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SITE INSPECTION CHECKLIST . <br /> Client -5-4 e," Date <br /> Site Address _ /2h7 <br /> Job=Number OY -/ :.c ,lz Technician <br /> Site Status Branded Station Vacant Lot her�XG.;�[ µ1 <br /> 1 (4 <br /> Inspected 1 Labeled 1 Cleaned -All Wells on Scope Of Work <br /> Inspected 1 Cleaned Componente - All Other Identifiable Wells <br /> Inspected Site for Investigation Related Trip Hazards E <br /> Addressed All Outstanding Wellhead Repair Order(s) ❑ <br /> Completed Repair Data Sheets(s) ❑ /A <br /> Inspected Treatment 1 Remediation System Compound For Security, ❑ 1 A • <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or NI <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 I Comments (in addition to other issues,nate all SOW wellboxes that by design,are not securable) <br /> PROJECT COORDIr1AT'OR ONLY <br /> Checklist Reviewed _.-k 4-2!�-Oj Notes <br /> Init�allQate <br /> BLAINE TECH SERVICES WC SAN JOSE SACRAME11TO LOS A[fGELCS SkN DIEGO vm+bl�rn@lBeh yarn <br />