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. SHELL WELLHEAD INSPECTION CHECKLIST page t of� <br /> Client Date —J5 I (O <br /> Site Address 11(p,6 W . XA.Ll� <br /> Job Number G xr4j Technician '^t:�>, _ <br /> WELL IS WELL TAG <br /> Well WELL IS MARKED WITH 15 Other Well Not Inspected- SECURABLE THE WORDS PRESENT, Water Bailed Cap Lock Action Inspected Repair <br /> No Corrective Taken Order <br /> BY DESIGN "MONITORING SECURE From Wellbox Replaced Replaced (explain <br /> Required <br /> Action (IlTorleee) WELV AND (explain below) Submitted Well ID (+2'orless) CORRECT below) <br /> - 1 X-- )- x <br /> yc. y- <br /> JAAV <br /> �c <br /> _5 x K x <br /> q �c <br /> NOTES <br /> ELAINE TECH SERVICES INC SAN JOSE SACRAMENTO LOS ANGELES SAN DIEGO www Wanetech com <br />