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VNELLIHEAD MAINTENANCE LOG Client_%:: �Site 6Zd Well �^t''�`3 Date I I zZ_ Does the utility box have a Icd? v� Is the lid broken or damaged enough to warrant replacement? `t-) Did you replace it? It is a ;� Simple Utility box with lift type lid (non-locking) It is aSecurable type Utility box with screw fasteners What brand?C.t-3 What kind of too] is needed to open it? Were screws in place? Do Screws need to be replaced?—,.-- — Does eplaced? ,.-- — j Does the threaded receptacle need to be repaired? a threads? -"� weld? v�i I Is the well lockable? �,, Is there a lock? What type of Lock? ,4 . 4 �3 1 Was it Iocked? Will it unlock easily? Does it need to be replaced? Does the type of liter plug ha,,e the potential to kee surface runoff water from entering the well? !, Does it appear that the plug or cap is tight enough to actually seal out water?-N-,.,,_ I If sealed with an expanding plug, is the plug tight enough in the top of the well to resist being j readily pulled out? Did you decide that the plug should be replacea? Did you replace it? Is there water present in the bottom of the box, below the top of the wellcase? Is water standing at the level of the top of the v,ell case? Is water standing v,ell above the level of the top of the wellcase? N�) Do you need to bail or suck out this stanaing Aater? Is the top of the v.eil itself, cracked, belled or deformed so a plug will not seal tightly? Is any portion of the well itself, loose or able to be readily unscrewed or pulled loose? ,J Are there cracks or other signs of damage to the «yell, the utility box or the concrete seal? til Is there a passive recovery device (skimmer) installed in the well? Does it prevent a v,atertight seal from being installed? Is there an installed pump or other recovery device installed in the well? What? Does it prevent a 1Natertight seal from being installed? — Are special instructions needed for gauging or sampling this well?� NOTES file Wellhead sam