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Environmental Health DepartmentAMENDED <br />1/22/2026 <br />Underground Storage Tank Program Inspection Report <br />Facility Name:Facility Phone:Date: <br />KETTLEMAN CHEVRON (510) 507-8600 July 24, 2025 <br />CERS ID:Facility Address: <br />601 E KETTLEMAN LN, LODI, CA 95240 10181435 <br />Phone: <br />(510) 507-8600 <br />Title: <br />Environmental Contact <br />Inspection Contact: <br />Kuljeet Gill <br />Inspection Type: <br />Routine <br />Program: <br />2361 - UST FACILITY <br />Consent Given By: <br />Sunny Singh, Manager <br />Consent For: <br /> Inspection Photos Samples <br />Service Technician Onsite:Exp. Date:Designated Operator:Exp. Date: <br />11/21/2025Ronald Anton6/21/2027Steve Miller <br />Service Technician Manufacturer's Training: <br />OPW, 3/14/2027; VR, 12/7/2025; VMI, 1/10/2026 <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 25284; CCR 2711(d) 2030021 - Facility has a valid Permit to Operate from the CUPA OUT R COS <br />2 2711 2010010 - Complete and accurate UST Operating Permit Application has been <br />submitted. <br /> OUT R COS <br />3 2632(d)(1), 2634(d) 2010013 - Facility has submitted a complete and accurate UST Monitoring Plan. OUT R COS <br />4 2632(d)(2), 2634(e) 2010014 - Facility has submitted a complete and accurate UST Response Plan. OUT R COS <br />5 2632(d), 2641(h) 2030041 - A current facility plot plan is maintained and has been submitted OUT R COS <br />6 25299(a)(8), 25299(b)(7) 2010006 - Owner/Operator has not made false statements, certifications, or <br />representations on documents <br /> OUT R COS <br />7 2715(a)(1)(B), 2715(a)(3) 2010003 - Owner/Operator submitted DO form and/or informed the CUPA of any <br />change(s) within 30 days (TCR 10) <br /> OUT R COS <br />8 2715(a)(1)(A), 2715(a)(2) 2010016 - "Underground Storage Tank Statement of Understanding and <br />Compliance Form" submitted (TCR 10) <br /> OUT R COS <br />9 2638, 2641(j), 2715(f) 2030002 - Leak detection equipment tested by qualified service technician every <br />12 months (TCR 9d) <br /> OUT R COS <br />10 2638(c), 2638(d) 2030074 - Annual Monitoring System Certification Form to the CUPA within 30 <br />days of completion of the test <br /> OUT R COS <br />11 2637(a-d), 2712(b)(1)(F)2030048 - Sec containment testing conducted per requirements & records kept for <br />36 mths (TCR 9d) <br /> OUT R COS <br />12 2637(e), 2637(f) 2010009 - Secondary containment test results submitted to the CUPA within 30 <br />days after the test. <br /> OUT R COS <br />13 2637.1(d), 2637.1(e) 2010017 - Spill bucket testing results submitted to the UPA within 30 days of <br />testing <br /> OUT R COS <br />14 2637.2(d&e), 2665(a&b) 2010018 - Overfill prevention equipment inspection report form submitted to the <br />UPA within 30 days <br /> OUT R COS <br />15 2636(f)(3), 2643(c)(3) 2030042 - Line integrity test completed on DW press piping every 12 mths if no <br />fail safe / + shutdown (TCR 9d) <br /> OUT R COS <br />16 2643(d), 2661(f) 2030050 - 0.1 gph piping test conducted on SW suction systems every 36 mths <br />and after piping repair (TCR 9d) <br /> OUT R COS <br />17 2643(e), 2661(f) 2030051 - 0.1 gph piping test conducted on SW gravity systems every 24 mths <br />and after piping repair (TCR 9d) <br /> OUT R COS <br />18 2663, 2712(b)(6) 2030029 - Tank lining inspected w/in 10 years of lining, every 5 years after, cert <br />submitted to CUPA (TCR 9c) <br /> OUT R COS <br />19 2644.1(a)(5) 2010005 - ELD testing results sent to the board and the CUPA within 60 days of <br />completion of the test <br /> OUT R COS <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />Page 1 of 8EHD - CUPA Inspection Report IS03 <br />CP22 - UST FULL <br />1/22/2026FA0003803 PR0231348 4528589