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SAN JOAQUIN Environmental Health Department COUNTY— L eatness grn>^s here. 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: + x CITY:L DATE: 2,6 PROPERTY OWNER NAME: Dav ; �y� RECORD ID#: TYPE OF INSPECTION: ❑COMPLAINT 13STATUS CHECK ❑OTHER NOTICE ISSUED TO: NATURE OF COMPLAINTIVIOLATION: 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(a)(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 0 Out of Service Well ❑ Other COMPLIANCE DATE: ❑ IMMEDIATELY ❑ 24 HOURS ❑ 48 HOURS ❑ 7 DAYS ❑ 14 DAYS ❑ COMMENTS: / ` COST RECOVERY: All EHD staff time associated with resolving this complaint will be billed at the current hourly rate($152). 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 ttJwithhiin 30 days of receipt of this notice. INSPECTED BY: PHONE: 0 !V 616 - 3Q/ SIGNATURE or REGISTERED ENVIRONMENTAL HEALTH SPECIALIST U RECEIVED BY: Hal 1 i T-2,31�2b 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