Laserfiche WebLink
WELLHEAD INSPECTION <br /> Client: SK Site: LJ F-5 .�'f�cK?'� Date 7-3y <br /> Job -Zb ~��� Technician: �acs Page of <br /> Check Indicates deficiency <br /> -c: <br /> 6 T 7. CL <br /> _ O <br /> 7' m C u a p a3 <br /> c..... ..o .v.... .. =. in o zs c c is <br /> . _ . � � � C y 0 .... .....motes <br /> V 23 Q 2 <br /> 6i c] C C m N C N tE O <br /> m a = c {list if cap or Lock replaced,il there are access <br /> } fl " ° r�i �' a c sues associated w lh repairs,if traffic control is <br /> o w a <br /> ry) i m cn „^ o E o o required,if stand pipe damaged,or any specific <br /> U V el l I D U ° m H f� Q Q c m O w 11 details not covered by checklist) <br /> V+.r <br /> u�-✓ we" <br /> ,cc w <br /> C-t' <br /> , - _ j9 <br /> 90A <br /> Notes: <br /> BLAINE TECH SERVICES,INC. SAid JOSE SACRAMENTO LOS ANGELES SAN DIEGO SEATTLE www.t]Iainelech.=rn <br />