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Well Condition Form <br /> Date: l �, J LS Field Crew. Joyd- ~� r <br /> ,C�TL <br /> �� <br /> Project Name: Kearney-KPF,Stockton name initials <br /> Project Number: J 414 <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 />