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WELLHEAD MAINTENANCE LOG <br /> � 11 <br /> Client-""--41/ Site:V f ,�- S.2 Well. lWe_cs t) Date 2 <br /> Does the utility box have a lid7_ <br /> Is the lid broken or damaged enough to N,arrant replacement? Did you replace it? <br /> It is a Simple Utility box with lift type lid (non-locking) <br /> It is a�1/'Securable type Utility box wit`i screw fasteners. What brand?_�l(/C c-) <br /> What kind of tool is needed to ope-i it? <br /> Were screws in place? 7' Do Screws need to be replaceo? <br /> Does the threaded receptac`e need to be repaired? !/threads?/L-/weld?/t// <br /> Is the well Iockable? % Is there a lock? / What type of Lock? A4;e- �-i <br /> Was it locked? Will it unlock easiIy? /L/ Does it need to be replaced? a <br /> Does the t e of l have the potential to keep surface runoff from entering the <br /> �P P g P P g <br /> well? Does it appear that the plug or cap is tight enough to actually seal out water? <br /> If sealed with an exp riding plug, is the p'L:g tight enough in the top of the well to resist being <br /> readily pulled out? <br /> Did you decide that the plug should be re-":ced?-,K— Did you replace ft?-Z <br /> Is there water present in the bottom of the box, below the top of the wellcase? <br /> Is water standing at the level of the top of the well case? i <br /> Is water standing well above the level oft;'-.top of the wellcase? <br /> Do you need to bail or suck out this stano.r; water? <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, loose or al;le to be readily unscrewed or pulled loose? r� <br /> Are there cracks or other signs of damage to the well, the utility box or the concrete sea!? /V <br /> Is there a passive recovery device(skimmer) installed in the well? /-1 <br /> Does it prevent a watertight seal from being installed? <br /> Is there an installed pump or other recovery device installed in the well?.�_4/What? <br /> Does it prevent a watertight seal from being installed? <br /> Are special instructions needed for gauging or sampling this well?Z-V- <br /> NOTES: <br /> file: Wellhead.sam <br />