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SAN JOAQUIN <br /> Environmental Health Department <br />COu NJ IY <br />Time In: 9:00 am <br />Time Out: 9:10 am <br />COMPLAINT INSPECTION REPORT <br />Name of Facility: Date: 08/12/2022 <br />Address: 4277 E FOREST CREEK LN, GALT <br />Owner/Operator: RAMON GOMEZ YANEZ Telephone: <br />Program Element: 4300 - WELL PROGRAM Complaint #: C00055052 <br />Responsible Party Contact: <br />DESCRIPTION OF COMPLAINT ALLEGATIONS <br />The San Joaquin County Environmental Health Department received the following complaint: <br />Installing well without permit. <br />OVERALL INSPECTION NOTES AND COMMENTS <br />COMMENTS AND OBSERVATIONS <br />Arrived on site to conduct complaint field inspection. Only well onsite has permit on file. Well was converted from ag to <br />domestic under permit (WP0043259) with water sample results attached to permit. Well is up to code with San Joaquin <br />County Well Standards. Complaint to be abated. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Ramon Gomez, Owner <br />EH Specialist: FRANCISCO RUIZ Phone: (209) 616-3032 <br />C00055052 S0004 08/12/2022 <br />EHD Rev 04/07/22 <br /> Page 1 of 1 Complaint Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd