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WELLHEAD INSPECTION CHECKLIST page of <br /> Ghentj1p _ Oate f12 aj„ <br /> Site Address 7 �'�� _ _ � �I <br /> Job Number ( [ 2(_p Vit- -,2-- Technician 4c_ <br /> Well Inspected- Water Balled Weilbox Other Action Well Not <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Action Required Wellbox Cleaned Replaced Replaced (explain (explain Submitted <br /> Well ID below) below <br /> AAQ- 1 <br /> ,vw —AAW `C <br /> r �Y <br /> c <br /> r <br /> r <br /> NOTES <br /> ELAINE TECH SERVICES INC SAN JOSE SACRAMENTO LOS ANGELES SAN DIEGO www bieinelecn com <br />