Laserfiche WebLink
R y <br /> SITE INSPECTION CHECKLIST <br /> Client <br /> Date IL-11-0 3 <br /> Site Address %DCS /''vrc t 6A VIA <br /> Job Number 0 3 o.LI Technician 13 ra�ry <br /> Site Status <br /> ,S �,c� � Branded Station Vacant Lot Other <br /> Inspected 1 Labeled 1 Cleaned -All Wells on Scope Of Work <br /> Inspected 1 Cleanad C:=ponents -A'!- Other IrLrtifable Wclls - N/ 7 <br /> Inspected Site for Investigation Related Trip Hazards <br /> Addressed All Outstanding Wellhead Repair Order(s) N/� <br /> Completed Repair Data Sheets(s) <br /> I acted Treatment 1 Remediation System Compound For Security, [] N! <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or NIIfi <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 wellboxes that,by design,are not securable) <br /> �oj I.10 r j <br /> PROJECT COORDINATOR ONLY <br /> ;hecklist Reviewed Nates <br /> Irntaat/N]ate , <br /> I R I fII <br /> tl SLAIN I?TECH SERVICES INC SAN JOSE SACRAMENTO COS ANGELES SAN DIEGO +w b1mneleo cpm <br />