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i r <br /> WELLHEAD INSPECTION CHECKLIST <br /> Aage—L of./— <br /> Client ySGu j _. .. ..,. _ Date <br /> Site Address <br /> Job Numberax, Technician �o� <br /> Well Inspecled- Water Bailed Wellbox Other Action Well Not <br /> No Corrective From Components Cap Lock Tal•en Inspected Repair Order <br /> Well ID Action Required Wetlbox Cleaned Replaced Replaced (explain (explain Submitted <br /> below) below <br /> S- <br /> 5" 1�gs K <br /> 5-Z S <br /> S- ly-- <br /> S- <br /> NOTES <br /> BLAME rECN SERVICES IIIC 506N.105E SACRANIVITO LOS ANGELES SAFI DIEGO we Y wamelLo coin <br />