Information
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Location Name:
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Date:
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Prepared By:
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Location
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Personnel On Site:
Location Entrance
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Certificate to Operate Present.
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Individual Well Signs Present.
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State Permit Present
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ESCGP-1 Permit (PA) Present
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Crime Watchers Sign Present
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911 Sign With Address Present
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No Trespassing Sign Present
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River Basin Permit Present
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Mailbox Present
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PPC/ERP (PA) In Tube
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Gate Present/Good Condition
Well heads
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Fence Installed With Two Gates
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Cellars Filled or Covered
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No Smoking Sign Present
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Vehicle Barriers Present
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Wells Labeled/Signed
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Annular Casing Pressure Lines Labeled
Gas Production Unit
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Hot Surface Sign Present (Heater Treater Also)
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Labeled With Well #
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Danger/Ventilation Sign
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PSV Exhaust Routed Outside/Clear of Exit
Compressor
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Sheltered
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No Smoking Sign Present
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Exhaust/PSVs Routed Out of Shelter
Production Tanks
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Each Tank Labeled and Placards Attached
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No Smoking and Danger Signs Present
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Confined Space Signs On Each Tank
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Fence Installed With Two Gates
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Containment Visually Sound
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Containment Drain Line Installed
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Stairs Over Containment Installed
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Truck Loading Area Labeled and 25' From Condensate Tanks and 15' from Water Tanks.
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Lightning Protection Installed
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Tanks Bonded and Grounded
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Grounding Point At Loading Area and Wire Covered
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Load Out Lines Have Valves and Capped
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Stairs, Handrails, and Toe Kicks Installed
General Site
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Equipment Painted
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Lines Labeled
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Site Slips
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Drainage Issues
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Access Road Issues
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Trash On Location
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Spills or Leaks
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Comments
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Signature