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oat" sAftsjoAouiN o,. <br />COUNTY- <br />413=e- <br />cs-4 tx•P/ Greatness grows here. <br />Environmental Health Department <br />Jasjit Kang, REHS, Director <br />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 />August 24, 2021 <br /> <br />IJ Larsen Pumps <br />509 Tully Road <br />Modesto, CA 95350 <br />RE: Water Well Pump Inspection <br />Well Location: 6210 South Santa Ana Ave. Permit #: WP0042153 Inspection Date: 08/10/2021 <br />The Environmental Health Department conducted a water well pump inspection at the above address and <br />found the following issues at the time of the inspection. In order to protect the ground water supply and your <br />water source from potential degradation, please take the associated corrective actions. <br />LI 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 />IEI 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 />111 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 />1=1 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 siphon <br />into a well. <br />1=1 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 />Please contact Aaron Gooderham, REHS, (209) 616-3062, when corrections have been made, and if you <br />have any questions. <br />Steven Shih, REHS <br />Program Coordinator <br />CC: JOY C & C LLC <br />1400 MITCHELL RD STE #9 <br />MODESTO, CA 95351 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd