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NOV 1 3 2003 <br /> WELLHEAD INSPECTION CHECKLIST <br /> Page I of <br /> Client 04."amDate _ So1So�� <br /> Site Address �Ari. GA' , <br /> Job Number O-;yp_r,p -R4^-t _ Technician 1✓l . �-rat,.s �.r. <br /> Well Inspected- Water Bailed Wellbox Other Action Well Not <br /> No Corrective From Components Cap Lack Taken Inspected Repair Order <br /> Well ID Action Required Wellbox Cleaned Replaced Replaced (explain (explain Submitted <br /> below) belcw <br /> raw-1 X, <br /> KA%,J - �C <br /> IAw-6 <br /> -7 )C <br /> mow-g X <br /> r�•a`g �C <br /> NOTES M+n� -7 } l St,%;nts a d +•�� -g ► o*-(N. 7-- <br /> mw- z_ <br /> -- <br /> M.w-G i�o#iti. `� �ti .eol rt�1tV.?- Hca 1 <br />