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Refer to Form DPH-INF0003-1 PH Terminal Environmental Ground Monitoring Well Inspection for details.
Accep
tabilit
Item y
Item Acceptance Criteria Comments/Remarks
# N
X /
A
Does the Asset meet the acceptance
Criteria?
0.0 Example If It meets the criteria mark “”
It if does not meet the criteria marl “X”
If not applicable mark “N/A”
1. Monitoring Well Label
No label.
Verify monitoring well label to confirm it has a unique
identification. This is to avoid incorrectly reported test results. X
5. Well Casing
Check if the well casing moved, sunk or was bent from its original
construction position that may compromise accurate water level
measurement or the sampling procedure.
P
6. Water Level Reference Marker
PH Terminal Environmental Ground Monitoring Well Inspection Checklist DPH-INFD005-01
1
Update-January 04, 2017 Revision 0
PH Trading and Supply- Terminal Operation
Inspection & Maintenance Practices
Ensure presence of established reference water level measuring No water level marker observed.
point at the inner casing material. It is important to measure
water level consistently each time.
7. Vented Cap
Check for presence and condition of the inner well cap vent. A Cap installed but not vented
type.
vented well cap equalizes atmospheric pressure resulting in more
accurate water level measurements (especially in wells screened
in clay).
Other Observations -
Note:
Surveillance Overall Results ( the appropriate box)
No follow up actions identified as a result of this Surveillance exercise.
Actions have been identified as a result of this Surveillance and will be followed up as appropriate per
the Maintenance Execution Process. Identify action and describe follow up in space below
Completed By Reviewed By
Name: Mark Darrel E. Aranas Name:
Title:
Date of Surveillance- 03Aug2023 Date Reviewed/Approved-
Appendix A