Laserfiche WebLink
B� II��E 16130 ROGERS AVEIIUE I Y-['�Jl_LP AD h ISPEC i IOV <br /> SAiI JOSE,CALIFORIIIA 95112 <br /> TECH SSRVICES,-� (}06)573-7771 FAX Client � 411 <br /> .o �. <br /> 54e Address 3 7 �c <br /> i Techniciar l <br /> Dale <br /> -fyb- <br /> f did on bo-(-r 6 Casing secure 7 12 Waler standing rn wellbox? 15 Well cap funchonal7 <br /> 2 lid biof en7 7 Casing cut level? 12a Staiindina above die top of c2s1110^ 16 Can cap be pt filed loasp7 <br /> q Ud bolls inissrno 7 9 Debris m welltox i il 2b Standing below lVe tip of casing 7 17 Can cap seal out wafer 7 <br /> 'I Ltd bofts sinpped? 9 `Nellbox i5 too far above grade? 12c Water even with file top o1 casing? 18 Padlock preserrl7 <br /> 5 Ud seal intact' 10 wellbox is too far belo%i arade7 13 -wen cap presela-7 _ _ Iq Padlock funchorha17 <br /> ill YVellbox is ausfied/darnaged7 14 Well cap found secure? <br /> Check bv'( It no deficiencies were found Note below deficiencies you were able to correct <br /> Well f D Deficiency Corrective Action 1 aken <br /> I ale below all defienries Ilial could rlol be corrected and still geed Io be coirecled <br /> BTS-Office-assrgns-or Dale hale <br /> Well i D FetSISI111Deficiency deters Correction to a55191led corrected <br />