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SITE INSPECTION CHECKLIST • <br /> Client S k' n Date 3- 1-1-0&1 <br /> Site Address <br /> Job Number pwo�nw- ��I Technician <br /> Site Status S l Ic 1l Branded Station Vacant Lot Other <br /> Inspected 1 Labeled I Cleaned -All Wells on Scope Of Work <br /> Inspected I Cleaned Components -All Other Identifiable Wells El Gk <br /> Inspected Site for Investigation Related Trip Hazards Q <br /> Addressed All Outstanding Wellhead Repair Order(s) NI <br /> Completed Repair Data Sheets(s) N! <br /> Inspected Treatment I Remediation System Compound For Security, CRO <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or E-1 N1A <br /> Terrain, Overgrown Vegetation and Security <br /> PLEASE DE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED,NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW <br /> Outstanding Problems 1 Comments (In addition to otherIssues,note all SOW wellboxes Thal,by design,are not securable) <br /> r ff S er <br /> PROJECT COORDINATOR ONLY . <br /> Checklist Reviewed _� s.� Notes <br /> InfltaWala <br /> BLAINE TECH SERVICES.INC. SAN JOSE SACRAMENTO Los ANGELES SAN DIEGO v Malnet�ch.00m <br />