|
<br />
<br />REPORT OF UNDESIRABLE EVENT
<br />DATE/TIME OCCURRED: ~/1~_7 _ ~.~~~ DATEiTIME REPORTED BLM:y~7"I7 ~I53 ~T
<br />LOCATION:i(/E~~trQtr, Sec. Oc~P, T. /~, R. /~~ ., ~~//"/E~]aridian
<br />~~-~_ County:-- -- >4[o_.,(j~r,,....GO State: alp. /J
<br />iiEI,L%FACILITY NUMBER: Nt'a~ ~~CCd:: [urr(.~~ ~'- / ~ u- ~-C~
<br />"~1w/ urER:,TOR: (,~J~,Te 7S,v'e2 ~ ~t,4 , /e
<br />:iURFACE OWNEk SHIP: Pl1Gr~ I~ IrTflian Fee JLa Cc _
<br />LEASE NUMBER: C_-_Q[~3~ ~' _ UTIIT Pr.~MEiCA iQUrffir,R:
<br />'.CYPE OF EVENT: Blowout Fire FaLaiiLy Injury Property Damage
<br />Oil Spi11 'aitwater-Sp~~ .o:~:ic Fluid Sniii Gas VanLina
<br />OiliSaltwater Spiii OiiiToic Fluid Spill
<br />Other iSpecifyvGi /7 ) /
<br />CAUSE OF EVENT~p _ G*J?~~,'(^ Gcl~~P/L /S/GI~e ~~Z p,pe~ /,Q c+ w',<~~ ~rerzC mud ~1~
<br />.~~j O,~_-~7' "o xi1-..<.T..+c..,-S_~ '_ ,~L.'.T_rG. -x~ `u, ca.°% ~ f~-~ . ~1~ c:v,.<~..f,L~
<br />_ ~`J ii LZ1J°~Z ~~ /.~~rUUC_c: nn ~+o5/cU,.u _
<br />'JOLUMES OF POLLUTANTS: I)ischaraediConsued: ~~ av1~ ~~cc'-~~~rN.tf
<br />) l //, /. ll ~/ '~~
<br />'.LIME REQUIRED TO CONTROL E~iENT iin hoursi ___ _~GrC _ /to..~.2.7~_ cry ~a.~~S~-7"~
<br />ACTIO?d TAKEN TO CONT-OL EVE?!~i 1lESlR
<br />AND ATE/g (~ ~~~Zc'd ~/j5
<br />_ uXi'k1 ,~e ~2•
<br />~~K wad .~i'/.'zcd ~l-~y-~) ~ c:el a..f~
<br />CAUSE AND EXTENT OF PERSONNEiL INJURY
<br />.P'1'1 Vfi VF D.f'1n G5., CLEAN IJ,P t'ICLEDjJRF"J /
<br />_Gcia-s_(~ /w:?,-S~1L ~.c-t'<_._~C..~ie~T~/u-.~~~~~!e5
<br />~~~J'l/. xY~E ~C°' f~ec'~ 1.~ 1///~c< N~,O ti/?d~ S//'~•YT }cy%..<h-c ,~% rLr7n.
<br />~pSC rNy t ~ ~'~+T~3S /fbvYN SYc-7~ ~ !T~'Ji~Xt~~
<br />~ - ~ 7~J ~~ve,.f's.wd _q~va l~ • _ ,SM _~ec~~ (~•.<t_<yun.~
<br />//v7n e, _
<br />O^1HEk FEDERAL, STATE AND LOt7AL GO'vERtIY'iENT aGc?iCItS ?IOTIFIcD: L`~y4,~ ~i/i3,Lh
<br />ACTION TAKEN TO PREVEI`fT F.ECi747CE • /~ v.LC<~t 'fU 7"x u]o-S ~. w~-7~'~? ~~ e `c''°'`~
<br />.: ~\ -
<br />_ r"~(- e~-_ _._ L(„ ._b.1o a 1 LA?C~t.ctE' ).~i~-~~C~ .~s~ °'~-~<. J7z<-f .`i.,~+o-~~,.s.•'n K.~x2~rr 11 t' «.
<br />GENERAL REMARKS : _ _ ~ rr:e,..w ,,<,iZ~ die G/J -red ~' /~^ i"~ aa~L 4<-T<'rs ~=-- T `e
<br />- e-h '4-~'I /"'-.~• - -~y~}}[/ .~.~/ ~ rn~? ~ .~u.~z P~JJ".e"- "'~~~ >~ ~ z~`'E~1 w.,.(' ~-e ,-i rec~ s~O
<br />_ o (/C~e-w.~_ lld~.. ~' Vi""""i ~ C .u,}~/~ 6t o~O1P~ n. C'.C C~° f ~i-~,'y udC'./
<br />~f.(-~. up7.[~ e2 i, t,.e < ~ ~u%~~i2/ ~Oio:.: cue si~.<w-t% Yv <3/J ~`M-i! ~u-I uxSG uro.fe/1 itl advt. L7~
<br />RECEIVED BY: _ -_-_ _____-- ... .. _. ~ ~lfvO/L
<br />i Name) /, ~ ,,,qe
<br />jv~~ e ~7re12
<br />Dace:
<br />(Titlei
<br />y-/5~ 9 7
<br />,S~i
<br />G c ,- C8~.~c ~s 00
<br />
|