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1 <br /> 1 <br /> • WELLHEAD INSPECTION CHECKLIST <br /> 1 Page � of <br /> Client Date v 'ZD-b15 <br /> 1 Site Address � 2 e <br /> Job Number Technician <br /> Wei Inspected- Water Balled Wellbox Other Actlon Well Not <br /> No Corrective From Components cap Lock Taken Inspected Repair Order <br /> 1 We14 ID Action Required Wellbox Cleaned Replaced Replaced (explaln (explain Submitted <br /> help below <br /> E <br /> ' Mw' X <br /> x <br /> 1 • <br /> i <br /> 1 <br /> 1 <br /> 1 <br /> ' NOTES <br /> 1 <br /> GLARkE TECH SERVPGES INC SAN Jose SACRAMENTO LOS ANGELES SAN MGO www biwelech arm <br /> 1 f <br />