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WELLHEAD INSPECTION CHECKLIST <br /> - page i- of 1 <br /> Client Sl,,�1 Date - n <br /> Site Address _140 , <br /> Job Number _. ,1�.�- ark-r Technician <br /> Well inspected- Water Balled Wellbox Other Action WWI Nat <br /> No corradtve Ftorn Cottlpcnents Cap lock 'Faker lnspected Repair Order <br /> Well ID Action Regulted weibox cleaned Replaced Replaced (explain (&VWn Submitted <br /> balum WOO <br /> Was <br /> -7 <br /> E <br /> NOTES: <br /> MME Mcm saw"C: ,WM $"JOSE _ 6ACRAMEWO LOB AUSELEB SAN DIEGO rhm bTal e <br />