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IL• !' 4 <br /> . WELLHEAD INSPECTION CHECKLIST Page__�_�_af <br /> Client .S .��, Date -7 <br /> Site Address _ 3M <br /> Joh Number — yv%.S-Z Technician <br /> Other Action Well Not <br /> Well Inspected- Water Bailed Wellbox Cap Lock Taken Inspected Repair order <br /> No Corrective From Components Replaced Replaced (explain (e)(plain Submitted <br /> Well ID Action Required Wellbox Cleaned below below <br /> \r3rz <br /> nN <br /> S sC <br /> INS <br /> -------------- <br /> NOTES: <br /> BLATME TECH SERVICES.INC. SAN JOSE "CPAMENT0 LOS ANGELES SAN DIEGO ww .brafnaladl.oin <br />