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.� /± ENVIRONMENTAL WELL,REMEDIATION COMPOUND,AND SITE INSP CTION FO Page_of <br /> +9 <br /> INCIDENT# 9 G3 L� ADDRESS coy-des <br /> DATE: 111 CITY&STATE ✓(a C <br /> Observations Upon Arril ' <br /> Well Labeled f Well Ca Well Pad l Note Repairs'Maee Plititos of Repair Date'. <br /> Well ID p Detalled Explana+ien 00AM16nance Rerommended Well and PM <br /> Manway Cover,Type,Condition Size Painted .:.(Gripper) Well Lock Condition Surface and; ed. Condition Initials <br /> erly' Condition '.Condition <br /> "' <br /> h.hl <br /> Jy1 W., to tlpip Flush G P �yr t,( N6 R G R NL P Y <br /> t sw(Inch) <br /> W �� fanpip Flush G P 4644 N G R G R NL P Y <br /> alio gnm) <br /> Standpipe Flush G P Y N G R G R NL G P Y N <br /> Sha nch) <br /> Standpipe Flush G P Y N G R G R NL G P Y N <br /> sin(Imb) <br /> Standpipe Flush G P Y N G R G R NLG P Y N <br /> slae finch) <br /> Standpipe Flush I G P Y N G R G R NL G P Y N <br /> sue finch) <br /> Standpipe Flush G P Y N G R G R NL G P Y N <br /> sne(nch) <br /> Standpipe Flush G P Y N G R G R NL G P Y N <br /> 640{IneM1j <br /> Standpipe Flush G P Y N G R G MT.TAL. <br /> Y _ N <br /> aha pnm) <br /> Standpipe Flush G P Y N G R G Y N <br /> S'na(inch( <br /> Standpipe Flush G P Y N G R G Y N <br /> TOTAL#CAPS REPLACED= - Ic ACED <br /> Cdfidition o(SoIl BoringPatches or `, -' Y N <br /> AI(8nilon)SQ Monitodog .,.. G P WA `IfPOb[{411pganA51d9Da p[LaCgJlon DmseYfpdon' <br /> •,R;�gt(mCehd«Wkthex¢'s`(ni6iaPPh'7 , -?<. FmrFaaunr%M„xk CVtnl' <br /> Ion Ur _ <br /> as".. . ..p411ilgilane Condo"ctad �Phoonfdolsuoopf n.pPaMlrImWrUe;snd- <br /> u. <br /> .., <br /> NA <br /> BulLd_, g <br /> Building w9ncp Comp. G p NIA G P (NiG P WA Y N A Y N <br /> /F <br /> Fenced Compound <br /> Tniler <br /> sS' !(ialnd Rroms�_ � l Phates or Mm rid lrom`. <br /> Na(intlnr of Oous the Lobel Reveal tho Labdigtl CdnoetfYantl < Dmms Loeated'Ip DetelledE%'Iknat'an e"YAn lwuds Rosoived Drum' <br /> DNrhs On�Itp $orrrcc of the CaM4nfs writing Lefllble" -. Dm1roGt'ondlt�aP ftalatpd Ro P. Y src <br /> r:'EnvYmdmentet;:: <br /> BuskwssinWrtarvnde conmtio� ,,,d Pm 1. lhls'; <br /> - r N NIA Y N NIAG P NIA Y", N Y N WA Y LN <br /> G=Good(Acceptable) R=Replaced All environmental wells and the remed lon compound were In good condition, <br /> P=Poor(needs attention) NL=No Lack Requlred locked,and secured upon my departure(unless otherwise noted above). <br /> Nota.Alin aln other e,.11 in tl em ul SO[s PM11 1 G!in\�( r 1 19 ( �_-- <br /> •e GrauMwala manilampwel covers must bn painlad end lebelsd in acwmance w9h apprmeble naWeuonA �YI Il _ <br /> vii i 3.4,Mamh 4009 Printer type Name of Field Personnel&Cans Item Company <br />