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SAN JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> WELL NOTICE TO ABATE <br /> San Joaquin County Ordinance Code,Title 9 and Title 8,Section 5-5100: <br /> It is a violation for any property owner to maintain a nuisance in his properly. <br /> LOCATION: Ls�-a CITY:I `u DATE: /Z—26 al <br /> 1� <br /> PROPERTY OWNER NAME: RECORD ID#: <br /> Cr9n0'53_ 6.1 <br /> TYPE OF INSPECTION: UCOMPLAINT ❑STATUS CHECK ❑OTHER <br /> NOTICE ISSUED TO: ow <br /> NATURE OF COMPLAINT/VIOLATION: Q " N(ee', <br /> VIOLATIONS: <br /> It shall be unlawful to maintain or use any residence or place of business that is not in compliance with the <br /> 1 ❑ requirements of Sic Ordinance Code, Title 9, Chapter 9-1115, or the SJC Well Standards. SJC Ord.Code,Title 9, <br /> Section 9-1115.9-Compliance Required. <br /> Abandoned Well - not in use; no power source to well; open and unsecured; in a state of disrepair; or well casing buried. <br /> 2. 0 CA Health&Safety Code,Section 115700(a)(b)(d); CA Health&Safety Code,Section 115710; SJC Ord. Code,Title 9,Section 9-1115.5- <br /> Well Regulations,SJC 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 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 /> 5. ❑ Lack of or Inadequate Sanitary Seal at Wellhead. Sic Ord. Code,Title 9, Section 9-1115.5-Well Regulations <br /> 6. ❑ Lack of or Inadequate Surface Seal around Well Casing.SJC Well Standards, Section 4.10. -Surface Seal <br /> 7. ❑ Sounding Tube or Air Vent not Sealed. SJC Well standards, Section 4.12.-Sounding Tube/Air Vent Pipe <br /> 8. ❑ Lack of or Inadequate Sampling Tap. SJC Well Standards,Section 4.13.-Sampling Tap <br /> 9. ❑ Lack of or Inadequate Backflow Prevention. Sic water well Standards, Section 4.14.-Backflow Prevention <br /> 10. ❑ Work Conducted without a Permit-construction; destruction; boring; pump; repair; sanitary seal broken; or cross- <br /> connection CC 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 /> ❑ Obtain permit as indicated: ❑Well/Pump (includes borings) [0 Well Destruction ❑Well/CC Repair ❑ Out of Service Well <br /> ❑ Other <br /> COMPLIANCE DATE: ❑ I MEDIATELY ❑ 4 HOURS�I❑ 48 HOURS ❑ 7 DAYS ❑ 14 DAYS <br /> COMMENTS: D SL�f vt�e. ilti ✓/rte s CO <br /> 'ke <br /> 4K 4e <br /> Ot <br /> COST RECOVERY: All EHD staff time associated with resolving this complaint will be billed at the currant hourly rate($152). <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 Joa v�p County Environmental Health Department within 30 days of receipt of this notice. <br /> INSPECTED BY: <br /> SIGNATURE OF REGIST RED ENVIRONMENTAL HEALTH SPECIA IS <br /> j, <br /> RECEIVED BY: <br /> SIGNATURE AND TITLEolta �- 7DATE: <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov/orq/ehd <br />