Title Page

  • Site

  • Facility Sign

  • Location
  • API

  • Location Type

  • County

  • State

  • Inspection Type

  • Frequency

  • Conducted on

  • Prepared by

  • Was wellhead pressure reduced to the best of your ability prior to beginning workover activities?

  • Was vented natural gas routed to the sales line?

  • Why was vented gas during workover not routed to the sales line?

  • Wellhead pressure (Prior to beginning workover activities) in PSI

  • Duration of venting during workover (in minutes)

  • Size of orifice venting was completed through (in inches)

  • Gas Temperature (In F)

  • What best management practices were used to minimize VOC emissions during workover operations?

Inspector Verification

  • Signature

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