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WELLHEAD INSPECTION CHECKLIST page of <br /> Client C Date / U <br /> Site Address /c� 1 cr✓ <br /> Job Number _ ��/ rc�� Technician <br /> Well Inspected- Water Bailed Wellbox Other Action Well Not <br /> No Corrective From Components Cap lock Taken Inspected Repair Order <br /> Well ID Action Required Wetlbox Cleaned Replaced Replaced (explain (explain Submitted <br /> below) below <br /> LrJ U <br /> NOTES <br /> BLAME TECH SERVICES INC SAN DOSE SACRAMENTO LOS ANGELES SAN DIEGO en a btametech c= <br />