| Form 27/27A |  Related  Doc |
| Date Submitted: | 6/6/2022 |
| Date Recv'd: | 6/6/2022 | Assigned by: | Rob Young |
| DocNum: | 403069029 | API number: | 05-075-09326 |
| Document Type: | FORM 27 | Project Number: | 23802 |
| Operator Information: |
| Operator: | CITATION OIL & GAS CORP |
| Oper. No. | 17180 |
| Address: | 14077 CUTTEN RD HOUSTON TX 77069 |
| Type Of Facility: | WELL |
| Well Name/No. | DUBOIS |
| County Name: | LOGAN |
| Operator contact: | Bob Redweik |
| qtrqtr: NENW | section: 7 | township: 9N | range: 52W | meridian: 6 |
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| Remediation Details: |
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| Reason for Report: OTHER |
| Cause of Condition: OTHER |
| Potential Receptors: |
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| HOW REMEDIATE: | Remediation activities for substantial impacts, if required, will likely involve excavation of impaired soils for transport to an approved disposal facility. Following excavation and removal of any impacted soils, confirmation sampling will be conducted to confirm successful remediation. Excavated areas will then be backfilled with clean soil as necessary and seeding of the remediated area to re-establish a proper seedbed will be conducted. |
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| INITIAL ACTION: | This is a site investigation to determine if impacts are present. |
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| RECLAMATION PLAN: | A reclamation plan will be prepared pending the outcome of the site investigation. |
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| SOURCE REMOVED: | Pending results of the site investigation. |
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| Correspondence Log: |
| Final Resolution | | Date | Case Closed? | Letter Sent? | CECMC Person | | N/A | N | | Krystal Heibel | | | N/A | N | | Kyle Waggoner | | | N/A | N | | Laurel Anderson | | | N/A | N | | Rob Young | | | N/A | N | | Kyle Waggoner | |
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| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Remediation | -99999 | No Facility
1 | 40.774092/-103.221475 |
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