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ENVIRONMENTAL WELL,REMEDIATION COMPOUND,AND SITE INSPECTION FORM Page of
<br /> INCIDENT# C11 � � �L ADDRESS
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<br /> DATE: CITY 8 ST
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<br /> Size(Inch)
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<br /> TOTAL#CAPS REPLAC£Q= `,; ';•,.` =TOTAL#OF LOCKS REPLACED
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<br /> Building
<br /> Building wl Fenco Comp. G P N/A G P A G P iA Y N '�NJ�A`� Y N
<br /> Fenced Compound
<br /> Trail
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<br /> 1'rivtrgpmantal Condition
<br /> Y N tN/A Y N N/A G P NlA Y Y N Nlq y
<br /> G-Good(Acceptable) R=Replaced All environmental wells and the remediation compound were in good condition,
<br /> P=Poor(needs attention) NL-No Lock Required locked,and secured upon my departure(unless otherwise noted above).
<br /> NM••Al repaln other th•n loc%%and hrieo n repWrc Shell PM approve!Prior to re,P rr.
<br /> 'n(),a ndQ ter motitonng we;coven mua(be ptried and labe3d in vocordtme with app,i=b:3 regubEans.
<br /> Verron 2.4,M rch 2008 Print or type Name of Field Personnel& onsultant Company
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