Laserfiche WebLink
• SITE INSPECTION CHECKLIST <br /> Client Vc'" Date 3�Gf y <br /> Site Address _ /O71 V. <br /> ,fob Number Technician <br /> Site Status 5-46a Branded Station Vacant Lot Other <br /> Inspected I Labeled I Cleaned - All Wells on Scope Of Work <br /> Inspected 1 Cleaned Components -All Other Identifiable Wells CN/k) <br /> Inspected Site for Investigation Related Trip Hazards [r <br /> Addressed All Outstanding Wellhead Repair Order(s) F-1 NIA <br /> i <br /> Compfeted Repair Data Sheets(s) ❑ t Inspected Treatment Treatment I Remediation System Compound For Security, ED A <br /> Cleanliness and Appearance <br /> r- <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or E <br /> Terrain, Overgrown Vegetation and Security <br /> PLEASE BE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW <br /> Outstanding Problems 1 Comments {In addition to other Issues,note all SOW wetiboxes that,by design,are not securable <br /> PROJECT COORDINATOR ONLY <br /> Checklist Reviewed 3'-02-0!x his Notes <br /> initlallDate <br /> ELAINE TECH SERVICES.INC. SAN JOSE SACRAMENTO LOS ANGELES SAN DIEGO N:dnekcll�m <br />