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WELLHEAD MAINTENANCE LOG <br /> Client <�Aite �7_c_5 t._i Well MW-:7 Date 1 t ZZ <br /> Does the utility box have a lid?kN <br /> Is the lid broken or damaged enough to warrant replacement?__,j_Did you replace it? <br /> It is a Simple Utility box with lift type lid (non-locking) <br /> It is a_ Securable type Utility box with screw fasteners What brand? C; t <br /> Nfia't kind of tool is needed to open its ? <br /> Were screws in place? �_ Do Screws need to be replaced?��— <br /> Does the threaded receptacle need to be repaired? a threads? eld? <br /> Is the well lockable? Is there a lock? What type of Lock? C� <br /> Was it locked? Will it unlock: easily? Does it need to be replaced? [�i <br /> Does the type of I;d or plug have the potential to keep surface runoff water from entering the <br /> well?_�� Does it appear that the plug or cap is tight enough to actually seal out water? <br /> If sealed with an expanding plug, is the plug tight enough in the top of the well to resist being <br /> readily pulled out? _ <br /> Did you decide that the plug should be replacea? Did you replace it? <br /> Is there water present in the bottom of the box, below theop of the wellcase? <br /> Is water standing at the level of the top of the well case? <br /> Is water standing well above the Ievel of the top of the wellcase? <br /> Do you need to bail or suck out this standing vtiater? <br /> Is the top of the "ell itself, cracked, belled or deformed so a plug will not seal tightly? <br /> Is any portion of the well itself, Ioose or able to be readily unscrewed or pulled loose? <br /> Are there cracks or other signs of damage to the well, the utility box or the concrete seal? <br /> Is there a passive recovery device (skimmer) installed in the we114- <br /> Does it prevent a watertight seal from being installed? <br /> Is there an installed pump or other recovery device Inst: led 1n the well?What <br /> Does it prevent a watertight seal from being installed? \ <br /> Are special instructions needed forgauging or sampling this well?c� <br /> NOTES <br /> file Wellhead sam <br />