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s A) r <br /> WELLHEAD INSPECTION CHECKLIST <br /> Page„�vf,�� <br /> Client <br /> Date <br /> Site Address [,�"�� L&j 5 C-, <br /> Job Number Technician <br /> Well Inspected- Water Bailed Wenbox Other Aclon Well Not <br /> No Corrective From Components Cap Lock Taken lnspectsd Repair Order <br /> Well ID Actlan Required Wetlbox Cleaned <br /> Replaced Replaced (ekplabn (explain 3ubmMed <br /> below below <br /> i -3 <br /> W%,w--� <br /> vvv .i s <br /> ,rv%w t.#J C a <br /> X <br /> V <br /> NOTES: <br /> BLAINE TELM SEAVIGes.mC SAN JOSE SACRAIEN-ro LOS ANGELas SMI DIEGO www bialnnlvrh cm <br />