entry ❑ OUT ❑ R ❑ COS into secondary containment 30 2630(d), 2641(a) 2060015-Leak detection equipment located so leak is detected at the earliest ❑ OUT ❑ R ❑ COS possible opportunity(TCR 9d) 31 25299(a)(9) 2030062-Leak detection equipment has not been tampered with or disabled ❑ OUT ❑ R ❑ COS (TCR 9d) 32 2636(f), 2666(c), 2666(f) 2030075-E Gen System LLD detects 3 gph leak&restricts/shuts off flow or ❑ OUT ❑ R ❑ COS activates and/vis alarm (TCR 9d) 33 25290.2(d) 2060022-System has a mon system capable of detecting entry of haz sub or ❑ OUT ❑ R ❑ COS water into secondary containment 34 2638(f), 2641 Q) 2030034-Tag/sticker on affixed monitoring equipment being certified, repaired, ❑ OUT ❑ R ❑ COS or replaced 35 25290.1(e) 2030065-Interstitial space of the UST is under constant VPH monitoring (TCR ■ OUT ■ R ❑ COS 9d) 36 25290.1(d) 2060023-System has a mon system that can detect entry of haz sub liquid/vapor, ❑ OUT ❑ R ❑ COS or water into sec contain 37 2635,2636(b),2662, 2030009-Cathodic protection is installed/maintained as required, including ❑ OUT ❑ R ❑ COS 2712 required documentation(TCR 9c) 38 2643(b)(3) 2030005-SW tank continuous in tank leak detection test is functioning properly ❑ OUT ❑ R ❑ COS (TCR 9d) 39 2643(b)(1) 2030006-Monthly 0.2 gph ATG test is being conducted and copies of test results ❑ OUT ❑ R ❑ COS are available(TCR 9d) 40 23 CCR 16 2641(e); HSC 2060002-SW UST system has monitoring system capable of detecting releases ❑ OUT ❑ R ❑ COS 6.7 25292(a) (TCR 9d) 41 2647,2648, 2712(b)(4) 2030022-Groundwater and/or vadose zone monitoring conducted, or site ❑ OUT ❑ R ❑ COS assessment maintained (TCR 9d) 42 2643(c), 2661(f) 2030052-.2 gph mthly or.1 gph yrly tests performed on piping,and .1 gph w/in ❑ OUT ❑ R ❑ COS 30 days of repair(TCR 9d) 43 2636,2643(c)(1), 2666(f) 2060012-LLD installed on pressurized piping system (TCR 9d) ❑ OUT ❑ R ❑ COS 44 2643(c)(1), 2666(c) 2030027-LLD on SW press piping tests hrly, detects 3 gph leak,shuts down ❑ OUT ❑ R ❑ COS pump if leak or LLD fails (TCR 9d) 45 2636(f)(2) 2030025-LLD on DW press piping monitors hrly, detects a 3.0 gph leak, and ❑ OUT ❑ R ❑ COS restricts/shuts off flow(TCR 9d) 46 2636(a)(3), 2641(b) 2030053-SW Safe Suction piping drains back into storage tank, one check valve ❑ OUT ❑ R ❑ COS and inspections conducted 47 25290.1(c3), 25290.2(c3) 2030008-Secondary containment installed after July 1,2003 is free of water ■ OUT ■ R ❑COS EHD-CUPA Inspection Report IS03 Page 2 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