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Well Condition Form <br /> Date: ��f ja Field Crew: i <br /> Project Name: Kearney-KPF, Stockton name initials <br /> Project Number: / n i <br /> name initials <br /> If"No," note action needed and if remedied during visit. <br /> Well Completion Bolts Present/In Gasket for Well <br /> Locking <br /> Well Label Mechanism(s) In Well Cap In Good <br /> Well ID Free of Standing Working Lid Clean/In Additional Notes <br /> Legible Working Condition <br /> Water Condition Good Condition <br /> Condition <br /> Uri <br /> V-, S - zw"-) A ? Cv Uf- <br /> ✓ ✓ N V/� <br /> �s ✓ �J N <br /> SMW ��,�� <br />