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SITE INSPECTION CHECKLIST • <br /> Client SNcG Date r-/8-oma <br /> Site Address 377,5- %F-ACY xL-vi IPAG -- _-- <br /> Job Number 05;611$-TM - -- -- Technician T. 1q u(-G <br /> Site Status 5riF-tL -Branded Station Vacant Lot Other <br /> Inspected 1 Labeled I Cleaned - All Wells on Scope Of Work - <br /> Inspected 1 Cleaned Components - All Other Identifiable Wells NIA <br /> Inspected Site for Investigation Related Trip Hazards <br /> Addressed All Outstanding Wellhead Repair Order(s) [✓]� ITA <br /> Completed Repair Data Sheets(s) NIA <br /> Inspected Treatment! Remediation System Compound For Security, N!A <br /> Cleanliness and Appearance <br /> -Inspected-Vacant-Lot for-Signs-of-Habitation;Hazardous-Materials-or <br /> Td rain,Overgrow VVegetation-and-Securl'ty-- -�� -- - -- �- -- - <br /> PLEASE BE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED,NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW <br /> Outstanding Problems I Comments (In addlbon to other Issues,nate nit SOW wellboxes that by design are not securable) <br /> t-%V whir-I-6ox oN uLsY LI10 Nod LtMCT1d?j(1V PP-oPt:P-('V <br /> P► tjowM CHatMgoy- 1W FIAkxe K <br /> PPO.IECT COORDINATOR of ILY . <br /> I _ <br /> Checklist Reviewed � NotesViibal/Dale <br /> 6LAIVICTLCHSLRVICEE urC SArIJOSC SACIIAMEHTO LOS AIIGE[CS SAfl[W-Col �nvrUleineleeh ren <br />