2020.06.16_COD_FollowUp Gas Well Inspection Type 2020 Annual
�oF Inspections Inspection Cycle 1st Half
_ DENTOR
24hr Phone g g Inspection Date 5-19-20
855-820-6008 Well Operator Ea lerid e
Record Active Close Date 6-15-20
Padsite Name 67 Underwood-Breen 1 H
Jurisdiction CoD Re-Inspection Date 6-15-20
Site Address 4452 Airport Rd.
Padsite Type Single Well Rt 16 2nd Re-Inspection Date
Ordinance Reg 2010-196 R Weatherby Inspected by y Inspection Status Closed
Plat/Site
Permit No Plan No Lease Name .RRC Id Ali No. Spud Date Impact
1109-0269 GWP10-0001 Underwood-Breen 1H 216210 12132389 8/6/2004 Moderate
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
• Good Need Resolve Equip Height • Good Need Resolve
Tank Battery Landscaping • 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
IInspection Comments I
Tank A leaking needs repair. On 6/10/20, RW&AP conducted a spot inspection. Tank A was leaking and still needs repair. On
6/15/20, RW and AP conducted a follow-up inspection of the well site with Jeff Smith attending.Operator resolved all items requiring
further attention
Inspections Conducted by Third Party and COD Follow Up
Third Party Inspection Date: 4-6-20 COD Follow Up Date: 5-19-20
Leaks: Separator A DV W DV controller working
controller; Corrosion: properly
Separator A and AST '•
piping T.)
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