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((-Q�°PF�c°SAN JOAQUIN <br />I" C� < COUNTY <br />Greatness grows here. <br />October 20, 2022 <br />KLT Holdins LLC <br />Attention: Kelly Thompson <br />P.O. BOX 30996 <br />Stockton CA 95213 <br />RE: Water Well Pump Inspection <br />Well Location: 3755 E. Munford Avenue, STKN <br />Environmental Health Department <br />Jasjit Kang, REHS, Director <br />Muniappa Naidu, REHS, Assistant Director <br />PROGRAM COORDINATORS <br />Robert McClellan, REHS <br />Jeff Carruesco, REHS, RDI <br />Willy Ng, REHS <br />Steven Shih, REHS <br />Michelle Henry, REHS <br />Elena Manzo, REHS <br />20 October <br />Permit #: WP0043478 Inspection Date: 2022 <br />The Environmental Health Department conducted a water well pump inspection at the above address and <br />found the following code violations at the time of the inspection. In order to protect the ground water and your <br />drinking 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: Replace the concrete pedestal around the well head. The cement shall extend <br />2 feet in all directions of the well casing. The cement shall be a minimum of 4 <br />inches thick. <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 siphon <br />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 />Please contact Aaron Gooderha HS, (209) 616-3062, when corrections have been made, and if you <br />have any questions. <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.sjgov.org/ehd <br />