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WELLHEAD INSPECTION CHECKLIST Page 1 br <br /> Client .5 L,c 11 Date <br /> Site Address 4>r0 w Srv_kfv.l <br /> Job Number 0'-1 ai-Ij5- -j- 5 ► Technician <br /> WED Inspected Water Bailed Wellbox Qher Action Well Not <br /> Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Ach]n Required Webax Cleaned Replaced (explain (explain SubrndledWeIl ID <br /> belOY4 below <br /> rlw- 7` <br /> .�7 w— "b x •1 <br /> �w-io X <br /> NOTESn I ,r z. E.�� t r, i f k I �r r�r '' ' o F `l _ J <br /> 1,. ,. 1._�.F`I„ till 11.kC, e�1 _, 1_ d f <br /> J 3 rF <br /> V' <br /> UtnnaE IECIt SERVSCEt a+C SA"rise .AcRAMF_riro LOS AI+GCtES SAa piEf',0 wv,vr br3n,Ylod-c'31 <br />