| Form 27/27A |  Related  Doc |
| Date Submitted: | 3/17/2021 |
| Date Recv'd: | 3/17/2021 | Assigned by: | Kris Neidel |
| DocNum: | 402630791 | Facility ID: | 465337 |
| Document Type: | FORM 27 | Project Number: | 18284 |
| Operator Information: |
| Operator: | SCOUT ENERGY MANAGEMENT LLC |
| Oper. No. | 10779 |
| Address: | 13800 MONTFORT DRIVE SUITE 100 DALLAS TX 75240 |
| Type Of Facility: | SPILL OR RELEASE |
| Fac. Name | GRAY A |
| County Name: | RIO BLANCO |
| Operator contact: | Chris Patterson |
| qtrqtr: NESE | section: 24 | township: 2N | range: 103W | meridian: 6 |
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| Remediation Details: |
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| Reason for Report: SPILL |
| Cause of Condition: SPILL OR RELEASE |
| Potential Receptors: |
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| HOW REMEDIATE: | EC impacted soils will be treated in-situ by Natural Attenuation and/or remediated via soil blending during final reclamation of location. The release area was confined to working surface of pad. |
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| INITIAL ACTION: | Form 19 #402072127 (6/9/2019): Approximately 4.085 bbls of produced water and approximately 0.015 bbls of oil were released from a flowline riser just off the wellhead on location. The release was contained on working surface within the pad berm and vac truck was used to recover all free fluids. Impacted soil was removed and taken to the Chevron Rangely Landfarm. |
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| RECLAMATION PLAN: | Reclamation/seeding will not be part of this project. Release area was confined to working surface of pad. If remediation approach changes and requires reclamation activities the reclamation planning will be updated accordingly. |
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| SOURCE REMOVED: | Approximately 20 cubic yards removed and transported to the Rangely Landfarm. |
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| Correspondence Log: |
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| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Facility | 465337 | GRAY A
18X | 40.125050/-108.895690 |
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