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Well Condition Form <br /> Date: ; r`� '(� Field Crew: Mcar64?(O I-z-euej0 ,,ti & <br /> Project Name: Kearney-6F, Stockton name initials <br /> Project Number: U,6 ' ax L" <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 Free of Standing Working Lid Clean/In Additional Notes <br /> Legible Working Condition <br /> Water Condition Good Condition <br /> Condition <br /> AVT r �� ,/ 04- 3 T�ot ;> <br /> K,YJ -H A)0 Po �l3 All V/ l vacs(f- �4 skr1 <br /> 6 <br /> A) A) <br /> A) �f �/ Y�c�(� � C/te r, ke <br /> lV /f�/ t-�.4�k / <br />