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Client SELL <br /> SITE INSPECTION CHECKLIST <br /> 5 <br /> Date <br /> Site Address Ilfao c�, �4S��11T,E �� � �C <br /> Job Number iter Z Technician <br /> T. M 1lLL6Y <br /> Site Stratus Branded Station Vacani Lot Eejr _5fV-1V <br /> Inspected / Labeled I Cleaned -All Wells oil Scope Of Wolk - ❑ <br /> Inspected / Cleaned Components - All Other Identifiable Wells <br /> ❑ iV1A <br /> Inspected Site for Investigation Related Trip Hazards <br /> x <br /> Addressed All Outstanding Wellhead Repair Order(s) El <br /> �I IN:IA <br /> Completed Repair Data Sheets(s) ❑ NIA <br /> Inspected Treatment 1 Remediation System Compound Foi Security, <br /> ❑ J�IA <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or ❑ <br /> I`JIA <br /> Terrain, Overgrown Vegetation and Security <br /> PLEASE 8E ADVISED THAT,UNLESS OTHERWISE INSTRUCTED NO REPAIRS ARE PLAhINED FOR THE ISSUES DESCRIBED BELOVI <br /> Outstanding Pi oblems / Comments [in addition to other issues note ail SOW wellbores[hot by design are not securable) <br /> l�kgKtnJti k B 5Y 19`7 IS SfLo Ki=N it iiitR STicx,al aU OF Cit, � <br /> PROJECT COORDINATOR Of U <br /> Checklist Reviewed �� J\Jotes <br /> nrllal![late <br /> CLrurL TECH SEFMCE"+nC SAn JOSE EACR.ir ILn1) <br /> � LO'klGLLES SAN tnCGO yrreldauplerli[o-n <br />