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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East HazeIton Avenue, Stockton, CA 95205-6232 Office: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd WATER WELL NOTICE TO ABATE San Joaquin County Ordinance Code, Title 9 and Title 8, Section 5-5100: It is a violation for any orooertvowner to maintain a nuisance in his property. LOCATION: CITY: DATE: PROPERTY OWNER NAME: RECORD ID#: TYPE OF INSPECTION: OCOMPLAINT OSTATUS CHECK OOTHER NATURE OF COMPLAINT/VIOLATION: VIOLATIONS: It shall be unlawful to maintain or use any residence or place of business which is not in compliance with the • requirements of SJC Ordinance Code, Title 9, Chapter 9-1115, or the SJC Water Well Standards. SJC Ord. Code, Title 9, Section 9-1115.9 — Compliance Required. Abandoned Well - not in use; no power source to well; open and unsecured; approved out-of-service well not being maintained; in a state of disrepair; or well casing buried. CA Health & Safety Code, Section 115700(a)(b)(d); CA Health & Safety Code, Section 115710; SJC Ord. Code, Title 9, Section 9-1115.5 — Well Regulations, SJC Water Well Standards, Section 6.1. Approved Out-of-Service Well not being Maintained Properly - well has defects; well acting as conduit for a • contamination of groundwater; well is not properly sealed; well is not marked; well is not kept clear of brush or debris. CA Health & Safety Code, Section 115700(d); SJC Water Well Standards, Section 5.1. — Out of Service Wells. • Provision of Water from Separate Parcel, Use of a Well Pit. SJC Ord. Code, Title 9, Section 9-1115.8— Prohibited Uses • Lack of or Inadequate Sanitary Seal at Wellhead. SJC Ord. Code, Title 9, Section 9-1115.5 — Well Regulations • Lack of or Inadequate Surface Seal around Well Casing. SJC Water Well Standards, Section 4.10. — Surface Seal • Sounding Tube or Air Vent not Sealed. SJC Water Well Standards, Section 4.12. — Sounding Tube/Air Vent Pipe M Lack of or Inadequate Sampling Tap. SJC Water Well Standards, Section 4.13. — Sampling Tap • Lack of or Inadequate Backf low Prevention. SJC Water Well Standards, Section 4.14.— Backflow Prevention Work being Conducted without a Permit - construction; destruction; repair; sanitary seal broken; or - pump; .cross to • connection repair. SJC Ord. Code, Title 9, Section 9-1115.3 — Well Permit Required CORRECTIVE ACTIONS/ORDERS: Cease work and obtain an approved permit as indicated below. Cover well with a watertight, secure well cover. Obtain permit as indicated: Destruction Construction Pump Well Repair/Cross Connection Out of Service Well COMPLIANCE DATE: LII IMMEDIATELY LII 24 HOURS LII 48 HOURS 7 DAYS LI 14 DAYS COMMENTS: COST RECOVERY: All EHD staff time associated with resolving this complaint will be billed at the current hourly rate (S125). FAILURE TO COMPLY: Failure to Comply with this Notice May Result in Formal Enforcement Action. 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 filing a written request with the San Joaquin County Environmental Health Department within 30 days of receipt of this notice. INSPECTED BY: PHONE' SIGNATURE OF REGISTERED ENVIRONMENTAL HEALTH SPECIALIST RECEIVED BY: DATE: SIGNATURE OF OWNER/TENANT EHD 43-12 10f7/13 WATER WELL NOTICE TO ABATE