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i <br /> WELLHEAD INSPECTION CHECKLIST Page ( of <br /> Client Date (,tom <br /> Z <br /> Site Addressr, -f (-- f- 1 <br /> Job Number (5,t CS I -" Technician 6c� L�- <br /> Well Inspected- Water Bailed Wellbox Cather Actlon Well Not <br /> No Cormctive From Components Cap Lock Talten Inspected _ Repair Order <br /> Actlon Required Wellbox Cleaned Replaced Replaced (explain (explain Submitted <br /> Well ID below) below <br /> NOTES. <br /> eLAR IE TECI I SERVICES TNG BAN JOSE SAGRAMSMO LOS MIGELEs SRI I gIEGO w.wf Maln"Iech corn <br />