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WELLHEAD INSPECTION CHECKLIST page_ o;� <br /> Client ;JELL Date IQ�?q Y <br /> r <br /> Site Address AAA,P3 ST , (P4'kj <br /> ,fob Number Ogg, Lqj `f `'(3 j Technician <br /> Well Inspected- Water Bailed Wellbox Other Action Well Not <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Well ID Action Required Wellbox Cleaned Replaced Replaced (explain (explain Subrnilled <br /> below) below <br /> A,L4j- <br /> [AW- <br /> iMW- <br /> PAW--5� -I< <br /> -i X7 <br /> �w 'Z <br /> NOTES: <br /> 2L.AIME TECH SERMES,M. SAN JOSE S.ACRM.IIENTO LOS ANGELES SAH 01fG0 vr.•:.r.tlair:eta:h.corr7 <br />