Laserfiche WebLink
t� <br /> Y WELLHEAD MAINTENANCE LOG <br /> Client 5061,, Site ¢Zo IrE7T , Well VJ� _ Date a <br /> Does the utility box have a lid?yES <br /> Is the lid broken or damaged enough to warrant replacement? No Did you replace it? <br /> It is a Simple Utility box with lift type lid (non-locking) <br /> It is a__,�r Securable type Utility box with screw fasteners What brand? V V G . <br /> What kind of too] is needed to open it? 9//6 fee or.—T <br /> Were screws in place? y£S Do Screws need to be replaced? NO <br /> Does the threaded receptacle need to be repaired? vo threads? Nv weld? No <br /> Is the well lockable? yds Is there a locks ) _ What type of Lock?�r�rf,e # 2357 <br /> Was it locked?Y� Will it unlock easily? ZCS Does it need to be replaced? <br /> Does the type of lid or plug have the potential to keep surface runoff water from entering the <br /> well?_Xrn _ Does it appear that the plug or cap is tight enough to actually seal out water? <br /> If sealed with an expandin; 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 replaced? No Did you replace it? <br /> . Is there water present in the bottom of the box, below the top of the wellcase? yFs <br /> Is water standing at the level of the top of the ,vell case? Nd <br /> Is water standing well above the level of the top of the wellcase? No <br /> Do }ou need to bail or suck out this standing water? NCS <br /> Is the top of the %y ell itself, cracked, belled or deformed so a plug will not seal tightly? Al <br /> Is any portion of the well itseif, loose or able to be readily unscrewed or pulled loose? jd 0 <br /> Are there cracks or other signs of damage to the well, the utility box or the concrete seal? f✓6 <br /> Is there a passive recovery device(skimmer) installed in the well? /,1-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?/V6 What? <br /> Does it prevent a watertight seal from being installed? <br /> Are special instructions needed for gauging or sampling this well?Lb <br /> NOTES <br /> file Wellhead sam <br />