Document 5kknoE4YKo7zzxwKD5gyk5DJe

Inspection ID Class I and II Well Inspection Form US Environmental Protection Agency - Region 4 Underground Injection Control Program 61 Forsyth Street SW, MC 9T25, Atlanta, Georgia, 30303 Phone: (404)562-9424 EPA Well ID#: K Y S 0 3 1 0 1 1 7 Year-Month-Day: 2 0 2 4 - 0 2 - 2 2 EPA Permit # (or RA): K Y I 0 4 2 9 Page 1 Of 4 Inspector(s): _______C_a__ro__l _C_h_e__n________________ (lead),______B__r_ia_n__n_a__L_a_P__a_p_a_____________ Start Time: _1_1_:_0_5__a_m__ ____________________________________, ____________________________________ End Time: __1_1_:_4_3__a_m_ Facility Contact Information Real Alloy Recycling, LLC Facility Name: __________________________________________________________________________________________ Street Address:________8_0_5__G__a_r_d_n__e_r_L_a__n_e________________________________________________________________ City: ______M__o_r_g_a_n__to__w_n______________ County: _______B_u_t_l_e_r___________________ State:___K__Y___ Zip: __4_2__2_6_1__ Nature of Business: _______I_n_d_u__s_t_ri_a_l_-__U_s_e_d__B__e_v_e_r_a_g__e__C_a_n__R__e_c_y_c_l_in_g__O__p_e_r_a_t_i_o_n___________________________ Facility Owner/Operator: ____________R__e_a_l_A__ll_o_y__R_e_c_y_c__li_n_g_,_L__L_C_____________ Phone: _____2_7_0__-5__2_6__-0__5_1_5______ Email: ______A_n_d__y._J_e_n_n_i_n_g_s_@__r_e_a_la__ll_o_y_.c_o_m_________________________________________________________________ Facility Contact (if different): _____A_n__d_y_M__._J_e_n_n__in_g_s____________________________ Phone: ____2_1_6_-_7_5__5_-8__8_4_0________ O/O Mailing Address: ________8__0_5__G__a_r_d_n_e__r_L_a_n__e__________________________________________________________ City: ______M__o_r_g_a__n_t_o_w__n_____________ County: _______B_u__tl_e_r___________________ State:___K_Y____ Zip: _4_2__2_6__1__ Well Data from File Well Name & #: ________________I_m__c_o___#_1________________________________________________________________ Well Type (see table): _________C_l_a_s_s__I_(_N_o__n_h_a_z_a__r_d_o_u_s_)_______________ State Permit: __________________________ Latitude (N): ______3__7_._2_0_6__4_2__7_________ Longitude (W): _____-_8_6__.7__1_7_2__1_6________ Elevation (ft): ____________ Injection Method (check applicable): Casing Injector; X Tubing & Packer; Cemented Injection Tubing 3" tbg 2 "tbg 9" surface csg to 471' 4"produc_t_io__n_l_in__e_r_s_t_r_in_g__c_a_s_i_n_g__2_,3__0_0__f_t_t_o_4__,7__0_3__ft__d_e_p_t_h_,_7_"__t_o_2__,5_4__5__ft_ Total Depth (ft): __6__,4__5_0___ Inner Casing Size (in): 7" intermediate csg 2 " 3" ________ Tubing Size (in):__________ Packer Depth (ft): 4_,_6_9_0__.8__3 Inj. Zone: Open Hole; X Perforated; Top(ft) ________ Bottom(ft): ___________ Max. Injection Pressure (psig): 2__,7_0_0__.0_0_ Field Measurements and Observations 37.206928 -86.717133 Latitude (N): __________________________ Longitude (W): ________________________ Elevation (ft): ____________ EPA GPS ID: _S_7__5_3_3__2_ Well Status (see table): ____S__I___ If not Active, Reported Date Last Active: __________________ Nature of Injected Fluid(s) if any: l_e_a__c_h_a_t_e__f_ro__m__o_n__-s_i_t_e__re__s_id__u_a_l_w__a_s_t_e__l_a_n_d_f_i_ll_a__n_d__s_t_o_r_m__w__a_t_e_r__d_r_a_i_n_a_g_e____ General Condition of the Well Site: _________________________________________________________________________ _____________________________________________________________________________________________________ Notes & Comments (include discrepancies from database values): _____________________________________________________ _T_h_e__i_n_j_e_c_t_io__n_w__e_l_l_i_s_s_h__u_t_-i_n__s_i_n_c_e__t_h_e__m__a_in__e__le_c__tr_i_c_a_l_p__o_w_e__r_w_a__s_d__is_c_o__n_n_e__c_te__d_._O__n_c_e__e_l_e_c_t_r_ic_a__l _p_o_w__e_r _i_s_r_e_s__ta__rt_e_d__, _t_h_e__in__je_c__ti_o_n__w__e_ll__w_i_ll__b_e_c_o_m__e__a_c__ti_v_e_._T__h_e__in__je_c__ti_o_n__p_r_e_s_s__u_r_e__g_a_u_g_e__r_e_a__d_s__3_0__0__p_s_i,______ _w__h_ic__h_c__a_n__b_e__b_l_e_d__o_f_f_, _a_s__a__p_r_e_c_a_u__ti_o_n__t_o__e_n_s_u__r_e_t_h_e__re__i_s__n_o__f_a_il_u_r_e__o_f_m__e__c_h_a_n__ic_a__l _in__te__g_r_it_y_._________ _T_h__e_a__n_n_u__lu__s_p__re__s_s_u_r_e__g_a_u__g_e__re__a_d_s__8__p_s_i_.__W__e_o__b_s_e_r_v_e_d__o__n_-_s_it_e__s_t_o_r_m__w__a_t_e_r__p_o_n_d__s_,_l_e_a_c_h__a_t_e_p__o_n_d__s__ _a__n_d__r_e_s_i_d_u_a__l _la__n_d_f_il_l_s_. _______________________________________________________________________________ See reverse for additional observations, comments and photo log UIC Inspector UIC Inspector Name:_________C__a_r_o__l_C__h_e__n_________________________ Name: ______________________________________________ CAROL CHEN Digitally signed by CAROL CHEN Date: 2024.04.08 16:32:50 -04'00' Signature: __________________________________________ Signature: ___________________________________________ Version 2018-04-18 Inspection ID Field Measurements and Observations (Cont.) Class I and II Well Inspection Form US Environmental Protection Agency - Region 4 Underground Injection Control Program 61 Forsyth Street SW, MC 9T25, Atlanta, Georgia, 30303 Phone: (404)562-9424 EPA Well ID#: K Y S 0 3 1 0 1 1 7 Year-Month-Day: 2 0 2 4 - 0 2 - 2 2 EPA Permit # (or RA): K Y I 0 4 2 9 Page 2 Of 4 (Cont) ___I_m__c_o__#_1______________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Photo Log Photographer: ___C__a_r_o_l_C__h_e_n________________ EPA Camera ID: _______________S_7__5_3__3_2___________ Photo ID: RIMG0069 _________________ Time: __1_1__:0_0__a_m___ Lat (N): _____0_0___0_0__0__0_______ Long (W) ____0__0__0_0___0_0_________ active Cell C Landfill, storm water, leachate pond Description: ___________________________________________________________________________________________ Photo ID: ____R__IM__G_0_0_7_0_____Time: __1_1__:0__0_a__m__ Lat (N): _____0_0___0_0__0__0_______ Long (W) _____0_0__0__0__0_0_________ Description: __a__c_t_iv_e__C__e_ll_C__L__a_n_d__fi_ll_,_s_t_o_r_m___w_a_t_e_r_,_l_e_a__c_h_a_t_e__p_o_n__d________________________________________ Photo ID: ____R_I_M_G_0__0_7_1_____Time: __1_1__:0__4_a__m__ Lat (N): _____3_7_._2_0_2__0_7_8_______ Long (W) ____-_8_6__.7_0__3_1_9__8_______ ____________active Cell C Landfill, storm water, leachate pond____________________ Photo ID: ____R_I_M_G__0_0_7_2_____Time: __1_1_:_0_5__a_m___ Lat (N): _____3_7_._2_0_0__5_4_7_______ Long (W) ____-_8_6__.7_2__0_5_5_________ Description: active Cell C Landfill, storm water, leachate pond Photo ID: ____R_I_M_G__0_0_7_3_____Time: __1_1_:_0_6__a_m___ Lat (N): ____3__7_.2__0_1_6__8_3_______ Long (W) _____-8__6_._7_1_2_1__9_2_______ Cell C storm water pond Description: ___________________________________________________________________________________________ Photo ID: ____R_I_M__G_0_0_7_4_____Time: __1_1_:_0_8__a_m___ Lat (N): ____3_7_._2_0_2__3_9_3__3______ Long (W) _____-8_6__.7__1_9_1_6__6_______ Description: ____m__o_n_i_t_o_r_in__g_w__e_l_ls__a_b__o_v_e__C_e_l_l_C__l_a_n_d__fi_l_l __________________________________________________ UIC Inspector UIC Inspector Name:__________C_a__r_o_l__C_h__e_n_________________________ Name: _____________________________________________ CAROL CHEN Digitally signed by CAROL CHEN Date: 2024.04.08 16:33:21 -04'00' Signature: __________________________________________ Signature: __________________________________________ Version 2018-04-18 Inspection ID Field Measurements and Observations (Cont.) Class I and II Well Inspection Form US Environmental Protection Agency - Region 4 Underground Injection Control Program 61 Forsyth Street SW, MC 9T25, Atlanta, Georgia, 30303 Phone: (404)562-9424 EPA Well ID#: K Y S 0 3 1 0 1 1 7 Year-Month-Day: 2 0 2 4 - 0 2 - 2 2 EPA Permit # (or RA): K Y I 0 4 2 9 Page 3 Of 4 (Cont) 1___I_m__c_o_#_____________________________________P_h_o_to__L_o_g_c_o_n__ti_n_u_e_d_.._.________________________________ Photo ID: __R_I_M_G__0_0_7_5_______ Time: __1_1_:_1_3__a_m___ Lat (N): ___3__7_._2_0_6_9__5_8________ Long (W) -86.720923 _________________ Description:___C_e__ll_A__l_e_a_c_h__a_t_e__p_o_n_d___________________________________________________________________ Photo ID: ___R_I_M_G__0_0_7_6______ Time: _1__1_:_1_8__a_m__ Lat (N): _____3_7_._2_0_6__9_2_8_______ Long (W): __-8__6_.7__1_7_1__3_3_____ Description:__b_l_u_r_r_y__p_h_o_t_o__o_f__w_e_l_lh__e_a_d__, _in__je_c__ti_o_n__w__e_ll__________________________________________________ Photo ID: __R__IM__G_0_0_7_7_______ Time: __1_1_:_1_9__a_m__ Lat (N): ____3_7__.2__0_6_9_2__8_______ Long (W)____-8__6_.7__1_7_1__3_3_____ Description: __ri_n_g__g_a__s_k_e_t_s_,_f_u_l_l_S_S__v_a__lv_e__s_o__n_b__o_t_h__s_id__e_s__o_f_i_n_j_e_c_t_io_n__w__e_l_l,__b_u_l_l _p_l_u_g_s____________________ Photo ID: ___R__IM__G_0_0_7_8______ Time: __1_1_:_1_9__a_m__ Lat (N): ______3_7_._2_0_6__9_2_8_______ Long (W)___-_8_6_._7_1_7__1_3_3____ Description:___li_n_e__c_o_n__n_e_c_t_e_d__t_o__f_u_l_l _S_S__v_a_l_v_e__w_i_t_h__b_u_l_l_p_l_u_g___________________________________________ Photo ID: ___R_I_M__G_0_0_7_9______ Time: _1__1_:1__9__a_m__ Lat (N): _____3_7_._2_0_6__9_2_8_______ Long (W): _-_8_6__.7_1__7_1_3__3____ Description: __o_p__p_o_s_i_t_e_s__id_e__, _f_u_ll__S_S__v_a_l_v_e__w_i_t_h__b_u_l_l_p_l_u_g_______________________________________________ Photo ID: ___R_I_M__G_0_0_8_0______ Time: _1_1_:_2_0__a_m___ Lat (N): ____3__7_.2__0_6_9__2_8______ Long (W): _-_8_6_._7_1_7__1_3_3______ Description: __b_l_u_r_ry__p_h__o_t_o_,_g_r_a_y_i_s_h____________________________________________________________________ RIMG0081 Photo ID: _________________ Time: _1_1_:_2_0__a_m___ Lat (N): _____3_7_._2_0_6__9_2_8______ Long (W): _-_8_6_._7_1_7__1_3_3______ Description: __b_l_u_r_r_y_p__h_o_t_o__o_f_i_n_j_e_c_t_io__n__g_a_u_g_e__o__n__w_e_l_lh__e_a_d_____________________________________________ Photo ID: ___R_IM__G_0__0_8_2______ Time: _1_1__:2_0__a_m___ Lat (N): ____3__7_._2_0_6__9_2_8______ Long (W): -86.717133 _________________ Description: ___b_lu__r_ry__p_h_o__to__o__f_in__je__c_ti_o_n__g_a__u_g_e__o_n__w__e_l_lh_e__a_d____________________________________________ Photo Log Carol Chen S75332 Photographer: ___________________________________EPA Camera ID:________________________________________ Photo ID: ___R_I_M_G_0__0_8_3______ Time: _1__1_:2__1__a_m_____ Lat (N): ____3__7_.2__0_6_9__2_8______ Long (W): _-_8_6_._7_1_7__1_3_3_______ Description: __b_l_u_r_ry__p_h__o_t_o_o__f_i_n_je__c_ti_o_n__p_r_e_s__s_u_r_e__g_a_u_g__e_,_w__e_ll_h_e__a_d_________________________________________ RIMG0084 11:21 am 37.206928 -86.717133 Photo ID: _______________________Time: ________________Lat (N): _____________________ Long (W) ____________________ Description: _b__lu_r_r_y__p_h_o_t_o__o_f__in_j_e_c_t_i_o_n__g_a_u__g_e__o_n__w_e__ll_h_e_a__d______________________________________________ Photo ID: ___R_I_M_G__0_0_8_5_____ Time: _1_1_:_2_1__a_m________Lat (N): ____3_7_._2_0_6__9_2_8______ Long (W): _-8__6_.7__1_7_1__3_3_______ Description: __i_n_je__c_t_io_n__p__re__s_s_u_r_e__g_a_u_g__e__re__a_d_s__3_0__0__p_s_i__________________________________________________ Photo ID: ___R_I_M_G__0_0_8_6______ 11:26 am Time: ______________ Lat (N): __0_0__0__0__0_0__________ Long (W): _0__0__0_0___0_0_______ Description: __d__a_t_a__re__c_o_r_d_e_r_s__________________________________________________________________________ Photo ID: RIMG0087 _________________ Time: _1__1_:2__6__a_m___ Lat (N): ______0_0__0__0__0_0_______ Long (W) _____0__0__0_0___0_0________ data recorders Description: ___________________________________________________________________________________________ RIMG0088 11:27 am 00 00 00 00 00 00 Photo ID: _________________Time: ____________ Lat (N): _____________________ Long (W) ______________________ Description: __f_il_t_ra__ti_o_n__s_y_s_t_e_m__________________________________________________________________________ UIC Inspector Carol Chen Name:______________________________________________ CAROL CHEN Digitally signed by CAROL CHEN Date: 2024.04.08 16:33:47 -04'00' Signature: __________________________________________ UIC Inspector Name:______________________________________________ Signature: __________________________________________ Version 2018-04-18 Inspection ID Field Measurements and Observations (Cont.) Class I and II Well Inspection Form US Environmental Protection Agency - Region 4 Underground Injection Control Program 61 Forsyth Street SW, MC 9T25, Atlanta, Georgia, 30303 Phone: (404)562-9424 EPA Well ID#: K Y S 0 3 1 0 1 1 7 Year-Month-Day: 2 0 2 4 - 0 2 - 2 2 EPA Permit # (or RA): K Y I 0 4 2 9 Page 4 Of 4 (Cont) ___I_m__c_o__#_1_________________________________Photo Log continued..._________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Photo ID: ___R_I_M__G_0_0__8_9_____ Time: _1__1_:_2_7__a_m___ Lat (N): _____0_0___0_0__0__0_______ Long (W)_____0_0___0_0__0__0_______ Description: _f_i_lt_r_a_t_io__n__s_y_s_t_e_m__c_o__m__p_o_n__e_n_t_s_____________________________________________________________ RIMG0090 11:27 am 00 00 00 00 00 00 Photo ID: _________________ Time: ____________ Lat (N): _____________________ Long (W)_____________________ Description: __fi_l_tr_a_t_i_o_n__s_y_s_t_e_m___c_o_m__p_o__n_e_n_t_s_____________________________________________________________ Photo ID: ___R_I_M__G_0__0_9_1_____ Time: __1_1_:_2_7__a_m___ Lat (N): _____0_0___0_0__0__0_______ Long (W)______0_0__0__0__0_0_______ Description: __f_il_tr_a_t_i_o_n__s_y_s_t_e_m___c_o_m__p_o__n_e_n_t_s_____________________________________________________________ Photo Log P_h__o_to_g_r_a_p__h_e_r_: ____C__a_r_o_l_C__h_e_n______________ Camera ID: S75332 ________________________________ Photo ID: ___R__IM__G_0__0_9_2_____Time: __1_1_:_2_9__a_m___ Lat (N): ___3_7__.2_0__6_5_7__8________ Long (W) ____-_8_6_._7_1_7__2_1_5________ annulus pressure gauge reads 8 psi Description: ___________________________________________________________________________________________ Photo ID: RIMG0093 _________________ Time: _1_1__:3__2_a__m___ Lat (N): ___3_7_._2_0_6__5_7_8_________ Long (W) ____-_8_6_._7_1_7__2_1_5________ exterior power box, near injection building Description: ___________________________________________________________________________________________ Photo ID: ___R__IM__G_0__0_9_4_____Time: _1__1_:3__2__a_m___ Lat (N): __3__7_._2_0_6_5__7_8_________ Long (W) ____-_8_6_._7_1__7_2_1_5________ Description: ___p__o_w__e_r_b__o_x_o__u_t_s_id__e_,_n_e__a_r_i_n_j_e_c_t_io__n__b_u_i_ld__in_g_______________________________________________ Photo ID: RIMG0095 _________________ Time: _1__1_:_3_5__a_m___ Lat (N): __3__7_.2__0_6_5__7_8_________ Long (W) -86.717215 ______________________ Description: ____in__je_c__ti_o_n__b_u__il_d_i_n_g_:_i_n_j_e_c_t_io__n_w__e_l_l,__p_u_m__p_,__fi_l_tr_a_t_i_o_n__s_y_s_t_e_m__,_a_n__n_u_l_u_s__m__a_k_e__-u__p_t_a_n__k________ Photo ID: ___R__IM__G__0_0_9_6_____Time: _1__1_:_4_3__a_m___ Lat (N): _____0__0__0_0___0_0_______ Long (W) _______0_0___0_0__0__0______ main office Description: ___________________________________________________________________________________________ Photo ID: _________________Time: ____________ Lat (N): _____________________ Long (W) ______________________ Description: ___________________________________________________________________________________________ UIC Inspector Carol Chen Name:______________________________________________ CAROL CHEN Digitally signed by CAROL CHEN Date: 2024.04.08 16:34:12 -04'00' Signature:___________________________________________ UIC Inspector Name:_____________________________________________ Signature: _________________________________________ Version 2018-04-18