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i SITE INSPECTION CHECKLIST <br /> Client Date <br /> Site Address 3-/! C tilrn ,�►,Dv.. <br /> Job Number 05,03/7 -AW - Technician / o� �•-� /� <br /> Site Status S46V Branded Station Vacant Lot Other <br /> Inspected I Labeled 1 Cleaned -Ail Wells on Scope Of Work <br /> Inspected I Cleaned Components -All Other Identifiable Wells ❑ NIA <br /> Inspected Site for Investigation Related Trip Hazards ©r <br /> Addressed All Outstanding Wellhead Repair Order(s) 0 <br /> Completed Repair Data Sheets(s) ❑ NI <br /> spected Treatment I Remediation System Compound For Security, ❑ <br /> 'Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or ❑ <br /> Terrain, Overgrown Vegetation and Security <br /> PLEASE BE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED,NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW <br /> Outstanding Problems I Comments (In addition to other issues,note all SOW wellboxes that by design,are not securable) <br /> PROJECT COORDINATOR ONLY <br /> 4! <br /> Checklist Reviewed _ 4V x-i4�_ Notes <br /> Initial/Date <br /> SLAINE TECH SERVICES INC SAW JOSE SACRAMENTO LOS ANGELES SAFE DIEGO yrxwblpinetetAran <br />