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°-mac°z SANs10A UIN <br /> � Q Environmental Health Department <br /> COUNTY Jasjit Kang, REHS, Director <br /> Greatness grows here. Muniappa Naidu, REHS,Assistant Director <br /> PROGRAM COORDINATORS <br /> Robert McClellon,REHS <br /> Jeff Carruesco, REHS, RDI <br /> Willy Ng, REHS <br /> Michael Kith,REHS <br /> Melissa Nissim, REHS <br /> April 24, 2024 Steven Shih, REHS <br /> Staten Island Reserve Nature <br /> 830 S. Street <br /> Sacramento, CA 95811 <br /> RE: Well Pump Inspection <br /> Well Location: 23400 Staten Island Rd,Walnut Grove Permit#: WP0044666 Inspection Date: 4/24/2024 <br /> The Environmental Health Department recently conducted a water well pump inspection at the above address <br /> and found the following issues at the time of the inspection. In order to protect the ground water supply and <br /> your 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: Repair existing or install a new concrete platform around the wellhead that <br /> extends two feet in all directions from the well casing. <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 <br /> siphonage 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 /> ❑ 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 /> If you have any questions, contact: Naseem Ahmed, Senior Registered Environmental Health Specialist. <br /> Email: fgarciaruiz@sjgov.org <br /> Please ca — (209) 616-3018 when work is complete. <br /> tlp la" <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.sjcehd.com <br />