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a <br /> WELLHEAD INSPECTION CHECKLIST Page t or <br /> a <br /> Client '?f—ett Date, n <br /> ' <br /> Site Address _L-{z t5 Lots S-�oc ick. <br /> Job Number Technician r_-►" <br /> -- ------ <br /> Well inspected= - Water Balled —WeilGnx— Other Acflon -I—Well Not— <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> _- - Well !D _ Action Required -Wet_lb-a-x_ --C. e_ane_d _R.e.�pla. ce._d.� ..Replaced� ....._(explain <br /> " (explain,r" Submitted <br /> . . _ .. <br /> Ig <br /> t <br /> NOTES: <br /> BLAIN@ 1'lGCHSERVICES INC, SAN JOSE 9ACPAMUrrO LOS ANGELES SMI DIEGO wwwUdrialirhimm, <br />