REP25035

• Permit No: M1983194
• IBM Index Class Name: Report
• Doc Date: 7/1/1996
• Doc Name: SUBMITTAL OF UNDESIRABLE EVENT REPORT
• From: WHITE RIVER NAHCOLITE MINERALS
• To: BLM
• Media Type: D
• Archive: No

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~v $,~~GRT GF UNDESIRABLE EVENT -;
DATE/TIME OCCURRy..//ED:IJUn~-Q/f/-L2S1//~~~Y~ DATE/TIMEgqkEPORTEU BLM:_/J/w,.r_o76/~Y96Qloct~~{•/ti
LOCATION: /v~ .5~12'trQtr, 5 c.2J5P` T. --I S k.C_~~ ~. , ~p~~/7- Meridian ..
Count ~ State:
WELL/FACILITY NUMBER:~_ ,(,J P~¢~,c~S'jTf _ OFERATOk: LLjfii~7'P~7i'~ ~a%~,-~~(e
SURFACE UWNEkSHIP: ~~ Indian Fee State __
LEASE NUMBER:_ _~Y UfiIT' f2AMElCA NUMBEk:_ _
-tea{8'37--
TYPE OF EVENT: Blowout Fire Fatality Injury Property Damage
' Oil Spill altwater Spil Toxic Fluid Spill Gas Venting I
Oil/Saltwater Spi:Li Gil/Toxic Fluid Spill
Other (Specify) /-------- -~/1 p - - -- _-- - - ---- /
CAUSE OF VENT:__ ~ 4 -~Ja:-._ .e. CclLtdy j`e(~tz~ Off( _~-°?y~W L?!~n.d
I. .-~Q-. .~._ ~.Cu~-~ _ ~rofJe2~yi.. -._ __.
VOLUMES OF POLLUTANTS: Discharged/Consumed: 5 ~~ ~'~*~/
l- - - ----------
kecovered'-- - - -- ---1----- - ---- -- - --
? : `?E REQUIRED TG CONTROL EV""ENT (in hours) : _ .O : / _ ` _._--,_____ ~
~•_,.lu~~ 'IAriEN TO CONTROL E NT, DESCRIP'TIGf7 GF AMAGE, CLE UE' Y
AND. DATES : ~...il Fi m.,~ ~~ /. r.~~P /J.r~ i.1~t~J E
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CAUSE AND EXTENT OF PERSONNEL INJURY:-._--_-_--_ /C/.(J7~.Q _-___. _ _-_ __.
OTHER FED RAL STATE AISD~C,j~L GOVERtJY•iENT AGENCIES NGTIFIED:
RECEIVED BY: _
Date:
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ACTION TAKEN TO PRFV .RECURRENCE:
------------- - -- - - -- _ _ _ - - -- - - ---- - - pp-A- --- -- -
GENERAL REMARKS:---._..._---~- _ ~. ~,~~~ 6_~2. ~~-_
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(Name)
(Title) ------ ---- - -

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