2020.05.11_COD_FollowUp Gas Well Inspection Type 2020 Annual
�oF Inspections Inspection Cycle 1st Half
_ DENTOR
24hr Phone Inspection Date 4-21-20
817-841-8885 Well Operator Bedrock
Record Active Padsite Name 57 GLOSSER 4 Close Date 5-8-20
Jurisdiction CoD Lnc Re-Inspection Date 5-8-20
Site Address 2103 Tom Cole Rd.
Padsite Type Single Well Rt 14 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
1111-0064 GWP07-0007 GLOSSER 4 191611 12131526 5/22/2002 Moderate
INSPECTION CHECK LIST
Signs/Labels General Location Facility Equipment
Operator • Good Need Resolvel Wellhead Paint • Good Need Resolve
p Fencing • Good Need Resolve
Site Address • Good Need Resolve Wellhead Leaks • Good Need Resolve
Well Name • Good Need Resolvel Entry Gate • Good Need Resolve Site • Good Need Resolve T Battery Paint Good Need Resolve
24hr. Phone • Good Need Resolvel Stains • Good Need Resolve T Battery Leaks Good Need Resolve
RRC/A I# • Good Need Resolvel Tank Integrity Good Need Resolve
p� Trash/Debris • Good Need Resolve Containment Good Need Resolve
No Smoking Good Need • Resolvel Weeds/Brus • Good Need Resolve
Reflective • Good Need Resolvel 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 Resolvel Landscaping • Good Need Resolve Equip Height Good Need Resolve
Tank Labels • Good Need Resolvel Erosion • Good Need Resolve INO Wells Approved Db Level
Miscellaneous
Electric Lines • Good Need Resolve Pipeline • Good Need Resolvel Layout • Good Need Resolvel
Markers per Site
IInspection Comments
No Smoking Sign at entrance faded beyond legibility and needs to be replaced. On 5/8/20, RW conducted a follow-up inspection of the
well site. Operator resolved all items requiring further attention.
Inspections Conducted by Third Party and COD Follow Up
Third Party Inspection Date: 3-26-20 COD Follow Up Date: 4-20-20
Compliant
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