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• WELLHEAD INSPECTION CHECKLIST PageOF It <br /> Client Skc%, Date I - 3 ca <br /> Site Address 3 %41 G a St Ma."', s f,, re!jp v. <br /> Job (dumber c- arao -sH-r Technician S, Fack.+•.d., - _ <br /> Well Inspected- Water Bated Milbox i Other Action Well Not <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Well ID Actwin Required Wellbox Cleaned Replaced Replaced {explain [explain Submitted <br /> be below <br /> x <br /> ►'"t w•i x <br /> tl IAJ <br /> w- 413 <br /> x <br /> SA }c <br /> S Q x <br /> A <br /> NOTES <br /> BLAINC TeC}I SYMCCS 141C SAII JOSE �ACFIAMr_1111`0 LOS ANGELES SAH RICfb N'M+lyaktRlO�!Lam <br />