| Form 27/27A |  Related  Doc |
| Date Submitted: | 4/19/2022 |
| Date Recv'd: | 4/19/2022 | Assigned by: | Kris Neidel |
| DocNum: | 403019786 | Facility ID: | 480349 |
| Document Type: | FORM 27 | Project Number: | 27757 |
| Operator Information: |
| Operator: | CHEVRON USA INC |
| Oper. No. | 16700 |
| Address: | 760 HORIZON DRIVE STE 401 GRAND JUNCTION CO 81506 |
| Type Of Facility: | SPILL OR RELEASE |
| Fac. Name | Emerad 4 Flowline |
| County Name: | RIO BLANCO |
| Operator contact: | Chris Patterson |
| qtrqtr: SESE | section: 36 | 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: The water well listed in the COGCC database less than 1/4 mile from the Emerald 4 is for Emerald 36. |
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| HOW REMEDIATE: | Once conformation soil results are received a determination will be made whether or not to request closure under 915.b as this spill is on working surface of pad. |
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| INITIAL ACTION: | Depth of release was approximately 4 feet. A soil sample was taken below release point to use for delineation. Spill area was water washed with clean fresh water from the main water plant. |
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| RECLAMATION PLAN: | Reclamation will not be part of this project. Release area was confined to working surface of the location. |
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| SOURCE REMOVED: | Impacted soil will be removed with backhoe and transported to the Rangely landfarm for treatment. A conformation soil sample will be collected and analyzed for TPH, SAR and Boron once cleanup activities are completed in 2022. |
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| Correspondence Log: |
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| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Facility | 480349 | Emerad 4 Flowline
| 40.104616/-108.897692 |
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