The persons identified on this list will be eligible to be entered in "Lead Driller/Pump Installer/Authorized Person on Site" on Well Construction and Pump Installation Reports.
The list must include a description of each employee's work areas of proficiency in well construction and/or pump installation. Any work area listed is assumed to be applicable as of the date of this form submission. If an employee gains an area of proficiency the original form can be updated or another form entry can be submitted.
When an employee leaves employment please update this form with the date or submit a new form entry with the date employee left.