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S— <br /> An An <br /> VIDEO SURVCY REPORT <br /> FAX(661)834-2550•(800)44t-91914•(661)834-8100 <br /> `]�,,•--r� � / <br /> Customer �l4n�1 !_ �_� .! f r Yf"�' 1 Job No. 3Run No. <br /> Address Well No. � d►'1at//s���c� Date 0 S Cr X 0-0 <br /> City State Zip Location �r� Z �f'n�Am 8l o/C7 <br /> Request By Cust. P.O. 5 _ <br /> Copy To <br /> Reason for Survey Zero Datum A 0 <br /> Survey By ' Truck No. <br /> DEPTH REMARKS <br /> i r <br /> lc o w- 01 r <br /> 3 65- <br /> NOTE: <br /> CASING CONDITION: <br /> �l y <br /> ID at Surface Reduces to at at at <br /> Diameter Reference: ❑ Caliper Survey ❑ Estimate from TV/Photo Survey ❑ Well Records <br /> Corrosion/incrustation Build-up 0 Light ❑ Moderate 0 Heavy 0 Increases with Depth <br />