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ENVIRONMENTAL WELL,REMEDIATION COMPOUND,AND SITE INSPECTION FORM Page of <br /> INCIDENT# ,J <br /> ADDRESS ,T5"60 <br /> DATE: f CITY&STATE <br /> Woluvikkil ia ,. Repair-Date; <br /> - <br /> biij;&6�lsu "MiTahit. 6ti,;Recdmm11" PM <br /> " t <br /> (Pah R9parts a <br /> Recommended <br /> Condition lbitals, <br /> and[Inch) <br /> Wrd- In plpl Flush ov G') <br /> (to R NL <br /> N R P Y g, <br /> sins(Inch) <br /> Standpipe Flush G P Y N G R G R NL G P Y N <br /> Size(JAWq <br /> Standpipe Flush G P Y N G R G R NL G P Y N <br /> St.(trum) <br /> Standpipe Flush a P Y N G R G R NL G P Y N <br /> Shu,(l Ahj <br /> Sho,(In1h) <br /> Standplpel Flush G P Y N G R G R NL G P Y N <br /> Size(Inim) <br /> Standpipe Flush G P Y IN G R G R HL G P Y N <br /> Standpipe Rush G P Y N G R G R NL G P Y N <br /> su.ji.oh) <br /> Standpipe Flush G P Y N G R G R NL 0 P Y N <br /> alix(ImId <br /> Standpipe Fituil' G In Y N G R G R NL G P Y N <br /> shapirch) <br /> Standpipe Flush G P Y N G R G R NL G P Y N <br /> Standpipe Flush G p Y N G R G R NL G P Y <br /> TOTAL#CAPS REPLACED= =TOTAL#OF LOCKS REPLACED <br /> biff6wofsail Boniest <br /> c'nagQw- <br /> 46 ,I , Y N <br /> ring(Welir. <br /> fbi <br /> s-Compa"undi7ype rCoritli(ien of Enclosure a <br /> 'Enclsul <br /> widflg <br /> Building did Fence Comp. G P NIA G G P N/A Y N NIA Y N <br /> Fitriced Compound I <br /> Troller 77 <br /> Car <br /> 6i; <br /> Nutdbarof �?-Lmal�d Correalyand D.ms Lo'callAd <br /> �"Dods� 1DrumsA,r:¢itn 5 cel the 1 1,� 0�'C,mdtfl. FolaW to, Ad a I' ,in <br /> pare <br /> c�a 'n as inwrtamnno <br /> cone vel <br /> Y N NIA G P NA Y N Y N I NIA Y N <br /> G=Good(Acceptable) R=Replaced All environmental wells and the regimentation compound were In good condition, <br /> P=Poor(needs attention) NL=No Look Required locked,andsocurad upon my departure(unless otherwise noted above). <br /> Noun,Ali mpaim alarm en Ineks A-d 0m,erste ouma Sb,II PM nopr nlor lore air <br /> -=GoinnAnno.,monom,Wei..M mtol me painloof And W"Ied In acconlance wile appIlAuble mquiallonAe. <br /> Version zA.Mich 2003 Print or type Name of Field Penumnef&Consultant Company <br />