Document zQZg9omn79pmxnLzgygGMkaKn

-f..D Stq1. PRO1 Date: Hour: Firm Name: CA Firm Address: NOTICE OF INSPECTION UNITED STATES ENVIRONMENTAL PROTECTION AGENCY REGION 8, 1595 Wynkoop Street DENVER, Co 80202-1129 Phone 800-227-8917 http://www.epa .gov/region8 Notice of inspection is hereby ven accorng to Section 1445(b) of tle Safe Drinking Water Act (42 U.S.C. 300f et seq.). )Jift SOY14 t,7-tV EAST J)AL cfl REASON FOR NSPECTION: For the' purpose of inspecting records, files, papers, processes, controls and facilities, and obtaining samples to determine whether the person subject to an applicable underground injection control program has acted or is acting in compliance with the Safe Drinking Water Act and any applicable contition of permit or rule authorization. SECTION 1445(b) of the SAFE DRIN}<ING WATER ACT is quoted below: Section 1445(b)(i): Except as provided in Paragraph (2), the Administrator, or'representatives of the Administrator duly designated by him, upon presenting appropriate - credentials, and a written notice to. any supplier of water or other person subject to. (a), or person subject (A) a national primary drinking water regulation prescribed under Section 1412(B) an applicable Underground Injection Control Program, or (C) any requirement to monitor an unregulated contaminant pursuant to subsection (a), or person in charge of any of the property of such supplier or other person referred to in clause (A), (B), or (C), is authorized to enter any establishment, facility, or other property of such supplier or other person in order to determine whether such supplier or other person has acted or is acting in compliance with this title, including, for this purpose, inspection, at reasonable times, of records, files, papers, proesses, controls, and facilities, or in order to test any feature of a public water system, including its raw water source. The Administrator or the Comptroller General (oi any representative designated by either) shall have acess f or the purpose of audit and examination to any records, reports, or information of a grantee which are required to be maintained under subsection (a) or which are pertinent to any financial assistance under this title. W'J tJWCU4- L1-L WWC1O 1iispectors Name & Title. (Print) (f) L~t- lnspectors Sgnture EPA R8 356O- (8-89) Or9naI - Reginai Office Cops Yet Io Copy - Oprtor Copy Inspection Form: UT21143-07788 - Caerus Uinta, LLC; NBU 921-33F SWD U.S. Environmental Protection Agency, Region 8 Underground Injection Control Program Inspector(s): Gary Wang, Don Breffle, Elizabeth Tyson Operator Representative: 4''z-z. ' Date: ' I 23 I Z7 Tribal Representative: QO L't ips 5f CVr Time: am / pm _ _ _ _ _ _ _ _ _ _ _ _ _ _ Well Type Well Status, Date API No. Oilfield Name Latitude! Longitude Indian Country Permit Issuance Salt Water Disposal (2D) Active, 11/12/2009 43-047-40253 Natural Buttes 39.994895/-109.559699 Uintah & Ouray 10/3/2008 WELL INFORMATION _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Prior Inspection 06/14/2016 Last MIT (I) Last MIT (II) MAIP1, Date SAPT, 5 Years, 4/5/2022 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 300 psi, 10/3/2008 MAIP2, Date Cum Vol Limit Routine 0 Emergency 0 Other: INSPECTION TYPE: D Construction/Rework 0 MIT Witness LI Complaint 0 Closure/P&A WELL STATUS: 0 Under Construction Active 0 Temporary Abandon DP&A'ed DOther: _ _ _ _ _ _ _ _ _ _ Injection Tubing _ _ _ _ _ _ _ Tubin Casing Annulus WELLHEAD PRESSURES If Dual injector, observe & record as (U)pper and (L)ower injection zones Operator Gauge: lbigital / DAnalog EPA Gauge: oDigital / DAnalog Comments Range: D ' '/ ID & Range: Pressure (psi):&. . 1 1'U- Pressure (psi): C Operator Gauge: EDi ital / DAnatog Range: - sr,o i Pressure(psi): z1 EPA Gauge: DigitaI / DAnalog ID & Range: 0 - Pressure(psi): Comments Operator Gauge: DDi ital / oAnalog Bradenhead Range: Annulus Pressure (psi): EPA Gauge: oDigital / oAnalog ID & Range: Pressure (psi): Comments _ _ _ _ _ _ _ _ _ _ _ Injection Rate _ _ _ _ _ _ _ Cumulative Injection Volume INJECTION RATES & VOLUMES If Dual injector, observe & record as( U)pper and (L)ower injection zones PD / DCFM Comments - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Is this the lifetime cumulative volume? DYes I LINo BBL/ DMCF t7?7Z(, Comments ID&7 Pump Shut-off Device Device(s) Present: 0 SCADA (Digital) I DMurphy Switch (Analog) / flPhysical Pop-off Valve Shutoff Sethng (psi) Comments - 1 - DCN R8FQPForm -2023 Page 1 of 2 - This form was printed on 8/17/2023 Photos Taken? DYes/DNo Inspection Form: UT21143-07788 - Caerus Uinta, LLC; NBU 921-33F SWD PHOTOLOGS If Yes, provide Photo Log Addendum GEOLOGY (ft KB) _ _ _ _ _ _ _ _ _ _ _ _ CONSTRUCTION (ft KB) - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Name _ _ _ _ _ _ _ _ _ _ _ _ Top _ _ _ _ _ _ _ _ _ _ _ _ Bottom _ _ _ _ _ _ _ _ _ _ _ Surface Csg: Top 0 Bottom 40 Lowest USDW Upper Confining Zone Injection Zone Uinta _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Green River Birds Nest Member 0 1514 1645 1514 _ _ _ _ _ _ _ _ _ _ _ 1645 1970 IntermCsg1: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Interm Csg 2: Prod Csg: Liner: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Tubing: Pen Interval: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Packer Depth: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 0 0 1645 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2200 1648 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1630 1970 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PERMIT REVIEW WORKSHEET WELL NAME 92.- 33c S't opoa e- $'6-e S&3 T 13 R Zt _ _ _ _ _ _ _ _ _ _ _ coui'rrv, V1 CATEGORY LOCATIOR 0 RA : Q1/O t4Rw CURS RUCTIOYf 0 HER CORVER510N froo _ _ _ _ _ _ _ _ _ _ _ _ 0 RH 0 50 0 OH 0 YT11W 0 ST -ROO IES WESL TYPE 0 EOR (UR-COERERCIAL RICO 0 CORHERCIAL RICO DEPTh' 0 H0 ' - 900 CE.. OR GEOLOGY SCHEMA TIC T0- - - vcc-, - - 6 I- - I-- - I - - F %p4 _ _ _ _ _ _ _ _ _ _ _ R.,- - - DETAILS cr i. Oo4# o vfP' 00 CBL/VOL/rRAY 00 OAL 00 CAYIYG INOP 00 00 TDP 00 OIL DO RAY 00 RESISTIVITY CD CUI400CTIVITY 00 HP DO SONIC (o CD IC-DERSETY 00 _ 00 PORE PRESSURE 00 PREIZADILITY CO IT SARPLE 00 SOURCE S7,HPLZ DOERT CD - Cth DO PRESSURE UNIT DO PEREDIAL ERT _ _ _ WELUCEAD IULUZ 00 GAUGES 00 STAR GAUGES 00 FLOWNETER DO RATS ISDICATOR CD SMIPLE TAP _ _ _ _ _ _ _ _ _ _ _ _ _ FER (S -- ' - - Pi- CO COMPLETION EDT GD WOOXOYtY SF1 CXI AS _ _ _ _ _ _ _ _ _ 00 _ _ _ _ _ _ _ _ _ _ _ OCRON _ _ _ _ _ _ ,00 RET _ _ _ _ _ _ _ (1ST is UZt14 -O7 I l14S(fL' $lIStp ADDITIONAL COMMENTS Annual Injection Formation Fluid Pressure required, no record Annual Temp logs for 3 AOR wells required o NBU 438, last IL on 6/21/2022 o NBU 921-33F, last IL on 7/9/2018 o NBU 396, last TL on 6/20/2013 L 1A&) t - ?o1JtS (,c'A) g Inspig nature DCN R8FQPForm -2023 Inspector Signature Inspector Signature Page 2 of 2 - This form was printed on 8/17/2023