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WELLHEAD INSPECTION CHECKLIST Pw i of f <br /> Client -s t Date �� •!i-a� <br /> Site Address 1-1.10 ._ W. kG <br /> Job Number alt,[ 1?:M&I Technician 13 nows, <br /> Well Inspected- Water Balled Welbox Other Action Wait Not <br /> No CDrrective From Components Cap tock Talo Impeded Repair Order <br /> Well ID Action Required MOM Cleaned Replace Replaced (explain (explain Submitted <br /> belowl below <br /> )c <br /> i <br /> NOTES: <br /> BLAgV6 TECH SERVICES,tNG SAN JOSE SACRAM MM LOS ANGELES SAN DIEGO rrwww.bMbekCtLM <br />