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I <br /> WELLHEAD INSPECTION CHECKLIST Page 'I It j <br /> Client _ - .� Date -dyj <br /> t1� <br /> AAMAAmm4 Site Address M -I --Now- �J :1`r, . ..� <br /> Job Number 050108 -lee,t _ Technician 4M <br /> Well Inspected- WaterMled Wellbox Other Action Well Not <br /> No comxsve From Components Cap Lock Taken Inspec{ed Repair Order <br /> Well f D <br /> Action Required Wenbox Cleaned Replaced Replaced (explain (explain Submitted <br /> ff beW below <br /> w-z <br /> � F <br /> 3 � <br /> r <br /> {i0 s s <br /> 1� <br /> NOTES. <br /> BLAINE TECH SERVICES.M SAN JOSE SACRAMENTO LOS ANGELES SAN n1EOD <br />