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SAN JOAQUIN Environmental Health Department —COUNTY = Greatness yroKs herz. WELL NOTICE TO ABATE San Joaquin County Ordinance Code,Title 9 and Title 8,Section 5-5100: It is a violation for any property owner to maintain a nuisance in his property. LOCATION: CITY:-rrep, r*) DATE: IS -,50I Z; PROPERTY OWNER NAME: t f(, /� RECORD ID#: TYPE OF INSPECTION: ❑COMPLAINT STATUS CHECK ❑OTHER NOTICE ISSUED TO: NATURE OF COMPLAINT/VIOLATION: VIOLATIONS: It shall be unlawful to maintain or use any residence or place of business that is not in compliance with the 1• ❑ requirements of SJC Ordinance Code, Title 9, Chapter 9-1115, or the SJC 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; in a state of disrepair; or well casing buried. 2. ❑ CA Health&Safety Code,Section 115700(2)(b)(d); CA Health&Safety Code,Section 115710; SJC Ord. Code,Title 9,Section 9-1115.5— Well Regulations,SJC Well Standards,Section 6.1. Approved Out-of-Service Well not being Maintained Properly-well has defects;well acting as conduit for 3. ❑ 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 Well Standards,Section 5.1.—Out of Service Wells. 4. ❑ Provision of Water from Separate Parcel, Use of a Well Pit. SJC Ord. Code,Title 9,Section 9-1115.8—Prohibited Uses 5. ❑ Lack of or Inadequate Sanitary Seal at Wellhead. SJC Ord. Code,Title 9,Section 9-1115.5—Well Regulations 6. ❑ Lack of or Inadequate Surface Seal around Well Casing.SJC Well standards,Section 4.10. —Surface Seal 7. ❑ Sounding Tube or Air Vent not Sealed. SJC Well Standards, Section 4.12.—Sounding Tube/Air Vent Pipe 8. ❑ Lack of or Inadequate Sampling Tap. SJC Well Standards,Section 4.13.—Sampling Tap 9. ❑ Lack of or Inadequate Backflow Prevention. SJC Water well Standards,Section 4.14.—Backflow Prevention 10. ❑ Work Conducted without a Permit-construction; destruction; boring; pump; repair; sanitary seal broken; or cross- connection CC 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: ❑Well/Pump (includes borings) ❑ Well Destruction ❑ Well/CC Repair ❑ Out of Service Well ❑ Other COMPLIANCE DATE: ❑ IMMEDIATELY ❑ 24 HOURS ❑ 48 HOURS ❑ 7 DAYS ❑ 14 DAYS ❑ COMMENTS: - e ` , ' COST RECOVERY:All EHD staff time associated with resolving this complaint will be billed at the current hourly rate($152). �dr 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 ' t RECEIVED BY: �-20 r SIGNATURE AND TITLE DATE: . 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov/orq/ehd