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WELLHEAD INSPECTION CHECKLIST <br /> t'agc <br /> Client _ Date �Y G F V <br /> Site Address Mal <br /> Job Number 0TI� `!� Techrnclan +C�iYJ/�� <br /> Well Inspected- Water Haled Wellbox other Action Well Not <br /> No Corrective From Components Cap Loch Tei en Inspected Repair Order <br /> Well ID Action Required Welibox Cleaned Replaced Peplaced (explain (explain Submitted <br /> below) below <br /> �vv <br /> yr ,� <br /> NOTES <br /> GLAUIE TECH SERVICES it L SAN JOSE SACP,VEi+TO LOS ANGELES r7EG0 rrr4 hh�nclect yam <br />