Title Page
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Site
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Facility Sign
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Location
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API
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Location Type
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County
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State
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Inspection Type
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Frequency
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Conducted on
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Prepared by
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Was wellhead pressure reduced to the best of your ability prior to beginning workover activities?
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Was vented natural gas routed to the sales line?
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Why was vented gas during workover not routed to the sales line?
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Wellhead pressure (Prior to beginning workover activities) in PSI
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Duration of venting during workover (in minutes)
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Size of orifice venting was completed through (in inches)
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Gas Temperature (In F)
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What best management practices were used to minimize VOC emissions during workover operations?
Inspector Verification
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Signature