2018.02.22_COD_Inspection i 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 10-10-17
Record Active Close Date 11-27-17
Padsite Name 67 Underwood-Breen 1 H
Jurisdiction CoD Re-Inspection Date 11-27-17
Site Address 4452 Airport Rd.
Padsite Type Single Well Rt 19 2nd Follow-up Inspection
Ordinance Reg 2010-196
Inspected by Rod Weatherby Inspection Status Closed
Plat/Site
Permit No Plan No Lease Name .RRC Id Ali No. Spud Date Imoact
1109-0269 GWP10-0001 Underwood-Breen 1H 216210 12132389 8/6/2004 2 High
INSPECTION CHECK LIST
Signs General Location
Operator Name Good x Need Resolved Fencing x Good Need Resolved
Site Address Good x Need Resolved Entry Gate Locked x Good Need Resolved
Well Name Good x Need Resolved Site Surface x Good Need Resolved
24hr. Phone No Good x Need Resolved Stains x Good Need Resolved
RRC&Api No Good x Need Resolved Trash/Debris x Good Need Resolved
No Smoking Good x Need Resolved Weeds/Brush x Good Need Resolved
Reflective/Lighting Good x 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
Sign missing needs replaced. Thief hatch needs repair.. 11/27/17 GWI Follow-up-Operator addressed issues