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SAN JOAQUIN Environmental Health Department <br /> —COUNTY <br /> ,..reotness grows here. <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CHEVRON STATION #94275" 12905 W BENJAMIN HOLT DR STOCKTON December 15 2025 <br /> 77 2712(f) 2030073 - Facility has corrected cited violations within 30 days of receiving report <br /> OBSERVATION: An inspection was last done on 12/16/24 and an inspection report was issued identifying information to <br /> be submitted to bring this site into compliance. This information was required to be submitted by 01/15/25. This <br /> information was not fully received until 1/22/25 (7 days past due). <br /> REGULATION GUIDANCE: An operator that receives an inspection report shall have 30 days to submit a written <br /> response that includes a statement documenting corrective actions taken or proposing corrective actions which will be <br /> taken. <br /> CORRECTIVE ACTION: Ensure that a written response documenting corrective actions taken or proposed is submitted <br /> within 30 days of receiving an inspection report. <br /> This is a (Class 2)Violation. <br /> Overall Inspection Comments <br /> Routine UST inspection <br /> An inspection checklist was provided to the facility operator on the day of inspection. A complete report was finished <br /> on 1/28/26 and replaces the initial checklist. Removed violation #24. Added violations #35 & 59. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, <br /> within 30 days of receiving the complete inspection report. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of <br /> having them sign. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: 12/15/2025 Inspector: Inspector Phone: <br /> Printed Name and Title: Stacy Rivera, Lead Senior REHS (209) 616-3043 <br /> Kenisha Jenkins, Store Manager <br /> EHD-CUPA Inspection Report IS03 Page 7 of 7 FA0003712 PR0231952 4588104 1/28/2026 <br /> CP22-U aST FULL g <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />