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0A1 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Office:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd WATER WELL NOTICE TO ABATE San Joaquin County Ordinance Code, Title 9 and Title 8,Section 5-5100: It is a violation forany propertyowner to maintain a nuisance in his roe • LOCATION: , I �: a;'r CITY' j DATE: - 7 PROPERTY OWNER NAME: �)' ,I I I' •) \ RECORD ID#: l ) n i�., !__-- (� �' TYPE OF INSPECTION: OCOMPLAINT ©STATUS CHECK ❑OTHER NATURE OF COMPLAINTIVIOLATION: 1 red wdI I n l�+ 5 W- �4 ;r. VIOLATIONS: It shall be unlawful to maintain or use any residence or place of business which is not in compliance with the 1• �, requirements of SJC Ordinance Code,Title 9,Chapter 9.1115,or the SJC Water Well Standards.SJC Ord.Code,Title 9,Section 9-1115.9-Cum liance Required. Abandoned Well-not in use; no power source to well; open and unsecured; approved out-of-service well not being 2• ,14 maintained; in a state of disrepair; or well casing burled. 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 Water 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 Water 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 Water Well Standards,Section 4.10. -Surface seal 7. ❑ Sounding Tube or Air Vent not Sealed. SJC Water well Standards,Section 4.12.-Sounding Tube/Air Vent Pipe 6. ❑ Lack of or Inadequate Sampling Tap.SJC Water 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 being Conducted without a Permit-construction;destruction; pump; repair;sanitary seal broken;or cross- connection 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:�E2 Destruction ❑ Construction ❑ Pump ❑Well Repair/Cross Connection 0>,'Out of Service Well COMPLIANCE DATE: IMMEDIATELY ❑ 24 HOURS ❑ 48 HOURS ❑ 7 DAYS ❑ 14 DAYS ❑ COMMENTS: ( V)v rv1 I jjr :) ot 0 .7 L ) >( cif:,, rVv COST RECOVERY:All EHD staff time associated with resolving this complaint will be billed at the current hourly rate($92 t=ai 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: I6UIG'1 a -....._. _,....-.. .. ..,.- PHONE: SIGNATURE ENVIRONMENTAL HEAL,T,H6PPECIIALILIST ^�� RECEIVED BY: I ,1lii f I �V 0 �, `�- r DATE: I � -7_ RECEIVED 126. SIGNATURE OF OWNE W TENANT EHD 43-12 10/7/13 WATER WELL NOTICE TO ABATE