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WELLHEAD INSPECTION CHECKLIST <br /> Page 4 of <br /> Client %/ Date <br /> Site Address �,W <br /> Jab Number /fii.s" r/ _ T_ Technician <br /> Well inspected- Water Bailed Wellbox Other Action Well Not <br /> No Corrective From Components Cap Lock Waken inspected Repair Order <br /> Well ID Action Required Wetibox Cleaned Replaced Replaced (explain (explain Submitted <br /> below) below) <br /> -z X <br /> 14441-7 <br /> Mal PF <br /> Acv U i3 <br /> NOTES <br /> 13LAINE TECH SERVICES tN% SMI JOSE SACRAMENTO LOOS ANGELES SAN DIEGO ern+ti+brame[acn tarn <br />