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2015-02-09_REPORT - M1990131
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2015-02-09_REPORT - M1990131
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Last modified
3/15/2021 10:57:07 AM
Creation date
2/25/2015 2:19:57 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M1990131
IBM Index Class Name
Report
Doc Date
2/9/2015
Doc Name
Annual Fee Report and Map
From
Mitchell Pit #2
To
DRMS
Email Name
TOD
Media Type
D
Archive
No
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Mo':,FT <br />1, 1 L <br />k <br />�1J KerrAtGee <br />Report for Hydrovac Slurry <br />Date:-,;- - /! , / , Department: <br />'� 1! - , " — <br />AFE, Cost <br />Center, Work <br />Project/Source Name <br />Inspector or <br />Volume (Barrels) <br />Order# <br />Foreman <br />CT� <br />f- (i <br />17, <br />Clean load (y/n) V - <-, <br />(If not, stop and utilize CSI/Tower Rd. manifest for E&P exempt waste tracking) <br />Destiny Information <br />Hydrovac Company: 2 <br />Facility hauled to <br />Driver's Name E"', K, 4,J C-,) <br />Location: <br />(Road directions) <br />Driver's Signature: X//,;L1 <br />Inspector/Foreman'Signatu re: <br />Please return completed form to EHS Department at Anadarko Petroleum Corporation via email scan or regular mail: <br />4000 Burlington Ave. Evans CO 80620 <br />785-691-7788 (cell) iiiike.dinkeI(uanadarko.coi-n <br />970-573-0298 (cell) paul.schwarz Ltianadarko.com <br />307-399-3911 (cell) chat-les.chase(i_-Lanadark-o.com <br />L <br />T <br />
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