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a� 'y <br /> WELLHEAD INSPECT1 N CHECKLIST page <br /> Cflent74tk Date 2l�.3tp+{ <br /> Site Address C71 <br /> Jeb Number nupti-t,K,—lf?.+�t .. Technician +tit .AA CCn#t,To.,� <br /> Well Inspected- Water Bailed Weltbux i Other Acton Wall Not <br /> Ho CorrE1=6From Components Cap Lock TakenI Inspected repair Order <br /> Well ID ActionRegutred j Wellbox Cleaned Replaced Replaced (explain Eeaptain Submitted <br /> bebm be! <br /> %a <br /> ►.mow-- i X X <br /> ,rv�,rJ l3 }C X, <br /> NOTES 1 C-P-M wA a E <br /> BLAM&E1ECHSERVCES*C 5A"JOSE 4AWNL4F_r110 LOSAMCCLHS SANDOEf,O .nn.Al�,nRlaehC9^� <br />