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Well Condition Form /,. <br /> Date: �• 2'l�� g Field Crew: C` IVC, KbA <br /> Project Name: Kearney-KPF, Stockton name initials <br /> Project Number: �/�,�((:64 r+ f <br /> name initials <br /> If"No," note action needed and if remedied during visit. <br /> Well Completion Bolts Present/In Gasket for Well Locking <br /> Well Label Mechanism(s) In Well Cap In Good <br /> Well ID Legible Free of Standing Working Lid Clean/In Additional Notes <br /> Le <br /> g Water Condition Good Condition Working Condition <br /> Condition <br /> s ►�� - S ✓ �,J NPS <br /> V V �J �/ i� <br />