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SHELL WELLHEAD INSPECTION CHECKLIST Page,-of <br /> Client 5,4e!t Date -7 0lo <br /> Site Address Z3,104 jFIdorar.�o &+OL-k, <br /> Job Number 0 D -- Technician <br /> Well WELL IS WELL TAG Other <br /> Inspected• WELL IS MARKED WITH IS Well Not <br /> Acton <br /> SECURABLE THE WORDS PRESENT, Water Balled Cap Lack Inspected Order <br /> Repair <br /> No Corrective BY DESIGN "MONITORING SECURE, From Wellbox Replaced Replaced Tak (explain Submitted <br /> Action (12'oflew) WELL" AND (explain below) <br /> Well ID Required (trorleasS CORRECT below) <br /> ►haw- I <br /> rww -2 <br /> MW-4 !/ <br /> NOTES <br /> BLAINE TECH SERVICES INC SAN JOSE SACRAMENTO LOS ANGELES SAN DIEGO www blaft=h com <br />