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SAN JOAQUIN Environmental Health Department COUNTY 175 4 Greatness grows here. CP25 - UST FULL Inspection Report Facility Name: Facility Phone: Date: NORTH POLE GAS & FOOD INC 1(209) 833-3416 December 24, 2025 Facility Address: CERS ID: 574 W GRANT LINE RD, TRACY, CA 95376 10181065 Inspection Contact: Title: Phone: Gurvinder Singh Manager (925) 701-1111 Inspection Type: Program: Routine 2361 - UST FACILITY Consent For: Consent Given By: ■ Inspection ■ Photos ■ Samples Gurvinder Singh, Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Zane Nimmo 5/28/2027 Edward Sterns 12/24/2025 Service Technician Manufacturer's Training: Veeder-Root, 10/13/2027; OPW, 3/10/2026; VMI, 1/31/2027 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 CCR 23 CCR 16 2711(d); 2030021-Facility has a valid Permit to Operate from the CUPA ❑ OUT ❑ R ❑ COS HSC 6.7 25284 2 CCR 23 CCR 16 2711; 2010010-Complete and accurate UST Operating Permit Application has been ❑ OUT ❑ R ❑ COS HSC 6.7 25284, 25286 submitted. 3 CCR 23 CCR 16 2632(d) 2010013-Facility has submitted a complete and accurate UST Monitoring Plan. ❑ OUT ❑ R ❑ COS (1), 2634(d), 2641(h) 4 CCR 23 CCR 16 2632(d) 2010014-Facility has submitted a complete and accurate UST Response Plan. ❑ OUT ❑ R ❑ COS (2), 2634(e), 2641(h) 5 CCR 23 CCR 16 2632(d) 2030041-A current facility plot plan is maintained and has been submitted ❑ OUT ❑ R ❑ COS (1)(C), 2641(h) 6 HSC 6.7 25299(a)(8) 2010006-Owner/Operator has not made false statements, certifications, or ❑ OUT ❑ R ❑ COS and/or 25299(b)(7) representations on documents 7 CCR 23 CCR 16 2715(a) 2010003-Owner/Operator submitted DO form and/or informed the CUPA of any ❑ OUT ❑ R ❑ COS (1)(B), 2715(a)(3) change(s)within 30 days(TCR 10) 8 CCR 23 CCR 16 2715(a) 2010016-?Underground Storage Tank Statement of Understanding and ❑ OUT ❑ R ❑ COS (1)(A), 2715(a)(2) Compliance Form?submitted (TCR 10) 9 CCR 23 CCR 16 2638(a) 2030002-Leak detection equipment tested by qualified service technician every 12 ❑ OUT ❑ R ❑ COS &(b), 26410), 2715(f) months(TCR 9d) 10 CCR 23 CCR 16 2638(c), 2030074-Annual Monitoring System Certification Form to the CUPA within 30 ■OUT ❑ R ❑COS 2638(d) days of completion of the test 11 CCR 23 CCR 16 2637(a), 2030048-Sec containment testing conducted per requirements&records kept for ❑ OUT ❑ R ❑ COS 2637(b), 2637(c), 2637 36 mths(TCR 9d) (d), 2712(b)(1)(F) 12 CCR 23 CCR 16 2637(e), 2010009-Secondary containment test results submitted to the CUPA within 30 ❑ OUT ❑ R ❑ COS (f) days after the test. 13 CCR 23 CCR 16 2637.1 2010017-Spill bucket testing results submitted to the UPA within 30 days of testing ❑ OUT ❑ R ❑ COS (d), 2637.1(e) 14 CCR 23 CCR 16 2637.2 2010018-Overfill prevention equipment inspection report form submitted to the ❑ OUT ❑ R ❑ COS (d), 2637.2(e), 2665(a), UPA within 30 days 2665(b) 15 CCR 23 CCR 16 2636(f) 2030042-Line integrity test completed on DW press piping every 12 mths if no fail ❑ OUT ❑ R ❑ COS (3), 2643(c)(3),2661(f); safe/+shutdown (TCR 9d) HSC 6.7 25291(f), 25290.2(g), 25292(e) 16 CCR 23 CCR 16 2643(d), 2030050-0.1 gph piping test conducted on SW suction systems every 36 mths ❑ OUT ❑ R ❑ COS 2661(f) and after piping repair(TCR 9d) 17 CCR 23 CCR 16 2643(e), 2030051-0.1 gph piping test conducted on SW gravity systems every 24 mths and ❑ OUT ❑ R ❑ COS 2661(f) after piping repair(TCR 9d) EHD-CUPA Inspection Report IS03 Page 1 of 6 FA0003164 PR0231405 4593011 12/24/2025 a CP25-UST 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