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WELLHEAD INSPECTION CHECKLIST Page t of 1 <br /> Client s e.r,+ Date <br /> -+ - it 3003 <br /> Site Address x313 E. cl!ma jfr . S+oer re., <br /> Job Number Technician A&Le jr <br /> Well Inspected- Water Balled WeMxpx Other Action Well Nat <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Well ID Action Required Webb= Cleaned Replaced Replaced (e}pw jexplmn 5ubmMed <br /> below below <br /> MW. yC - <br /> ,.3� -z x <br /> ,v,-j-3 x <br /> }'- <br /> NOTES: <br /> eLAIMe nCF1 SERVICES MG. $AN im SACRA&Iumo Lai ANGELES sm Moo www d1 cmi <br />