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WELL CONDITION STATUS SHEET <br /> lient/Faeility a: Chevron #306620 Job#: 385833 <br /> ite Address: 5606 Pacific Avenue Event Date: 61 17 l e <br /> fly: Stockton, CA Sampler: rT <br /> APRON <br /> Vault Gasket/ BOLTS Bolt Flanges Condition Grout Beal Casing REPLACE REPLACE Pictures <br /> WELL 10 Frame O-Ring (M)Missing = Broken C-Cracked (chesfro (Condition LOCK CAP WELL VAULT Taken <br /> Condition (M)missing (R)Replaced S=Shipped B-Broken Inches from prevents tight YIN YIN Manufacture/Size/#of Bolts <br /> R�Retep G-Gone TOC cep seal) Yes I No <br /> 11u-? o)(, /V /`i �2'`maRRI'Sul-/ <br /> Ike 11 <br /> q�lt o )e- � <br /> 1,E U)t- <br /> V)w-i9 01C <br /> LIP-2A OIL, <br /> by 32 61C. <br /> II <br /> hw <br /> omments <br />