Laserfiche WebLink
� ENVIRONMENTAL WELL, REMEDIATION COMPOUND, AND SITE INSPECTION FORM rPage = of <br /> INCIDENT # .6 y <br /> ADDRESSiit ,rte 4 <br /> DATE: -. el ! If CITY & STATE <.F�, / <br /> 1 <br /> ^ J r <br /> N <br /> , <br /> r- <br /> .. ., <br /> Size (inch) <br /> rt7 � Standpipe P � � N R R _ .NL 'p p Y N <br /> 7� E <br /> Size (inch) <br /> .eA y� Standpipe P N RNLG P Y N <br /> / ✓( �fl Standpipe us P ! � N R R NL G P Y N <br /> size (inch) �L.d <br /> Standpipe lush PN R R NL P Y N <br /> ( Ptrl <br /> Size (inch) <br /> \ iyq 17 .1 Standpipe ° lush lCn P N :t Z R �G R NL ! P Y N <br /> P" 1W Size (inch) <br /> Standpipelus ^mss( ) P his" N R R NL P Y N <br /> /✓ '"TS <br /> Size (inch) <br /> ^ Standpipe us P /' N R R NL Y N <br /> size (Inch) <br /> Standpipe P 17 . N R 1Z R NL P ? Y N <br /> then (inch) <br /> 9vtV Standpipe lush G P r N R R NL '� P Y N <br /> Size ( nch) <br /> 1 , Standpipe lus P 6 N R 4M R I NL P Y N <br /> pnch) <br /> ' ll / Standpipe lu p size ()men, <br /> Y N R C R NL fa P <br /> W t V Y N <br /> ' TOTAL # CAPS REPLACED TOTAL #.OF.LOCKS REPLACED <br /> f <br /> , <br /> Building ' <br /> Building w/ Fence Comp. G P N/A G P N/A G P N/ Y N WA - Y N <br /> Fenced Compound <br /> Trailer <br /> IPooaib {.ab t,5, rep <br /> N /A Y. ...N , . N/A .P NIA Y N Y N <br /> G <br /> G = Good (Acceptable) R = Replaced All environmental wells and the remediation compound were in good condition, <br /> P = Poor (needs attention) NL = No Lock Required locked, and secured upon my departure (unless otherwise noted above). <br /> Noter Al repairs other than k d grippers require Shell PM approval ' � <br /> Greund"tet monliering wail covers must be paWed and labeled in accordance wlth app( cable reg lal o u <br />