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W <br />San Joaquin County <br />DIRECTOR <br />Environmental Health Department Linda Turkatte, RENS <br />October 25, 2016 11 <br />KUIL, EIL N J <br />2 F RICK RD <br />PO 66 <br />RE: Well Pump Inspection <br />1868 E Hazelton Avenue <br />Stockton, California 95205 <br />Website: www.sjcehd.com <br />Phone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Well Location: 22844 Frederick Rd., Ripon 95366 Permit #: SR0073501 <br />PROGRAMA COORDINATORS <br />Robert McClellon, RENS <br />Jeff Carruesco, RENS, RDI <br />Kasey Foley, RENS <br />Adrienne Ellsaesser, REHS <br />Rodney Estrada, RENS <br />inspection Date: 101412016 <br />The Environmental Health Department recently conducted a water well pump inspection at the above <br />address and found the following issues at the time of the inspection. In order io protect the ground water <br />supply and your water source from potential degradation, please take the associ 3ted corrective actions. <br />X 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. <br />O 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 co✓er plate/seal all gaps and <br />openings. <br />X 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 />O 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 />O 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 of <br />the pipe. Air Vent -extend pipe 12 inches above with end inverted in a downward direction and <br />covered with 16 -mesh screening. <br />O Excessive Vegetation or debris around Wellhead. <br />(SJC Ord. Code, Section 9-1115.4. — Dangerous/Nuisance) <br />Corrective Action: Remove and maintain debris and vegetation away from well area. <br />O Other <br />If you have any questions please call Ted Tasiopoulos, Sr. R.E.H.S. at (209)953-7698. <br />Rodney Estrada, R.E.H.S. <br />Program Coordinator <br />