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r b � • <br /> WELLHEAD INSPECTION CHECKLIST Page ol-- <br /> Client 5 - _- Date -7 - 7--04 <br /> Site Address Z Z r> . de-)e�-eAA C. V4 <br /> Job Number Technician `fAVeS <br /> Well Inspected- Water Bailed Welibax Other Action we"Not <br /> No Corrective From Components Cap Loci. Taken Inspected Repair Order <br /> Well ID Action Required Wellbox Cleaned Replaced Replaced (explain (explain Submitted <br /> beton) below <br /> W4 t-j'Z <br /> LJ" / <br /> NOTES <br /> B[AIIJETECH SERVICES IIJr' 5AIIJOSE SACRAPIE14TO LOSA14GELES SAF!arLGO rrv�trl0rnetechcorn <br />