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F <br /> t I ! <br /> _ SITE INSPECTION CHECKLIST <br /> Client s 4e- l Date 3 - 0 -03 <br /> Site Address goo V,'c for- 4L u�,{,• <br /> Job Number d 3 U 3 13 - T d d Technician 13 r-o, , <br /> Site Status Co"o 6,,&5 Branded Station Vacant Lot Other <br /> Inspected/ Labeled / Cleaned -All Wells on Scope Of Work Q <br /> Inspected / Clear,3d Components s -AM! Other Idantifliable Mils � N/ <br /> inspected Site for Investigation Related Trip Hazards 0 <br /> Addressed All Outstanding Wellhead Repair Order(s) NI <br /> Completed Repair Data Sheets(s) aA) <br /> Inspected Treatment 1 Remediation System Compound For Security, H/ �I <br /> Cleanliness and Appearance <br /> nspecte_d Vacant Lot for Slgns_of_Habitation,_Hazardous=Materials=or-- — — ----- N/ _--- - <br /> rerrain, Overgrown Vegetation and-Security <br /> PLEASE HE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED.NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW - <br /> 3utstanding Problems I Comments (In add'Iinn to other issues.nole d SOW milboxes that,by design,are not securable) <br /> .51 fe =1 ��ry,troyC— <br /> oti ar-G TG�aFr� B�vi�ON r,Gr,10"1 f.. <br /> I R r• n <br /> PROJECT COORDINATOR ONLY � <br /> hecklist Reviewed Notes <br /> Inillat113a1e <br /> eLA1HE TECH 5EtV1LE5.1NG SAN JOSE SACRAWJM3 LOS ANGELES SAH DIEGO www-lIneled"M <br />