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SHELL WELLHEAD INSP'ECT'ION PORE <br /> (FOR SAMPLE TECHNICIAN) <br /> Site Address — yl.khka,IIK Naa'5L Date Lr <br /> Job Number Ir ��.��. jo,.�,,4 Technician ia Page_hof <br /> a m — 3 $ m We"Nof Previously <br /> p Inspected New Identified <br /> C rc o o'o, g m 3 a lexpiainin �a�� Daficleray Notes <br /> o v X�f 2 x notes) Persists <br /> Well ID\ <br /> Mw <br /> r <br /> h%vi <br /> �S GD I <br /> Mw -f� rn <br /> Mv�-7 <br /> vJ-a (a <br /> MW - to tcD <br /> Ntw -t3 Lcfl :r <br /> Sud-i� IL <br /> 'Well box must meet ali three criteria to be compliant:1)WELL IS SECURABL BY DESIGN(12"or less) 2)WELL IS MARKED WITH THE WORDS <br /> "MONITORING WELL' (12"or less) S)WELL TAG IS PRESENT,SECURE,AND CORRECT <br /> Notes: <br /> BWNE TECH SERVICES,INC, SAN JOSE SACRAMENTO LOSANGELES SAN DIEGO SEATTLE wrrx.aaNlelecn com <br />