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I 1 <br /> WELLHEAD INSPECTION CHECKLIST <br /> Page of e' <br /> -:, Client T✓z , i, w U 'o tLolto Date / <br /> L2I LrJ ( �"r <br /> Site Address ' 7p p/ - 14unl'&� SF, <br /> ( ' Job Number pytZ (hk,3e. ( Technician P - Gls•Lz-k . <br /> �) Well Inspected - Water Flailed Wellbox Other Action Well Idol <br /> / <br /> No Corrective From Components Cap Lock Taken Inspected Repair Order <br /> Well ID Action Required Wellbox Cleaned Replaced Replaced (explain (explain Submitted <br /> below) below <br /> ) <br /> trvx <br /> l ) <br /> ( <br /> i 1 <br /> l <br /> C> � NOTES ; <br /> 1 . I <br /> ( 1 <br /> ` J1 aLAIIIF TECH SERVICES,JrIC. SAM JOSE SACRAMCUTO LOS At IGELES 5A(I Olecu ��alnelem mm <br />