2020.04.22_COD_Inspection Gas Well Inspection Type 2020 Annual
�oF Inspections Inspection Cycle 1st Half
_ DENTOR
24hr Phone g Inspection Date 4-17-20
888-225-8141 Well Operator sage
Record Active Padsite Name 24 BALDINGER 5 Close Date 4-17-20
Jurisdiction CoD Re-Inspection Date
Site Address 10343 W. University Dr.
Padsite Type Single Well Rt 10 2nd Re-Inspection Date
Ordinance Reg 2002-040 R Weatherby Inspected by y Inspection Status Closed
Plat/Site
Permit No Plan No Lease Name .RRC Id Ali No. Spud Date Impact
1108-0314 DVP01-0008 BALDINGER 5 192887 12131007 7/5/2002 Low
INSPECTION CHECK LIST
Signs/Labels General Location Facility Equipment
Operator • Good Need Resolve Wellhead Paint • Good Need Resolve
p Fencing • Good Need Resolve
Site Address • Good Need Resolve Wellhead Leaks • Good Need Resolve
Well Name • Good Need Resolves Entry Gate • Good Need Resolve Site • Good Need Resolve T Battery Paint Good Need Resolve
24hr. Phone • Good Need Resolves Stains • Good Need Resolve T Battery Leaks Good Need Resolve
RRC/A i# • Good Need Resolve Tank Integrity Good Need Resolve
p� Trash/Debris • Good Need Resolve Containment Good Need Resolve
No Smoking • Good Need Resolves Weeds/Brus • Good Need Resolve
Reflective • Good Need Resolves Oders/Fumes/Dus • Good Need Resolve Drip Pots Good Need Resolve
Wellhead • Good Need Resolves Site Lighting • Good Need Resolve Lightning Good Need Resolve
Tank Battery Good Need Resolves Landscaping • Good Need Resolve Equip Height Good Need Resolve
Tank Labels • Good Need Resolves Erosion • Good Need Resolve INO Wells Approved Db Level
Miscellaneous
Electric Lines • Good Need Resolve Pipeline • Good Need Resolves Layout • Good Need Resolves
Markers per Site
Inspection Comments
Compliant
Inspections Conducted by Third Party and COD Follow Up
Third Party Inspection Date: 3-25-20 COD Follow Up Date: 4-17-20
Compliant Compliant
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