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�e4U1"� SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•a-,..�.. Office: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�rF R <br />WATER WELL NOTICE TO ABATE <br />San Joaquin County Ordinance Code, Title 9 and Title 8, Section 5-5100: <br />It is a violation for anv DroDerty owner to maintain a niaancsa in hJc nrnnnr►.. <br />LOCATION: zaq O A /� �, 6 �C DATE:1&12,o <br />�ft <br />PROPERTY OWNER NAME: � CRECORD ID#: p U X4.3 <br />rZ <br />TYPE OF INSPECTION: OMPLAINT USTATUS CHECK UOTHER <br />NATURE OF COMPLAINT/VIOLATION: <br />d�e5 -lr Lr fit m n spe+!NO s all Sfr1 4Cf ur <br />VIOLATIONS: <br />It shall be unlawful tom intain or use any residence or place of business which is not in compliance with the <br />1 • ❑ requirements of SJC Ordinance Code, Title 9, Chapter 9.1115, or the SJC Water Well Standards. SJC Ord. Code, Titie <br />9, Section 9-1115.9 - Compliance Required. <br />Abandoned Well - not in use; no power source to well; open and unsecured; approved out -of -service well not being <br />2. maintained; in a state of disrepair; or well casing buried. CA Health & Safety code, Section 115700(a)(b)(d); CA Health & Safety <br />Code, Section 115710; SJC Ord. Code, Title 9, Section 9-1115.5 - Well Regulations, SJC Water Well Standards, Section 6.1. <br />Approved Out -of -Service Well not being Maintained Properly - well has defects; well acting as conduit for <br />3- ❑ contamination of groundwater; well is not properly sealed; well is not marked; well is not kept clear of brush or debris. CA <br />Health & Safety Code, Section 115700(d); SJC Water Well Standards, Section 5.1. - Out of Service Wells. <br />4. ❑ Provision of Water from Separate Parcel, Use of a Well Pit. SJC Ord. Code, Title 9, Section 9-1115.8 - Prohibited Uses <br />S. ❑ Lack of or Inadequate Sanitary Seal at Wellhead. SJC Ord. Code, Title 9, Section 9-1115.5 - Well Regulations <br />6. ❑ Lack of or Inadequate Surface Seal around Well Casing. SJC Water Well Standards, Section 4.10. - Surface Seal <br />7. ❑ Sounding Tube or Air Vent not Sealed. SJC Water Well Standards, Section 4.12. - Sounding Tube/Air Vent Pipe <br />8. ❑ Lack of or Inadequate Sampling Tap. SJC Water Well Standards, Section 4.13. - Sampling Tap <br />9. ❑ Lack of or Inadequate Backflow Prevention. SJC Water Well Standards, Section 4.14. - Backflow Prevention <br />10 ❑ Work being Conducted without a Permit - construction; destruction; pump; repair; sanitary seal broken; or cross - <br />connection repair. SJC Ord. Code, Title 9, Section 9-1115.3 - Well Permit Required <br />CORRECTIVE ACTIONS/ORDERS: <br />❑ Cease work and obtain an approved permit as indicated below. ❑ Cover well with a watertight, secure well cover. <br />tain permit as indicated: ❑ Destruction ❑ Construction ❑ Pump ❑ Well Repair/Cross Connection ❑ Out <br />COMPLIANCE DATE: ❑ IMMEDIATELY ❑ 24 HOURS ❑ 48 HOURS ❑ 7 DAYS ❑ 14 DAY � a 3 <br />COMMENT,S; Q I /Z �-�h2 &L,Fr--nVS ;r cr <br />r r <br />el t 2 <br />uC I I6 -se VrLe- n a Q r r' <br />COST RECOVERY- All EHD staff time associated with resolving this complaint will be billed at the current hourly rate ($125). <br />FAILURE TO COMPLY: Failure to Comply with this Notice May Result in Formal Enforcement Action. <br />APPEAL PROCESS: Any owner or person in possession who objects to the finding of violations cited on this notice may request an office hearing by <br />filing a written request with the San Joaquin C unty Environmental Health Department within 30 days of receipt of this notice. <br />INSPECTED BY:y V PHONE: � 6 — <br />SIGNA RE RE TER ENVIR ENTAL H - LTH SPECIAL <br />M a ; leX ►-- -fv j ,haw * I �- <br />RECEIVED BY:f ATE: <br />SIGNATURE OF OWNEI TENANT I nrM <br />MCI <br />EHO 43-12 10/7/13 ;2 C/ WATER WELL NOTICE TO ABATE <br />tk, f <br />