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Well Condition Form <br /> Date: Field Crew: VJo <br /> Project Name: Kearney-KPF, Stockton name initials <br /> Project Number: )f,OQ ,- Grf,,L <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 <br /> Water Condition Good Condition Working Condition <br /> Condition <br /> - � �✓ A)A <br /> tn <br /> K5 _ � V/ ����� r <br />