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SITE INSPECTION CHECKLIST <br /> Client Date - 11-03 <br /> Site Address 4( 9`1 f`z�.-,� . ,I-fdC tai, -- <br /> Job Number U Jd 1.11-T5'r Technician a�a tiro <br /> r <br /> Site Status Sl Branded Station Vacant Lot Other <br /> inspected! Labeled ! Cleaned -All Wells on Scope Of Work <br /> inspected !Clearind Component.-= AJ': Other Identifiable Wclls <br /> Inspected Site for Investigation Related Trip Hazards Q <br /> Addressed All Outstanding Wellhead Repair Order(s) Q C. 7 <br /> Completed Repair Data Sheets(s) ❑ <br /> Inspected Treatment ! Remediation System Compound For Security, El N/ <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or ❑ elA <br /> Terrain, Overgrown Vegetation and Security <br /> PLEASE BE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED,NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW <br /> Outstanding Problems ! Comments (ln addition to other issues,nate all SOW wellborn that,by design,are not sea able) <br /> 3k a^ofM i� e�i� na }" f•�t <br /> i <br /> PROJECT COORDINATOR ONLY <br /> Checklist Reviewed Notes <br /> tnitlaMate <br />