Laserfiche WebLink
uyl uR <br /> SITE INSPECTION CHECKLIST <br /> Client Date <br /> Z-//.2 6 Ar/ <br /> Site Address 7700 /qo,reA—,/ Ce VbC-k1 ' <br /> Job Number 01'IWZ6-WAIS' Technician <br /> Site Status S4 e, Branded Station Vacant Lot Other <br /> Inspected I Labeled I Cleaned - All Wells on Scope Of Work <br /> Inspected I Cleaned Componente - All Other Identifiable Wells I r i N/A <br /> Inspected Site for Investigation Related Trip Hazards <br /> Addressed All Outstanding Wellhead Repair Order(s) E <br /> Completed Repair Data Sheets(s) �q <br /> Inspected Treatment 1 Remediation System Compound For Security, <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or N/ <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 1 Comments on addltlon to other Issues,nole all SOW wellboxes that by design,are not securable) <br /> Walrs on O,P Aan& Aad eve- sEeu.ee, <br /> PROJECT COORDINATOR ONLY <br /> Checklist Reviewed sK y- Notes <br /> CLAIRE TECH SERVICES 11 IC SAM105£ SACRAMFIITO LOS AW�.ELES SAI!DIEGO www nUmelechcoin <br />