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WELLHEAD INSPECTION CHECKLIST <br /> Page l o{ Z <br /> Client 5 1.;t Date 11 - 3 - *Loo :3 <br /> Site Address 4,40 w ct%06 +�. we„ Stock <br /> Jab Number oa It c 3. - , TechniClan <br /> Well Inspected- Water Sailed Wellbax Other Act;on Well Not <br /> 140 Cormclive From Components Cap Lock Taken Inspected Repair Order <br /> Action Required Wellbox Cleaned Replaced Replaced {explain {explain <br /> W@�� I� 9 Submitted <br /> belowhelaur <br /> tn!• <br /> �-3 <br /> vt-5 <br /> W- $ <br /> 1''1W-9 ✓/ <br /> In b.t-r t� <br /> w- 113 <br /> W-r <br /> .,i-r S7 c/ <br /> NOTES5y4-1, <br /> VILAWX rECHSERVICES INC SANJOSE LOS ANGELeS <br /> SAI I prEr,° .www el}nRlOClI Com <br />