| Form 19/19A |  Doc |
| Date Recv'd: | 4/24/2025 | Report taken by: | Kari Brown |
| DocNum: | 404177713 | API number: | 05- - | Facility ID: | 489960 |
| Operator Information |
Operator:| KP KAUFFMAN COMPANY INC | Oper. No. | 46290 | |
| Address: | 1700 LINCOLN ST STE 4550 DENVER , CO 80203 |
| Phone: | (720) 8689848 | Fax: | (205) 9144843 |
| Operator Contact: | Cullen Chew |
| Description of Spill: |
| Date Of Incident: | 4/24/2025 |
| Type of Facility: | SPILL OR RELEASE |
| Well Name/No. | | Fac. Name/No. | Jillson 5 Wellhead |
| County Name: | WELD |
| qtrqtr: | NWNW | section: | 27 | range: | 68W | meridian: | 6 |
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| GW Impact? | Surface water impact? | Contained within berm? |
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| Area and vertical extent of spill: |
| Current land use: CROP LAND |
| Weather conditions: partly cloudy, 64 degrees |
| Soil/Geology description: |
Distance in feet to nearest surface water: Depth to shallowest GW: | Wetlands: | | Buildings: | | | Livestock: | | Water Wells: | |
| | Cause of Spill: | | Immediate Response: | | Emergency Pits: | | How extent determined: | | Further Remediation | | Prevent Problem: | | Detailed Description: | | During P&A operations on 4/24/2025 at 12:30pm, KPK encountered a historical release at the wellhead of the Jillson 5. The well had been previously shut in, cut, and capped. Groundwater is likely impacted and is present at 7' depth. KPK has utilized a vac truck to skim product from the groundwater in the excavation. KPK plans to excavate the remaining soil contamination, collect laboratory analytical soil samples, and will propose a groundwater monitoring plan in a supplemental form 27. | | Other Notifications | | Date | Agency | Contact | Response | | 4/24/2025 | Weld County OEM | | via online webform | | 4/24/2025 | ECMC | Kari Brown | via email | | 4/24/2025 | St. VrainValleySchoolDistrict | Kelly Kinsman | via VM/email | | 4/24/2025 | ECMC | Nikki Graber | via email | | 4/24/2025 | Town of Frederick | Robert Aronoff | via email |
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| | Field Visit/Follow Up | | Name | Phone | Date | | No Field Visit data found. |
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