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WELLHEAD INSPECTION CHECKLIST <br /> Page <br /> Client Date Iz 1.3 OLf <br /> Site Address z5 t!5- <br /> Jab Number &L j Technician G LAV 1I- <br /> Well Inspected- Water Bailed wellbox Other Action Well Not <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Wel) ID Action Required Wellbox Cleaned Replaced Replaced (explain (explain Submltled <br /> below) below <br /> rM l+J - L( <br /> NOTES. —14-.- -4-5 i Abs >�fr,,?,a <br /> 13LAIIIE TECH SERVICES 114C $Ai!JOSE SACRAMENTO LOS ANGELES SAN DIEGO mwe Wflcledi tarn <br />