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�A°k SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY­ Jasjit Kang, REHS, Director <br /> Greotness grows here. <br /> Muniappa Naidu, REHS, Assistant Director <br /> PROGRAM COORDINATORS <br /> Robert McClellon, REHS <br /> Jeff Carruesco, REHS, RDI <br /> Willy Ng, REHS <br /> Steven Shih, REHS <br /> Michelle Henry, REHS <br /> Elena Manzo, REHS <br /> 8/9/2021 <br /> CLEVERLANDS LIMITED LLC <br /> I � a <br /> 415 PROSPECT HEIGHTS <br /> SANTA CRUZ, CA. 95065 <br /> RE: Well Pump Inspection <br /> Well Location: o BIRD RD.,TRACY Permit#: WP0041323 Inspection Date: N/A <br /> The Environmental Health Department recently conducted a water well purnp 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 /> ❑x 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: Aldara Salinas, Environmental Health Specialist - (209) 616-3019 or <br /> asalinas@sjgov.org. <br /> Please submit permit prior to installation. <br /> Steven Shih, 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 />