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• ( i <br /> Y E C <br /> w <br /> WELLHEAD INSPECTION CHECKUST 1 3 200�89e 1, aF L <br /> r ENVIRONMENT HEALTH <br /> Client S-kivI Y.�...- .._..`_. Date PERPjdF,�y6fKf <br /> Site Address I b v:eb. �� a <br /> Job Number o L io - ?� Technician w�H <br /> Well inspected- Water Bailed Wellbwc other Action Well Not <br /> No CompcUvB From ComponGnbs cap Lark Waken Inapesad Repair Order <br /> Well ID Actbn Raqulmd Walibme OMwd Replaced Raptaced be laln {bexplain - Submitted <br /> efcM <br /> rev- � 7C <br /> NOTES: - <br /> �l <br /> aLAMa'rEGM SkT RE$1ND. SAN JWB SACRAMENTO 606 ANDS IS @JW 01E60 mnr,6 ,o0m <br />