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WELLHEAD INSPECTION CHECKLIST <br /> Page l of ?— <br /> Client ar Date 11 S <br /> Site Address !D r . tdc<< <br /> Job Number Z 1 i c I Technician <br /> Well Inspected- Water Sailed Wellbox Other Action Well Not <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Well ID Action Required Wellbox Cleaned Replaced Replaced (explain (explain submitted <br /> below) below <br /> 2 � <br /> L X <br /> x <br /> 3 <br /> 5 � <br /> NOTES <br /> f3 AINE TECH SERVICES INC SAN JOSE SACRAMENTO LOS ANGELES SAN DIEGO www bialrtetech wart <br />