| Form 27/27A |  Related  Doc |
| Date Submitted: | 10/19/2021 |
| Date Recv'd: | 10/19/2021 | Assigned by: | Robert Chesson |
| DocNum: | 402844658 | Facility ID: | 480198 |
| Document Type: | | Project Number: | 18346 |
| Operator Information: |
| Operator: | KERR MCGEE OIL & GAS ONSHORE LP |
| Oper. No. | 47120 |
| Address: | |
| Type Of Facility: | |
| Fac. Name | |
| County Name: | |
| Operator contact: | |
| qtrqtr: | section: | township: | range: | meridian: |
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| Remediation Details: |
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| Reason for Report: OTHER |
| Cause of Condition: OTHER |
| Potential Receptors: The nearest domestic water well is located approximately 1,250 feet southwest of the wellhead.
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| Correspondence Log: |
| Final Resolution | | Date | Case Closed? | Letter Sent? | CECMC Person | | 10/19/2021 | Y | | Robert Chesson | | | N/A | N | | Robert Chesson | |
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| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Remediation | 292395 | MOSER H
21-29 | 40.217676/-104.673033 |
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| Facility | 480198 | Moser H 21-29 WH Release
| 40.217683/-104.673048 |
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