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WELLHEAD MAINTENANCE LOG <br /> Client sNELI Site !y I /V. FL fV4hb0,. Well Datel► �zf93 <br /> ST�►rTD/� <br /> Does the utility box have a lid? <br /> � <br /> Is the lid broken or damaged enough to warrant replacement?NLS Did you replace rt? <br /> It is a Simple Utility box with lift type lid (non-locking) <br /> It is a__y Securable type Utility box with screw fasteners What brand? ejm ;co <br /> What kind of tool is needed to open it? '%. r —_ <br /> Were screws in place? 'ro!55 Do Screws need to be replaced? WO <br /> Does the threaded receptacle need to be repaired? si, threads? z; weld?/'-'O <br /> -K THS 4 0C WITS Ri7`H 407Z .75-7 <br /> Is the well lockable? Is there a lack? Yds What type of Lock?_tyqV; -- Z 3f7 <br /> Was it locked9Xf5 - Will it unlock easily?'YD'S Does it need to be replaced? y'dE5__ <br /> Does the type of lid or plug have the potential to keep surface runoff water from entering the <br /> well? Y�5 Does it appear that the plug or cap is tight enough to actually seal out water's <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?19�_ <br /> Did you decide that the plug should be replaced? y,S Did you replace it?Y-675 <br /> Is there water present in the bottom of the box, below the top of the wellcase? P10 <br /> Is water standing at the level of the top of the well case? dO <br /> Is water standing well above the level of the top of the wellcase? do <br /> Do you need to bail or suck out this standing water? Al D <br /> Is the top of the well itself, cracked, belled or deformed so a plug will not seal tightly? A/C <br /> Is any portion of the well itself, loose or able to be readily unscreti}ed or pulled loose? -A_/0 <br /> Are there cracks or other signs of damage to the well, the utility box or the concrete seal? A10 <br /> Is there a passive recovery device (skimmer) installed in the well?_ /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?jL/ What? <br /> Does it prevent a watertight seal from being installed? <br /> Are special instructions needed for gauging or sampling this well?-Aw <br /> NOTES <br /> file Wellhead sam <br />