| Form 19/19A |  Doc |
| Date Recv'd: | 5/7/2016 | Report taken by: | Rick Allison |
| DocNum: | 401043131 | API number: | 05- - | Facility ID: | 445727 |
| Operator Information |
Operator:| TALLGRASS WATER WESTERN LLC | Oper. No. | 10608 | |
| Address: | 370 VAN GORDON STREET LAKEWOOD , CO 80228 |
| Phone: | (303) 7633442 | Fax: | (970) 2613567 |
| Operator Contact: | Craig Meis |
| Description of Spill: |
| Date Of Incident: | 5/6/2016 |
| Type of Facility: | SPILL OR RELEASE |
| Well Name/No. | | Fac. Name/No. | SPILL/RELEASE POINT |
| County Name: | WELD |
| qtrqtr: | NWSW | section: | 16 | range: | 59W | meridian: | 6 |
|
|
| Volumes spilled And recovered (bbls) |
Oil spilled:| 950 | Recvrd: | 1 | |
Water spilled:| 3005 | Recvrd: | 370 | |
| GW Impact? | Surface water impact? | Contained within berm? |
|
| Area and vertical extent of spill: |
| Current land use: NON-CROP LAND |
| Weather conditions: Rain and Lightning |
| Soil/Geology description: |
Distance in feet to nearest surface water: Depth to shallowest GW: | Wetlands: | | Buildings: | | | Livestock: | | Water Wells: | |
| | Cause of Spill: | | Immediate Response: | | Emergency Pits: | | How extent determined: | | Further Remediation | | Prevent Problem: | | Detailed Description: | | At ~11pm on 5/6/16 lightning struck the Wildhorse SWD tank battery. Site was isolated, secured and monitored by local first responders and BNN Field Operations personnel till fire subsided. No fire or liquids left fenced perimeter of site or pad. Free liquid is being collected via vac trucks. | | Other Notifications | | Date | Agency | Contact | Response | | 5/7/2016 | Weld County Commissioner | Barb Kirkmeyer | Email notification sent. Read receipt received. | | 5/7/2016 | Adjacent Landowner | Timbro Ranch and Cattle | Verbally notified. No concerns. | | 5/7/2016 | Landowner | Wade and Todd Castor | Verbally notified. No concerns. | | 5/7/2016 | Weld County Commissioner | Barb Kirkmeyer | Email notification sent. Read receipt received. | | 5/7/2016 | Adjacent Landowner | Timbro Ranch and Cattle | Verbally notified. No concerns. | | 5/7/2016 | Landowner | Wade and Todd Castor | Verbally notified. No concerns. | | 5/7/2016 | Weld County Commissioner | Barb Kirkmeyer | Email notification sent. Read receipt received. | | 5/7/2016 | Adjacent Landowner | Timbro Ranch and Cattle | Verbally notified. No concerns. | | 5/7/2016 | Landowner | Wade and Todd Castor | Verbally notified. No concerns. |
|
| | Field Visit/Follow Up | | Name | Phone | Date | | No Field Visit data found. |
| | |