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WELLHEAD MAINTENANCE LOG <br /> Client 5"PELLSite14 1 N. 51 'Op.A.P0_Well w Date !a Zz'f'3 <br /> S�oc k -o <br /> Does the utility box have a lid?�j <br /> Is the lid broken or damaged enough to warrant replacement?_,LID 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 Whatbrand? <br /> What kind of tool is needed to open it? R1/I. 50C2/c"-i- <br /> Were <br /> Were screws in place? yE!� _ Do Screws need to be replaced?k <br /> Does the threaded receptacle need to be repaired? /& threads?7V0, weld? /La <br /> T#E �"oc,4r V_'A5 RFPlA'C "A PV1-fw W Z 3.5-7 <br /> Is the well lockable? Y5� Is there a lock? yfS What type of Locks <br /> Was it locked? yam$ Will it unlock easily?�� Does it need to be replaced?_yj55 _ <br /> Does the type of lid 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?Ykj <br /> . Did you decide that the plug should be replaced? MO Did you replace it? <br /> Is there water present in the bottom of the box, below the top of the wellcase? A-[c <br /> Is water standing at the level of the top of the well case? A40 <br /> Is water standing well above the level of the top of the wellcase? N0 <br /> Do you need to bail or suck out this standing water? n/0 <br /> Is the top of the well itself, cracked, belled or deformed so a plug will not seal tightly? �C> <br /> Is any portion of the well itself, loose or able to be readily unscrewed or pulled loose? Ivo <br /> Are there cracks or other signs of damage to the well, the utility box or the concrete sear :UO <br /> Is there a passive recovery device (skimmer) installed in the well? A/O <br /> Does it prevent a watertight seal from being installed? <br /> Is there an installed pump or other recovery device installed in the well? AV What? <br /> Does it prevent a watertight seal from being installed? <br /> Are special instructions needed for gauging or sampling this well?_// <br /> NOTES <br /> file Wellhead sam <br />