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 47 Vaughn 1 H Close Date 1-16-18
Jurisdiction CoD Re-Inspection Date 11-27-17
Site Address 3502 Jim Christal Rd.
Padsite Type Single Well Rt 03 2nd Follow-up Inspection 1-16-18
Ordinance Reg 2005-223
Inspected by Rod Weatherby Inspection Status Closed
Plat/Site
Permit No Plan No Lease Name .RRC Id Ali No. Spud Date Imoact
1109-0356 GWP08-0020 Vaughn 1 H 260527 12132624 7/3/2005 3 Urban
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
Tank 1 has holes in top of tank, replace, repair or take out of service. Recommend replacing chemical tank labels, add RRC#to
tank battery sign. 11/27/17 GWI follow up-Tank had not been replaced or taken out of service-2nd re-inspection scheduled for
—12/27/17. On 1/16/17 GWI 3rd Re-inspection-Operator addressed issues.