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4 <br /> � al <br /> . SITE INSPECTION CHECKLIST <br /> Client :Vela Date <br /> Site Address yYo &I <br /> Job Number q~2-3-Awl Technician <br /> Site Status Arca Branded Station Vacant Lot Other <br /> Inspected 1 Labeled I Cleaned -All Wells on Scope Of Work ©� <br /> Inspected I Cleaned Componente - All Other Identifiable Wells NIA <br /> Inspected Site for Investigation Related Trip Hazards <br /> Addressed All Outstanding Wellhead Repair Order(s) W ❑ NIA <br /> Completed Repair Data Sheets(s) F� IA <br /> 40nspected Treatment 1 Remediation System Compound For Security, Q NIA <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or Q NIA <br /> Terrain, Overgrown Vegetation and Security <br /> PLEASE BE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED, NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW <br /> Outstanding Problems 1 Comments (In addition to other issues,note all SOW wellboxes that,by design,are not securable) <br /> Well ECJ- 174S /off'.Z 6a/ A47 roAw., anal l orz dohs- AfXrxe.'+ <br /> .4r "Vad 4&A V6 <br /> PROJECT COORDINATOR ONLY <br /> Checklist Reviewed Notes <br /> Initial/Date <br /> BLAME TECH SERVICES A!C SAN JOSE SACRAMEWO LOS ANGELES SAN DIEGO rrv'w biainetech— <br />