| Engineer | Form: (04 )
402684285
5/13/2021 | 1) This sundry to conduct bradenhead diagnostic evaluations is valid until 3/10/2022
2) For Wells that have sustained casing pressure above the action threshold as determined through diagnostic testing and evaluation, the Operator will provide a PMP with the Form 4, including a description of the Operator’s findings from the previous year, number of times the well was blown down, a current WBD and future plans for more frequent monitoring or testing, pressure mitigation, or remedial well work by 3/10/2022
3) Submit the gas sample analysis from previous Form 17 bradenhead test on a Form 43
4) Comply with any CDPHE, Air Pollution Control Division rules or requirements for all atmospheric discharges.
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| Engineer | Form: (04 )
402971395
3/24/2022 | 1) Operator shall comply with COGCC Rule 419. Bradenhead Monitoring, Testing, and Reporting and Rule 420. Form 17, Bradenhead Test Report
2) At least once a year shut in bradenhead for 7 days or until the pressure reaches the bradenhead threshold and perform a bradenhead test. Report results on a Form 17, as specified in Rule 420 or other Director approved submittal method.
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| Engineer | Form: (04 )
403082837
6/21/2022 | 1) Report work completed with a Form 4 Sundry REPORT OF WORK DONE - Repair Well noting final pressure test results and include any operational or job summaries. If the wellbore geometry changes submit an updated WBD.
2) If wellbore geometry changes or cement work is executed, submit information on a Form 5
3) Complete a Form 21 MIT to verify repairs for injection wells
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