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WELLHEAD INSPECTION CHECKLIST <br /> Page of�r <br /> Client ,� �,� Date S^ Q 3 <br /> Site Address l q7 r��o-.l- —J!-. l�ac�toh l <br /> Jab Number o3e) t41-:'r3 ! Techn clan J Gro <br /> Well Inspected- Waler Balled Wellbox Other Action Well Not <br /> IVa CalTeative From Components Cap Lock Taken Irrmpected Repair Order <br /> Well ID ActlenRegUlred Wellim Cleaned Replaced Replaced (ekpialn [explain Submitted <br /> bel be <br /> Jr-3 [ <br /> 5-1 X x <br /> [ <br /> [ <br /> 1� <br /> 1[ <br /> 1[ <br /> 1[ <br /> NOTES. <br /> f I <br /> if <br /> l� <br /> if <br /> MAINE TECH SERVME9,INC. <br /> SANlUSE SACRAMEFfiD LOS ANGELES SAlI SEGO wv+w b4trt9lRch Cpl <br />