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1 /21 /2021 <br />MssJOAQUIN <br />COUNTY <br />Greatness grows here. <br />DAVID BOERSMA <br />19012 S CALLA DR <br />MANTECA CA 95336 <br />RE: Well Pump Inspection <br />19012 S CALLA DR, MANTECA CA <br />Well Location: 95336 <br />Environmental Health Department <br />Jasjit Kang, REHS, Director <br />Muniappa Naidu, REHS, Assistant Director <br />PROGRAM COORDINATORS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Willy Ng, REHS <br />Michael Kith, REHS <br />Melissa Nissim, REHS <br />Permit #: WP0039981 Inspection Date: N/A <br />The Environmental Health Department recently conducted a water well pump inspection at the above address <br />and found the following issues at the time of the inspection. In order to protect the ground water supply and <br />your water source from potential degradation, please take the associated corrective actions. <br />❑ Lack of or Inadequate Concrete Platform around Wellhead. <br />(SJC Water Well Standards, Section 4.10. — Surface Seal) <br />Corrective Action: Repair existing or install a new concrete platform around the wellhead that <br />extends two feet in all directions from the well casing. <br />❑ Lack of or Inadequate Sanitary Seal at Wellhead. <br />(SJC Ord. Code, Title 9, Section 9-1115.5. —Well Regulations) <br />Corrective Action. Install a sanitary seal between casing and well cover plate/seal all gaps and <br />openings. <br />❑ Lack of or Inadequate Sampling Tap. <br />(SJC Water well Standards, Section 4.13. —Sampling Tap) <br />Corrective Action: Install a non -threaded sampling tap between the wellhead and the check valve <br />or within three (3) feet of the well head. <br />❑ Lack of or Inadequate Backflow Prevention. <br />(SJC Water Well Standards, Section 4.14. — Backflow Prevention) <br />Corrective Action: Install an approved protective device to prevent backflow and/or back <br />siphonage into a well. <br />❑ Sounding Tube or Air Vent not Sealed. <br />(SJC Water Well Standards, Section 4.13. — Sounding Tube/Air Vent Pipe) <br />Corrective Action: Sounding Tube or Fill Pipe -Install a watertight, threaded cap at the upper end <br />of the pipe. Air Vent -extend pipe 12 inches above with end inverted in a <br />downward direction and covered with 16 -mesh screening. <br />D Lack of pump permit, to be obtained by owner or contractor. <br />(SJC Ord. Code, Section 9-1115.3. —Well/Pump Permit Required) <br />Corrective Action: Complete pump permit. Permit fee is $152. Submit to 1868 E. Hazelton Ave. <br />Stockton, CA 95205. <br />If you have any questions, contact: Francisco Garcia Ruiz, Environmental Health Assistant - <br />(209) 616-3032 or fgarciaruiz@sjgov.org. <br />Please submit permit prior to installation. <br />Michael Kith, REHS <br />Program Coordinator <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />