2018.02.22_COD_Inspection i Gas Well Inspection Type 2017 Annual
� L��OF I n s p e ct i o n s Inspection Cycle 2nd Half
_ DENTOR
24hr Phone 888-225-8141 Well Operator Sage Inspection Date 10-30-17
Record Active Padsite Name 31 BALDINGER 9 Close Date 10-30-17
Jurisdiction CoD Re-Inspection Date
Site Address 9182 Jim Christal Rd.
Padsite Type Single Well Rt 04 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
1108-0200 DVP01-0007 BALDINGER 9 195276 12131076 1/5/2003 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 Good Need Resolved Electric Lines Safe Good Need Resolved
Tank Battery Leaks Good Need Resolved Pipeline Markers Good Need Resolved
Equip Height Good Need Resolved
Layout per Site Plan 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
Compliant