Laserfiche WebLink
x <br /> SHELL WELLHEAD INSPECTION CHECKLIST Page—Lot__ ___ <br /> Client Date <br /> Site Address IS76W, <br /> Job Number _ 6Cgp7 !jr > _ - Technician - <br /> Well WELL IS WELL TAG Other <br /> Inspected- WELL IS MARKED WITH IS Action Well Not <br /> Repair <br /> SECURABLE THE WORDS PRESENT, Water Bailed Cap Lack Inspected <br /> No ActiCorron <br /> BY DESIGN "MONITORING SECURE, From Welibox Replaced Replaced Taken (explain Order <br /> Action {12•orless) WELL" AND (explain below) Submitted <br /> Required below) <br /> Well ID i12"orless) CORRECT <br /> IAL <br /> AA- <br /> r <br /> t� y4L Pe do .� <br /> AW ~ <br /> Alio:l Y, <br /> :L� Ll <br /> NOTES: ,,mow azo-L1 !.c <br /> tLfk <br /> PA-1 4-6—. G – r - — <br /> BLAINE TECH SERVICES,INC. SAN JOSE SACRAMENTO LOS ANGELES SAN DIEGO www.blalnetech.com <br />