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` WELLHEAD INSPECTION CHECKLIST <br /> Page r bf 1 <br /> Client S Date 9-yq. 0�3 <br /> Site Address ado -morxfa..-J «� s f-ogkt., <br /> Job Number r, 2 ., s .� Technician <.o#w 14CILe <br /> Well Inspected- Water Baled Weltbox OlherAchan Well Not <br /> No Corrective From Components Cap Lock Taken i Inspected Repair Order <br /> Sul <br /> Replaced Replaced (explain (explain <br /> Well ID Action Required Weltbox Cleaned <br /> below) <br /> below) below <br /> x <br /> v"w-3 X <br /> gnus,4 X <br /> Ir►w. �, >C a' <br /> �'lVJ•rr k i <br /> NOTES: <br /> eLAMie TECH SERMES WC SA"JOSE %RCRAMENTO LOS ANGELES SAN MEGA w•+w blanch J1 car <br />