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PA-2100295 (UP), Referral, S00014698 Page 2 of 2 <br /> 6550 E. State Route 12, Lodi February 1, 2022 <br /> 5. The existing private water wells shall be tested for the chemical Dibromochloropropane (DBCP) and <br /> nitrates with the results submitted to the Environmental Health Department prior to issuance of <br /> building permit(s). Samples are to be taken and analyzed by a State-approved laboratory (San <br /> Joaquin County Development Title, Section 9-1115.7). <br /> 6. Submit Water Provision Declaration form to the Environmental Health Department for review. <br /> 7. The existing well must be repaired under permit and inspection by the Environmental Health <br /> Department (San Joaquin County Development Title, Section 9-1115.4(e)) as follows: <br /> a. Install sanitary seal. <br /> b. Install cement surface seal around the well casing to protect the well casing sufficiently and <br /> the integrity of well grout. <br /> c. Raise well casing 12 inches above ground level. <br /> d. Provide sample tap between the well head and the pressure tank. <br /> 8. Install an approved back-flow prevention device on the water supply system(s) (California Code of <br /> Regulation, Title 17, Section 7603). <br /> 9. Any geotechnical drilling shall be conducted under permit and inspection by The Environmental <br /> Health Department (San Joaquin County Development Title, Section 9-1115.3 and 9-1115.6). <br />