You are on page 1of 2

Project

BHA-WASH
Well Chlorination Form
Provence
District
Village
Number of Users
Well ID Well type Well Ownership Water Column(M)
Direct indirect

Name and Signature of CDC head


orm
Coordinate
Northing
Easting
Volume of
Name Of Caretaker Number of Caretaker
Chlorine(ml)

CDC head

You might also like