| Form 27/27A |  Related  Doc |
| Date Submitted: | 6/1/2022 |
| Date Recv'd: | 6/1/2022 | Assigned by: | Kris Neidel |
| DocNum: | 403064360 | Facility ID: | 481858 |
| Document Type: | FORM 27 | Project Number: | 37069 |
| 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 | LN Hagood 16X |
| County Name: | RIO BLANCO |
| Operator contact: | Chris Patterson |
| qtrqtr: SESE | section: 14 | township: 2N | range: 103W | meridian: 6 |
|
| Remediation Details: |
|
| Reason for Report: SPILL |
| Cause of Condition: SPILL OR RELEASE |
| Potential Receptors: |
| |
| HOW REMEDIATE: | Subsequent soil samples will be collected and analyzed for SAR and EC during the fall of 2022 to monitor natural attenuation. If progress is not shown, Scout will evaluate alternative remediation approaches. |
| |
| INITIAL ACTION: | While back flowing well/lateral line, CO2 expanded when it contacted the warm produced water and caused the back flow tank to develop a leak, releasing the produced water to the ground. |
| |
| RECLAMATION PLAN: | No reclamation to spill area is currently necessary. |
| |
| SOURCE REMOVED: | No soil is intended for removal. Subsequent soil samples will be collected and analyzed for SAR and EC during the fall of 2022 to monitor natural attenuation. |
| |
| Correspondence Log: |
| |
| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Facility | 481858 | LN Hagood 16X
| 40.136750/-108.915474 |
|