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`. SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> awws e@t,. <br /> CP26 - UST FULL Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CHEVRON STATION #2013831(209) 836-3181 Januar 6, 2026 <br /> Facility Address: CERS ID: <br /> 1960 W ELEVENTH ST, TRACY, CA 95376 10181657 <br /> Inspection Contact: Title: Phone: <br /> Nicole Machado Manager 925 842-9002 <br /> Inspection Type: Program: <br /> Routine 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> ■ Inspection ■ Photos ■ Samples Nicole Machado, Manager <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Jesus Saldavar 01/06/2026 Fernando Solis 3/26/2027 <br /> Service Technician Manufacturer's Training: <br /> VR, 3/31/2027; OPW, 1/7/2027; VMI, 10/24/2027 <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations EHD=Environmental Health Department <br /> OUT=Violation R=Repeat Violation COS=Corrected on site during inspection <br /> 1 23 CCR 16 2691(b)-(f); 2011010-Facility obtained valid Permit to Operate from the UPA, complies with ❑ OUT ❑ R ❑ COS <br /> HSC 6.7 25284 and requirements and has paid fees <br /> 25287 <br /> 2 23 CCR 16 2613(a)(1)-(4) 2011009-Complete and accurate application for a permit to operate a UST has ❑ OUT ❑ R ❑ COS <br /> and (6), and (b),2690; been submitted and maintained <br /> HSC 6.7 25286 <br /> 3 23 CCR 16 2613(a)(3) 2011011 -Facility has submitted and maintains a complete and accurate UST ❑ OUT ❑ R ❑ COS <br /> and (b), 2650(a), (b),and Monitoring Plan <br /> (e) <br /> 4 23 CCR 16 2613(a)(4) 2011012-Facility has submitted and maintains a monitoring site plan ❑ OUT ❑ R ❑ COS <br /> and (b), 2650(a), (c), and <br /> (e) <br /> 5 23 CCR 16 2613(a)(6) 2011013-Facility has submitted a complete and accurate UST Response Plan ❑ OUT ❑ R ❑ COS <br /> and (b), 2650(a), (d),and <br /> (e) <br /> 6 23 CCR 16 2613(a)(7), 2011008-Submitted/maintained current Cert of Financial Responsibility/mech of ❑ OUT ❑ R ❑ COS <br /> 2690(a)(5); HSC 6.7 financial assurance(TCR 11) <br /> 25292.2 <br /> 7 23 CCR 16 2613(a)(8) 2011004-Owner/Operator submitted DO form within 30 days of UST install or DO ❑ OUT ❑ R ❑ COS <br /> and (b), 2630(b) change (TCR 10) <br /> 8 23 CCR 16 2613(a)(9) 2011007-Underground Storage Tank Statement of Understanding and ❑ OUT ❑ R ❑ COS <br /> and (b), 2630(a) Compliance Form submitted (TCR 10) <br /> 9 23 CCR 16 2613(a)(12) 2011014-Facility has submitted a current written owner/operator agreement ❑ OUT ❑ R ❑ COS <br /> and (b), 2691(a); HSC <br /> 6.7 25284(a)(3) <br /> 10 23 CCR 16 2613(a)(5) 2011018-UST Certification of Installation/Modification submitted within 30 days ❑ OUT ❑ R ❑ COS <br /> and (b), 2642(g) of installation/inspection <br /> 11 23 CCR 16 2613(c)(6), 2031009-Leak detection equipment tested by qualified service technician every ❑ OUT ❑ R ❑ COS <br /> 2633,2651(b)(1), 2660(c) 12 months (TCR 9d) <br /> and (e), 2663 <br /> 12 23 CCR 16 2660(d) 2011017-All test results have been submitted to UPA within 30 days of testing ❑ OUT ❑ R ❑ COS <br /> d ate <br /> 13 23 CCR 16 2613(c)(5), 2031016-Secondary containment testing conducted per requirements&records ❑ OUT ❑ R ❑ COS <br /> 2633,2660(c)and (e), kept for 36 months(TCR 9d) <br /> 2666(a)-(d) <br /> 14 23 CCR 16 2613(c)(8), 2031011 -Line tightness test completed on type 1 &2 UST piping if no fail safe/ ❑ OUT ❑ R ❑ COS <br /> 2652(a)(3), and 2660(c) +shutdown(TCR 9d) <br /> and (e); HSC 6.7 25291 <br /> (f)and 25290.2(g) <br /> EHD-CUPA Inspection Report IS03 Page 1 of 4 FA0004547 PR0232534 4595970 1/6/2026 <br /> CP26-UaST 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 />