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 1-800-214-2154 Well Operator Devon Inspection Date 11-3-17
Record Active Padsite Name 90 Cole Trust North 10 Close Date 12-18-17
Jurisdiction CoD Lnc Re-Inspection Date 12-18-17
Site Address 4252 Underwood Rd.
Padsite Type Multi Well Rt 08 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 Aoi No. Spud Date Imoact
1108-0336 GWP02-0019 COLE TRUSTS 576"A" 7 194118 12131540 9/22/2002 4 Rural
1108-0342 No Record COLE TRUSTS 576"A"10 209526 12132344 3/12/2005 4 Rural
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 Landscaping x Good Need Resolved
Wellhead Paint x Good Need Resolved
Wellhead Leaks Good Need x 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 5 Db Level @Inspection
Erosion Control Referred
Fire Dept.
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
#7 WH east casing valve venting at stem packing needs maint. Recommend replacing Chem Tank labels and sealing PVC
_connections @ tank 2. On 12/18/17, RW conducted a follow-up inspection of the well site.All items requiring further
attention from the Operator were resolved.