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WELLHEAD INSPECTION CHECKLIST �~ <br /> Page < of <br /> Client ctazs <:C,0-45. f Date 3/11/Zoog <br /> Site Address �gdl i�irSt L a Citi vim, <br /> Job Number _oYy 3I — S N-I Technician <br /> Well Inspected- Water Baited Wetlhox Other Action Well Not J <br /> No Corredlve From Components Cap Lock Taken Inspected Repair Order <br /> Well ID Action Required Wellbox Cleaned Replaced Replaced (explain (explain Submitted <br /> below) below <br /> K <br /> X <br /> IDA t.tf-7 " <br /> k <br /> t� <br /> r7r'1 W-L7k <br /> J <br /> J <br /> NOTES: .�jj <br /> J <br /> BLAINE TECH SERVICES,INC. SAN JOSE SACWIDITO tOS ANGELES SAN DIEGO wirw.Walnelech,cmt <br />