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 855-820-6008 Well Operator Eagleridge Inspection Date 10-9-17
Record Active Padsite Name 41 SMITH-YORLUM UNIT Close Date 10-9-17
Jurisdiction CoD Re-Inspection Date
Site Address 754 N.Masch Branch
Padsite Type Single Well Rt 07 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
1109-0281 GWP02-0039 SMITH-YORLUM UNIT 4H 194278 12131643 1/14/2003 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 x Good Need Resolved Electric Lines Safe x Good Need Resolved
Tank Battery Leaks x Good Need 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
Compliant