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WELLHEAD INSPECTION CHECKLIST - <br /> Page of <br /> Client Date 3 <br /> 1 <br /> Site Address <br /> Job Number O�U���,J,,t-r/ Technicianc� <br /> Well Inspected- Water Bailed Welibox Other Action Well Not <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Well IQ Action Required Welibox Cleaned Replaced Replaced (explain (explain Submitted <br /> below) below <br /> l - <br /> w- v <br /> w�3 � <br /> NOTES: <br /> eLAIME TECH SERVICES,NC. SAN JOSE SACRAMENTO LOS ANGELES SAN DIEGO wvw.bl�inalodt[a� <br />