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r <br /> WELLHEAD INSPECTION CHECKLIST Page t of 1 <br /> Client S (4<--R Date __ — <br /> Site-Address to 42"ki-C S�_6 Gy,. _G•r` C \A , <br /> Job Number b3 o5-6—) — �P^S— Technician <br /> Wall Inspected- Water Bailed Wellbox Other ACUon Well Not <br /> No Corrective From Components Cap tack Taken Inspected Repair order <br /> Replaced Replaced {explain (explain Submitted <br /> - Well ID- - -- Action Required _ =Weltbox_ -Cleaned- _-__--- _-- — -below)-- - -below-- - ------ —_- <br /> -- 1 X <br /> Vv%. <br /> � - \A <br /> v <br /> � � X <br /> `M. <br /> - - -- =w - --A= - �C--- _ -- -- -- ----- ------- - --- - - - ---= <br /> NOTES. �,��c.; r ��� 2,x �S�'_�„ � S .,_ ► t�}.g � .S .�.. <br /> ELAINE TECH SEFMCES,INC, SAN JOSE SACPAME ITO LOS ANGELES Spy CIEGO w� blalneledh Coni <br />