Laserfiche WebLink
i <br /> SITE INSPECTION CHECKLIST <br /> Client S Date 3 -11 -0 1� <br /> Site Address Jill ('1.. r C 1. Fu 11 <br /> Job Number 0-361 13 . 3 Technician j 13A"Itla%q <br /> Site Status �e-j j Branded Station Vacant Lot Other <br /> Inspected I Labeled 1 Cleaned -All Wells on Scope Of Work 0 <br /> inspected 1 Cieannd Components -AJ'- Other ldontifiable WLIIs - © NIA <br /> Inspected Site for Investigation Related Trip Hazards Q <br /> Addressed All Outstanding Wellhead Repair Order(s) [� NIA <br /> Completed Repair Data Sheets(s) X NIA <br /> 10&cted Treatment I Remediation System Compound For Security, NIA <br /> Appearance Cleanliness and A �� <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or 0 CN/4 <br /> terrain, Overgrown Vegetation and Security <br /> PLEASE BE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED,NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIEIED BELOW <br /> Ju/tstanding Problems / Comments pn additlon tD other Issues.note all SOW wellboxes that,by design,ata not securable) <br /> LJ <br /> I< 3 -7 %FCr 1 . I, �I :.•,.J� 6r e, xG r_. rZ. !�, .J nr '�a ifs �v1A) <br /> 1 <br /> PROJECT COI]RDIRATOR ONLY <br /> I <br />,hecklist Reviewed Notes <br /> InitlallData <br /> @LAWE TECH wRv10Es Mr I... --- _- <br />