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WELLHEAD INSPECTION CHECKLIST <br /> Page � of <br /> Client _ .�� ,[ _ Date <br /> Site Address 3 yt <br /> Job Number Technician <br /> Well.Inspected- Water Baited 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 Submitted <br /> below) below <br /> "14 <br /> ,rte_ �� ✓" <br /> .rte-� f <br /> NOTES <br /> BLAINE TECs!SERVICES INC. SAH JOSE SACRAMENTO LOS ANGELES SAN DIEGO <br /> www ptamascrh can <br />