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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 propertyowner to maintain a nuisance in his property. LOCATION: 25,35 3 I, Fili CITY: A DATE: , 1-tirakire 2 ifli 3 PROPERTY OWNER NAME: n .., ,, , . „ RECORD ID#: - II 1 -fh ‘.1- 4 Si ,(4 - li '4 Seji - ( Ve 5S- ,rkt i i i ,-1 . 1/ TYPE OF INSPECTION: AI,COMPLAINT USTATUS CHECK UOTHER NATURE OF COMPLAINTNIOLATION: C, PCIA tU e II VIOLATIONS: It shall be unlawful to maintain or use any residence or place of business which is not in compliance with the 9-1115, or the SJC Water Well Standards. SJC Ord. Code, Title • requirements of SJC Ordinance Code, Title 9, Chapter 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 CA Health & Safety Code, Section 115700(a)(b)(d); CA Health & Safety Well Regulations, SJC Water Well Standards, Section 6.1. • maintained; in a state of disrepair; or well casing buried. Code, Section 115710; SJC Ord. Code, Title 9, Section 9-1115.5— Approved Out-of-Service Well not being Maintained Properly - well has defects; well acting as conduit for well is not marked; well is not kept clear of brush or debris. CA Standards, Section 5.1.— Out of Service Wells. • contamination of groundwater; well is not properly sealed; Health & Safety Code, Section 115700(d); SJC Water Well a Well Pit. SJC Ord. Code, Title 9, Section 9-1115.8— Prohibited Uses II Provision of Water from Separate Parcel, Use of Lack of or Inadequate Sanitary Seal at Wellhead. SJC Ord. Code, Title 9, Section 9-1115.5 — Well Regulations Casing. SJC Water Well Standards, Section 4.10. — Surface Seal • Lack of or Inadequate Surface Seal around Well Well Standards, Section 4.12. — Sounding Tube/Air Vent Pipe I Sounding Tube or Air Vent not Sealed. SJC Water Standards, Section 4.13. — Sampling Tap • Lack of or Inadequate Sampling Tap. SJC Water Well Water Well Standards, Section 4.14.— Backflow Prevention N Lack of or Inadequate Backf low Prevention. SJC Work being Conducted without a Permit - construction; destruction; pump; repair; sanitary seal broken; or cross- Well Permit Required w. • connection repair. SJC Ord. Code, Title 9, Section 9-1115.3— CORRECTIVE ACTIONS/ORDERS: LI Cease work and obtain an approved permit as indicated below. LI Obtain permit as indicated: LI Destruction LI Construction COMPLIANCE DATE: jg IMMEDIATELY 24 HOURS Is Cover well with a watertight, secure well cover. LI Pump LI Well Repair/Cross Connection LI Out of Service Well 48 HOURS 7 DAYS LI 14 DAYS LI COMMENTS: COST RECOVERY: All EHD staff time associated with resolving this complaint will be billed at the current hourly rate ($125). 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: _v_n 6 ?i ) R2 t PHONE' .1.:(-, -7 7 irt\r't 1 „. - - - . I-- i ,crici SIGNATURE OF REGISTE RED ENVIRONM AL HEALTH SPECIALIST RECEIVED BY: ,M‘Li / -----c% 6C('(-' 'i le i'.-- - DATE: 2 /ss/z3 SIGNATURE OF OWNER/TENANT EHD 43-12 10/7/13 WATER WELL NOTICE TO ABATE