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WELLHEAD INSPECTION CHECKLIST <br /> Page—Lof <br /> A� <br /> Client _ � ?.�� _ Date <br /> Site Address <br /> Job Number _0 3 o S Za.-.S 3 - ► _ Technician s. <br /> Wei Inspected- Water Bailed Wellbox Other Action Well Not <br /> No Corrective From Components Cap Lock 'taken Inspected Repair Order <br /> Well ID Action Required Wellbox Cleaned Replaced Replaced (akpialn (explain Submitted <br /> below below <br /> YN <br /> M1J-'t x <br /> AAW_tA <br /> t�i1J–S <br /> wµw-6 x <br /> MAV-1 v <br /> w�t� X <br /> MW-11-1 ZZ <br /> w,w`13 >< <br /> irtiw�i u ,� <br /> NATES. 1�-�t..J � U G-0��� � y�C�tj•,S �1� �-Ot.���+ l� <br /> BlA1NE TECFI S£AVICES lhDC SAN JOSE SACMAMETrM COS ANGELES SAN DIEGO www bWrtmiedi cane <br />