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I , <br /> WELLHEAD INSPECTION CHECKLIST <br /> Page of � <br /> Client <br /> �j1, _w Date <br /> Site Address V5`1-0 pJ <br /> Joh Number Technician CI0 .)a•L+ <br /> Well Inspected- Water Balled Welbox MerAckin Wall Not <br /> No Can-ecllva From Components Cap Lack Taken Inspected Repair Order <br /> Well ID Allan Required Wellbox Cleaned Replaced Replaced (explain (explain Submltted <br /> below) below <br /> waw--LA <br /> NOTES: <br /> M AM TECH SERVICES IWC SAN JOSE SACRAIADITO <br /> I.O9 ANGELES SAN OIEG,6 �9 www h131nR47rJ7 mm <br />