2018.02.22_COD_Inspection Gas Well Inspection Type 2017 Annual
�oF I n s p e ct i o n s Inspection Cycle 2nd Half
_ DENTOR
24hr Phone 855-820-6008 Well Operator Eagleridge Inspection Date 10-16-17
Record Active Padsite Name 117 ACME BRICK"C" 1 Close Date 12-14-17
Jurisdiction CoD Re-Inspection Date 12-14-17
Site Address 163 N. 135
Padsite Type Single Well Rt 57 2nd Follow-up Inspection
Ordinance Reg 2002-040
Inspected by Rod Weatherby Inspection Status Closed
Plat/Site
Permit No Plan No Lease Name .RRC Id Ali No. Spud Date Imoact
1108-0057 GWP02-0013 ACME BRICK"C" 1 204270 12132346 8/11/2004 2 High
INSPECTION CHECK LIST
Signs General Location
Operator Name x Good Need Resolved Fencing x Good Need Resolved
Site Address x Good Need Resolved Entry Gate Locked x Good Need Resolved
Well Name x Good Need Resolved
Site Surface x Good Need Resolved
24hr. Phone No x Good Need Resolved
Stains x Good Need Resolved
RRC&Api No x Good Need Resolved Trash/Debris x Good Need Resolved
No Smoking x Good Need Resolved
Weeds/Brush x Good Need Resolved
Reflective/Lighting x Good Need Resolved
Oders/Fumes/Dust x Good Need Resolved
Site Lighting x Good Need Resolved
Facility Equipment I Landscaping x Good Need Resolved
Wellhead Paint x Good Need Resolved
Wellhead Leaks x Good Need Resolved Miscellaneous
Tank Battery Paint x Good Need Resolved Electric Lines Safe x Good Need Resolved
Tank Battery Leaks Good Need x Resolved Pipeline Markers x Good Need Resolved
Equip Height x Good Need Resolved
Layout per Site Plan x Good Need Resolved No Wells Approved Db Level @Inspection
Erosion Control Referred
Fire Dept. I
Fire Lane Access Referred Tank Integrity Referred Foam Lines Referred
Auto Safety Valve Referred Containment Integrity Referred Lightning Arresting Referred
Tank Level Activated Referred Drip Pots @ Disconnects Referred Pit Fencing Referred
Accessible ESD Referred Storage Tank Labels Referred Pit Liner Integrity Referred
Inspection Comments I
Chem Tanks Labels need replaced, Tank top has holes needs repaired, replaced or taken out of service. 12/14/17 GWI Follow-up_
-Operator addressed issues