2020.02.25_COD_FollowUp Gas Well Inspection Type 2019 Annual
�oF Inspections Inspection Cycle 2nd Half
_ DENTOR
24hr Phone 855-820-6008 Well Operator Eagleridge Inspection Date 11-14-19
Record Active Close Date
Padsite Name 125 BAUDOUIN "A" 1
Jurisdiction CoD Re-Inspection Date 12-20-19
Site Address 3856 Country Club Rd.
Padsite Type Single Well Rt 47 2nd Follow-up Inspection 1-29-20
Ordinance Reg 2002-040 Rod Weatherby Inspected by Y Inspection Status Open
Plat/Site
Permit No Plan No Lease Name .RRC Id Ali No. Spud Date Impact
1108-0201 DVP01-0012 BAUDOUIN"A"1 190789 12131332 3/18/2002 Moderate
INSPECTION CHECK LIST
Signs/Labels General Location
Operator Name • Good Need Resolved Fencing • Good Need Resolved
Site Address • Good Need Resolved Entry Gate Locked Good Need • Resolved
Well Name • Good Need Resolved Site Surface • Good Need Resolved
24hr.Phone No • Good Need Resolved Stains • Good Need Resolved
RRC&Api No • Good Need Resolved Trash/Debris • Good Need Resolved
No Smoking • Good Need Resolved Weeds/Brush Good • Need Resolved
Reflective/Lighting • Good Need Resolved Oders/Fumes/Dust • Good Need Resolved
Wellhead Sign • Good Need Resolved Site Lighting • Good Need Resolved
Tank Battery • Good Need Resolved Landscaping • Good Need Resolved
Storage Tank Labels • Good Need Resolved Erosion Control • Good Need Resolved
Facility Equipment Miscellaneous
Wellhead Paint • Good Need Resolved Electric Lines Safe • Good Need Resolved
Wellhead Leaks • Good Need Resolved Pipeline Markers • Good Need Resolved
Tank Battery Paint • Good Need Resolved
Layout per Site Plan • Good Need Resolved
Tank Battery Leaks • Good Need Resolved I
Tank Integrity • Good Need Resolved No Wells Approved Db Level @ Inspection
Containment Integrity • Good Need Resolved COD Comments-3rd Party Inspections
Drip Pots@ Load • Good Need Resolved
Lightning Arresting • Good Need Resolved
Equip Height • Good Need Resolved
Inspection Comments
Weed control needed.H15 records indicate well has been shut in on 8/1/07. H15 rules require the removal of all equipment after Shutin over 10
years.
On, 11/14/19,RW inspected well.All inspection items were documented on the Inspection Checklist.Any item observed that requires further
attention was forwarded to the Operator for resolution. On 12/20/19,RW conducted a follow-up inspection of the well site.All items requiring
further attention from the Operator were not yet resolved.The Operator was contacted and/or another follow-up inspection will be conducted. On
1/29/19,RW conducted a 2"d follow-up inspection of the well site. All items requiring further attention from the Operator were not yet resolved.