DRAFT - FOR REVIEW AND COMMENT
INSPECTION TIPS FOR
CLASS V INJECTION WELLS
Prepared for USEPA Region V
Chicago, Illinois
Under Contract No. 68-03-3416
Work Assigimtent No. 5-12
Respectfully Submitted By
Engineering Enterprises, Inc.
Norman. Oklahoma
August, 1987

-------
TABLE OF CONTENTS
SECTION PAGE NO.
INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1— 1
PURPOSE .. .... . .. .. . 1— 1
BACKGROUND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1— 1
CONTENT OF REPORT.............................. 1— 9
TYPES OF INSPECTIONS . . . . . 1— 9
2 INSPECTION TIPS BY CLASS V WELL TYPE ........... 2- 1
GENERAL 2— 1
DRAINAGE WELLS...... .......... ..... ...... ...... 2— 2
GEOTHERMAL WELLS............................... 2— 7
DOMESTIC WASTEWATER DISPOSAL WELLS.. .... 2-11
MINERAL AND FOSSIL FUEL RECOVERY
RELATED WELLS.. .................. . . . .. ..... .... 2—15
OIL FIELD PRODUCTION WASTE DISPOSAL WELLS...... 2-19
INDUSTRIAL/COMMERCIAL/UTILITY DISPOSAL WELLS... 2-21
RECHARGE WELLS . . . . . . . . . . . . . . . . . . . . 2—25
M ISC LANEOUS WELLS. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2—26
3 GENERAL CLASS V WELL INSPECTION TIPS.. 3- 1
4 VARIOUS CLASS V INJECTION WELL INSPECTION
CHECKLISTS 4— 1
RECONNAISSANCE-LEVEL INSPECTION CHECKLISTS..... 4- 2
Field InspectionReport 4—3
USEPA Region IX UIC Program
Reconnais sarice—Level Field
Inspection Report...... . . . . . . . . . . . . . . . . . . . .4— 5

-------
Table of Contents
Page Two
SECTION PAGE NO.
VERIFICATION, ASSESSMENT, OR ENFORCEMENT-
LEVEL INSPECTIONCHEC 1ISTS.................... .4—7
USEPA Region IX LJIC Program In-Depth
Inspection Report Low Tech Wells...........4- 8
USEPA Region IX UIC Program In-Depth
Inspection Report High Tech We].ls..........4-12
UIC Program Site Inspection
(Low Tech Wells).. ..... . .. ... . .... .. .. .. . ..4—18
UIC Program Inspection Report
(High—Tech Wells) ................4—27
LIST OF TABLES
1 CLASS V INJECTION WELL TYPES.........................l— 4

-------
SECTION 1
INTRODUCTION
PURPOSE
The following information has been compiled to assist
Underground Injection Control (UIC) field inspectors with Class V
injection well site investigations. Because the Class V
injection program is relatively new and field efforts have not
been extensive, this information package should not be considered
absolute or exhaustive. As new information is accumulated, well—
type specific guidelines can be developed along with United
States Environmental Protection Agency (USEPA) approved
inspection practices. The USEPA will also be developing federal
regulations and designating regulatory programs for many types of
Class V wells in the coming years (after reporting to Congress in
September 1987).
This guide should only be used as a supplement to previously
developed operating procedures for inspections. It is not
intended to and does not encompass all aspects of inspection
protocol.
BACXGROUND
On December 14, 1974, the Safe Drinking Water Act became law
(PL-93-523). Part C of the Act mandates development of
regulations for state and federal UIC programs. The intent of
these regulations is to provide protection of underground
source(s) of drinking water (USDW) from contamination resulting
1—1

-------
from underground injection or emplacement of fluids through
wells. The USEPA has promulgated regulations which are published
in the Code of Federal Regulations (CFR). The UIC regulations
establish requirements for five classes of injection wells.
These well classes are:
Class I: Class I wells are municipal, hazardous, and
industrial disposal wells which inject below the
lowermost formation containing, within one-quarter
mile of the well bore, an underground source of
drinking water.
Class II: Class II wells inject fluids associated with oil
or gas production or liquid hydrocarbon storage.
These wells include brine waste injection,
enhanced oil or gas recovery wells, and wells for
storage of liquid hydrocarbons.
Class III: Class III wells inject fluids for the extraction
of minerals and, are used in conjunction with
solution mining of minerals.
Class IV: Class IV wells inject hazardous or radioactive
wastes into or above an underground source of
drinking water (banned nationally).
Class V: Class V wells are wells which do not meet the
criteria listed for Classes I — IV.
1—2

-------
Precise definitions of the five injection wells classes are found
in 40 CFR 144.6. A complete list of Class V injection well types
is presented in Table 1.
Class V injection wells can be divided into two general
types of wells based on construction. “Low-tech” wells 1) have
simple casing designs and well head equipment and 2) inject into
shallow formations by gravity flow or low volume pumps. In
contrast, “high—tech” wells typically 1) have multiple casing
strings, 2) have sophisticated welihead equipment to control and
measure pressure and volume of injected fluid, and 3) inject high
volumes into deep formations.
Low-tech well types include agricultural drainage wells
(5F1), storm water and industrial drainage wells (5D2, 5D4),
improved sinkholes (5D3), heat pump/air conditioning return flow
wells (5A7), some aquaculture return flow wells (5A8), raw sewage
disposal wells and cesspools (5W9, 5W10), septic systems (5Wll,
5W31), 5W32), some mine backfill wells (5X13), some cooling water
return flow wells (5A19), sane industrial process water and waste
disposal wells (5W20), automobile service station waste disposal
wells (5x28), and abandoned water wells (5X29).
High-tech well types include geothermal wells used for
electric power or for direct heat (5A5, 5A6), some aquaculture
return flow wells (5A8), domestic wastewater treatment disposal
wells (5W12), mining or backfill wells (5X13) , solution mining
wells (5X14), in—situ fossil fuel recovery wells (5X15) , spent
1—3

-------
TABLE 1
CLASS V INJECTION WELL TYPES
WELL
CODE NANE OF WELL TYPE AND DESCRIPTION
DRAINAGE WELLS (a.k.a. DRY WELLS)
5F1 Agricultural Drainage Wells — receive irrigation
tailwaters, other field drainage, animal yard, feedlot,
or dairy runoff, etc.
5D2 Storm Water Drainage Wells - receive storm water runoff
from paved areas, including parking lots, streets,
residential subdivisions, building roofs, highways,
etc.
5D3 Improved Sinkholes - receive storm water runoff from
developments located in karst topographic areas.
5D4 Industrial Drainage Wells - are wells located in
industrial areas which primarily receive storm water
runoff but are susceptible to spills, leaks, or other
chemical discharges.
5G30 Special Drainage Wells — are used for disposing water
from sources other than direct precipitation. Examples
of this well type include: landslide control drainage
wells, potable water tank overflow drainage wells,
swimming pool drainage wells, and lake level control
drainage wells.
GEOTHERMAL REINJECTION WELLS
5A5 Electric Power Reinjectiori Wells — reinject geothermal
fluids used to generate electric power - deep wells.
5A6 Direct Heat Reinjection Wells - reinject geothermal
fluids used to provide heat for large buildings or
developments - deep wells.
5A7 Heat Pump/Air Conditioning Return Flow Wells — reinject
groundwater used to heat or cool a building in a heat
pump or air conditioning system - shallow wells.
5A8 Groundwater Aquaculture Return Flow Wells - reinject
groundwater or geothermal fluids used to support
aquacul ture. Non-geothermal aquacul ture disposal wells
are also included in this category (e.g. Marine
aquariums in Hawaii use relatively cool sea water).
1—4

-------
TABLE 1 (CONT.)
CLASS V INJECTION WELL TYPES (CONT.)
WELL
CODE NAME OF WELL TYPE AND DESCRIPTION
DOMESTIC WASTEWATER DISPOSAL WELLS
5W9 Untreated Sewage Waste Disposal Wells - receive raw
sewage wastes from pumping trucks or other vehicles
which collect such wastes from single or multiple
sources. (No treatment)
5W10 Cesspools - including multiple dwelling, community, or
regional cesspools, or other devices that receive
wastes and which must have an open bottom and sometimes
have perforated sides. Must serve greater than 20
persons per day if receiving solely sanitary wastes.
(Settling of solids)
5W11 Septic Systems (Undifferentiated disposal method) — are
used to inject the waste or effluent from a multiple
dwelling, business establishment, community, or
regional septic tank. Must serve greater than 20
persons per day if receiving solely sanitary wastes.
(Primary Treatment)
5W31 Septic Systems (Well Disposal Method) — are used to
inject the waste or effluent from a multiple dwelling,
business establishment, community or regional septic
tank. Examples of wells include actual wells, seepage
pits, cavitettes, etc. The largest surface dimension
is less than or equal to the depth dimension. Must
serve greater than 20 persons per day if receiving
solely sanitary wastes. (Less treatment per square
area than 5W32)
5W32 Septic Systems (Drainfield Disposal Method) - are used
to inject the waste or effluent from a multiple
dwelling, business establishment, community or regional
septic tank. Examples of drainfields include drain or
tile lines and trenches. Must serve more than 20
persons per day if receiving solely sanitary wastes.
(More treatment per square area than 5W31)
5W 12 Domestic Wastewater Treatment Plant Effluent Disposal
Wells - dispose of treated sewage or domestic effluent
from small package plants up to large municipal
treatment plants. (Secondary or further treatment)
1—5

-------
TABLE 1 (CONT.)
CLASS V INJECTION WELL TYPES (CONT.)
WELL
CODE NAME OF WELL TYPE AND DESCRIPTION
MINERAL AND FOSSIL FUEL RECOVERY RELATED WELLS
5X13 Mining, Sand, or Other Backfill Wells - are used to
inject a mixture of fluid and sand, mill tailings, and
other solids into mined out portions of subsurface
mines whether what is injected is a radioactive waste
or not. Also includes special wells used to control
mine fires and acid mine drainage wells.
5X14 Solution Mining Wells - are used for in—situ solution
mining in conventional mines, such as stopes leaching.
5X15 In—situ Fossil Fuel Recovery Wells — are used for in—
situ recovery of coal, lignite, oil shale, and tar
sands.
5X16 Spent—Brine Return Flow Wells - are used to reinject
spent brine into the same formation from which it was
withdrawn after extraction of halogens or their salts.
OIL FIELD PRODUCTION WASTE DISPOSAL WELLS
5X].7 Air Scrubber Waste Disposal Wells - inject wastes from
air scrubbers used to remove sulfur from crude oil
which is burned in steam generation for thermal oil
recovery projects. (If injection is used directly for
enhanced recovery and not just disposal it is a Class
II well.)
5X18 Water Softener Regeneration Brine Disposal Wells -
inject regeneration wastes from water softeners which
are used to improve the quality of brines used for
enhanced recovery. (If injection is used directly for
enhanced recovery and not just disposal it is a Class
II well.)
INDUSTRIAL/COMMERCIAL/UTILITY DISPOSAL WELLS
5A19 Cooling Water Return Flow Wells - are used to inject
water which was used in a cooling process, both open
and closed loop processes.
1—6

-------
TABLE 1 (CONT.)
CLASS V INJECTION WELL TYPES (CONT.)
WELL
CODE NAME OF WELL TYPE AND DESCRIPTION
5W20 Industrial Process Water and Waste Disposal Wells - are
used to dispose of a wide variety of wastes and waste-
waters from industrial, commercial, or utility
processes. Industries include refineries, chemical
plants, smelters, pharmaceutical plants, laundromats
and dry cleaners, tanneries, laboratories, petroleum
storage facilities, electric power generation plants,
car washes, electroplating industries, etc.
5X28 Automobile Service Station Disposal Wells - inject
wastes from repair bay drains at garages, service
stations, n s car dealerships, motorpools, etc.
RECHARGE WELLS
5R21 Aquifer Recharge Wells — are used to recharge depleted
aquifers and may inject fluids from a variety of
sources such as lakes, streams, domestic wastewater
treatment plants, other aquifers, etc.
5B22 Saline Water Intrusion Barrier Wells - are used to
inject water into fresh water aquifers to prevent
intrusion of salt water into fresh water aquifers.
5S23 Subsidence Control Wells - are used to inject fluids
into a non-oil or gas producing zone to reduce or
eliminate subsidence associated with overdraft of fresh
water and not used for the purpose of oil or natural
gas production.
MISCELLANEOUS WELLS
5N24 Radioactive Waste Disposal Wells — include all
radioactive waste disposal wells other than Class IV
wel 1 s.
5X25 Experimental Technology Wells - include wells used in
experimental or unproven technologies such as pilot
scale in-situ solution mining wells in previously
unmined areas.
1—7

-------
TABLE 1 (CONT.)
CLASS V INJECTION WELL TYPES (CONT.)
WELL
CODE NAME OF WELL TYPE AND DESCRIPTION
5X26 Aquifer Remediation Related Wells - include wells used
to prevent, control, or remediate aquifer pollution,
including but not limited to Superfund sites.
5X29 Abandoned Drinking Water Wells - include abandoned
drinking water wells which are used for disposal of
waste.
5X27 Other Wells - include any other unspecified Class V
wells.
1—8

-------
brine return flow wells (5A26) , air scrubber and water softener
regeneration brine disposal wells (5X17, 5X18) , some cooling
water return flow wells (5M9) , some industrial process water and
waste disposal wells (5W20), sane aquifer recharge wells (5R21),
salt water intrusion barrier wells (5B22), subsidence control
wells (5S23), radioactive waste disposal wells (5N24),
experimental technology wells (5X25), and aquifer remediation
wells (5X26).
CONTENT OF REPORT
Section 2 of this report contains inspection tips for each
type of Class V injection well. After the well—type listing and
description, potential inspection contacts or information sources
are presented. Also given are well—type specific questions and
peculiarities or potential programs associated with each well
type.
Section 3 provides general questions and information which
could be used when an inspector has no knowledge of site
activities or of the type(s) of Class V injection wells on site.
Section 4 contains several inspection checklists which could be
used (or modified for tailored use) during site inspections.
TYPES OF INSPECTIONS
Several types of injection well inspections can be
conducted, depending on the Agency’s objectives: enforcement,
routine, witness mechanical integrity testing, witness plugging
and abandonment, reconnaissance, assessment-level, etc. The
1—9

-------
primary types of inspections conducted at Class V facilities have
historically included: reconnaissance—level inspections (basic
information gathering); verification—level (verify info given in
state or local permit applications); assessment—level (gather
info necessary to assess groundwater contamination potential);
and enforcement—level (gather info necessary to prove Class IV
hazardous waste injection or Class V endangerment).
The simplest type of inspection is the reconnaissance-level
inspection. Very few details about the injection operation are
recorded at this type of investigation. These inspections are
conducted when the purpose is to find out “what’s out there.”
Examples include initial (multi-purpose/multi-program)
inspections at federal facilities and area-wide drainage well
surveys (primarily to build inventories and look for potential
misuse). The first two inspection checklists in Section 4 of
this report are examples of reconnaissance-level forms and
present the types of data which should be collected. Also note
that both forms have space for the inspector to note if a follow—
up inspection is necessary.
An intermediate level of data are collected at verification-
level inspections. This type of investigation is possible when
the injection facility is operating under a permit (e.g. state
agency permit) and considerable data is on file with the facility
permit application. Similar to routine Class II well
inspections, the inspector should review the facility permit
1 — 10

-------
application information prior to inspecting the facility. The
main intent of inspection would then be to verify the previously
submitted information and look for compliance with permit
specifications. Although inspection checklists have not been
developed specifically for verification level investigations the
third and fourth checklists in Section 4 (one for low-tech wells
and one for high-tech wells could be used (may need some
modification). The inspector should fill out the form to the
degree possible before inspection and complete the form during
inspection, noting any differences in the application information
and the actual facility operation.
Both assessment and enforcement-level inspections entail
collecting, verifying, or generating extensive information about
Class V facilities during inspections. Assessment-level
inspections are conducted when nothing is known about a certain
well type or facility and the impact of the well’s or well type’s
discharges on groundwater quality must be determined.
Enforcement-level inspections are conducted when a facility is
suspected of injecting hazardous waste (Class IV enforcement) or
may present endangerment to USDW (although hazardous waste is not
injected). Injectate (or groundwater or soil) sampling and
analysis may be necessary to determine the impact of such
injection practices on groundwater quality. Site investigations
at this level, and especially those including sampling, must be
well prepared and coordinated in advance, including preparing
1 — 11

-------
sample and safety plans, planning with legal counsel, etc. The
last four checklists in Section 4 of this report are examples
(for both high and low-tech wells) which present the type and
amount of data needed during an assessment or enforcement-level
inspection. Depending on the facility, it may not be possible to
obtain all listed information, at least not from the facility.
It may be necessary to gather missing data from state or local
agencies or through extensive site investigations.
1 — 12

-------
SECTION 2
INSPECTION TIPS BY CLASS V WELL TYPE
GENER.AL
This section presents several general questions or tips
which are applicable to most or all of the Class V well types.
These should be asked at each inspection site. In addition,
tips, questions, and problems are presented for each specific
well type.
General Questions/Tips - Are there any nearby potable water,
industrial, or irrigation water supply wells, (including
abandoned wells)? [ If so, determine if they are completed in the
same formation as any identified Class V wells.] Are there any
kind of injection wells nearby? Is the facility connected to
sanitary and/or storm sewers? If so, is the use of sewers
available or all wastes generated? Are septic systems or
cesspools used? How is storm water handled? (Obtain all
available details concerning well construction including depth,
date of construction, casing and screen type, all logs, etc.)
What are injection rates and volumes? How often does injection
occur? Is injectate treated or filtered prior to injection? (If
yes, obtain a description of the treatment or filtration
process.] Have there been any problems with the wells (clogging,
caving, etc.)? If yes, please describe. What type of
maintenance, if any, does the owner/operator perform or performed
on the well ? At what frequency? What is done with any debris
removed from the well(s) during maintenance? Are any of the
injection wells permitted? If so, by what agency?
2—1

-------
DRAINAGE WELLS
5F1 Agricultural Drainage Wells — receive irrigation tailwaters,
other field drainage, animal yard, feedlot or dairy runoff,
etc.
Inspection Contacts — Farmer (Owner/Operator), SCS County
Agent, County Health Department Sanitariari or Inspector,
State Agriculture Department, State University (A&M).
Well—T ’pe Specific Questions/Tips — Does the agricultural
drainage well receive surface and/or subsurface drainage
(subsurface drainage is collected by a buried tile field)?
How deep are the supply wells, if present? What kind of
nutrients and pesticides are used, and what are the
application rates? Do surface drainage waters flow over
land which could contribute high levels of microbial
contaminants (e.g., feed lots, barnyards, dairies, etc.)?
Has the drainage well ever been used for direct disposal of
wastes (such as pesticide rinsate, etc.)? Are septic
systems or cesspools used? If yes, continue questions for
septic systems and cesspools since effluent from these wells
could enter a nearby agricultural drainage well.
Peculiarities/Potential Problems — Finding an inspection
contact may be difficult if not impossible. Getting
information from the inspection contact may be difficult.
Because these wells are often shallow, owners/operators may
not consider them “real wells”. These wells are also known
2—2

-------
as dry wells, pits, s mtps, drains, and other local “pet”
names. Construction and operation details along with other
specific information may not be readily available.
5D2 Storm Water Drainage Wells — receive storm water runoff
from paved areas including parking lots, streets, highways,
residential subdivisions, building roofs, etc.
Inspection Contacts — city engineer or planner, highway
department or department of transportation, building
inspector, maintenance supervisor, developer, land owner or
tenant, well driller.
Well—Type Specific Questions/Tips — Are storm water
drainage wells utilized? May I inspect the storm water
drainage wells? (Note location of wells (with respect to
sources of contamination such as chemical storage and
handling areas, note condition of wells, figure apparent
drainage area and land use, tag bottom of well.] Is the
measured depth equivalent to total depth of the well, or is
the well backfilled with rock or gravel below casing? [ Look
for inflow or outflow pipes and associated settling chambers
(catch basins) or wells hooked up in series (overflow), look
for evidence of illicit disposal or disposal of materials
other than storm water.] Have any spills or leaks flowed
to the storm water drainage wells? Is there a spill
containment/contingency plan? What is done with the debris
collected after cleaning/maintaining the wells?
2—3

-------
Peculiarities/Potential Problems — Finding an inspection
contact may be difficult. Getting information from the
inspection contact may be difficult. Shallow wells like
these may not be considered “real wells’ t and are also known
as dry wells, pits, sumps, and drains. Construction and
operation details and other specific information may not be
readily available. If you don’t already know that this is a
storm water drainage well, it may look just like a storm
sewer from the surface. Look for inflow/outflow pipes and
riser pipes (top of injection casing) in the settling
chamber under the grate or manhole cover and nearby
connected chambers. Depending on what has drained into the
well, materials collected in the settling chamber or the
well may be dangerous or toxic. If the well does not drain
properly, mosquitoes and other insects may be thriving in
the well or settling chamber. Access to the well may
require special grate or lid removal tools; these can
usually be obtained from the city maintenance division.
5D4 Industrial Drainage Wells — are located in industrial areas
and primarily receive storm water runoff but are susceptible
to spills, leaks, or other chemical discharges.
Inspection Contacts — see description above for 5D2 wells.
Well Specific Questions/Tips — see above for 5D2 wells.
Peculiarities/Potential Problems — see above for 5D2 wells.
Industrial operators or land owners may be reluctant to
2—4

-------
provide information, especially if they have discharged
materials other than storm water runoff to the well.
5G30 Special Drainage Wells - are used for disposing fluids from
sources other than direct precipitation. Examples of this
well type include landslide control drainage wells, potable
water tank overflow drainage wells, swimming pool drainage
wells, lake level control drainage wells, and construction
dewatering drainage wells.
Inspection Contacts — city engineer, planner, construction
department (potable water tank overflow or construction
dewatering), developer, owner/operator, maintenance super-
visor (pool drainage), highway department or department of
transportation (landslide control or construction dewater-
ing).
Well— ’pe Specific Questions/Tips — Specific questions are
difficult to list due to the variable nature of this well
type. During inspections the inspector must initially
determine use of wells, type and volume of injected fluids,
and construction details of wells to correctly subcategorize
well (see examples of well types listed above).
Peculiarities/Potential Problems — The inventory database
for these wells is very limited at present and needs to be
developed further. Because of this, inspection tips other
than routine procedures are limited - use common sense!
intuition. Use and location of these wells will not gener—
2—5

-------
ally be obvious or often talked about. Swimming pool owners
may not know whether their pool drains to the sewer system
or a well.
5D3 Improved Sinkholes — receive storm water runoff from
developments located in karst terrain and may also receive
any other fluid (e.g. agricultural drainage, industrial
waste fluids, etc.)
Inspection Contacts — city engineer or planner (and others
listed for 5D2 wells), farmer or county SCS agent (and
others listed for 5F1 wells), local sanitarian or land owner
(and others listed for 5W9—l1, 31, 32 wells), plant manager,
environmental coordinator, or maintenance supervisor (and
others listed for 5W12 and 5W20 wells).
Well—Type Specific Questions/Tips — What has been done to
improve the sinkhole(s) (e.g. put pipe in sinkhole throat,
installed grate to restrain debris, etc.)? What fluids are
disposed in the sinkhole? Are there any interconnected
sinkholes in the area (other sinkholes may back up and flood
due to this sinkhole’s improvements)? Has there been any
rapid development of other sinkholes or further development
of this sinkhole since it has been improved? Are any nearby
surface water bodies connected to the sinkhole or sinkhole
system?
2—6

-------
Peculiarities/Potential Problems - the Agency has not
defined precisely what constitues an improved sinkhole. The
inspector should be aware of this but still maintain keen
observation for intentional discharge of fluids into
sinkholes. Hopefully, this gray area will be better defined
as more site specific data is gathered and reported. The
owner or operator may not consider the improved sinkhole to
be a well and, thus, without direct questioning, may not
provide useful information. For more information on
improved sinkholes, please contact Ms. Lorraine Council at
Engineering Enterprises, Inc.’s Norman, Oklahoma office.
GEOTHERMAL REINJECTION WELLS
5A5 Electric Power Reinjection Wells — reinject geothermal
fluids used to generate electric power - deep wells.
Inspection Contacts — operator, company environmental
coordinator, state agency (e.g., Division of Oil & Gas),
Bureau of Land Management (BLM) (operations on federal
land), department of minerals and energy (state level).
Well—Type Specific Questions/Tips — What type of electric
power generation process is used at this facility (e.g.,
binary method, dry steam, or dual flash system)? Could a
synopsis of the operation be provided, especially with
regard to the injection facilities and what changes the
geothermal fluids are subject to before injection? Is
injection into the same geothermal reservoir as production?
2—7

-------
Note: This line of questioning could be continued to cover
many more aspects of geothermal injection. For more
specific guidance, please contact Mr. Gary Cipriano or Mr.
Mike Quillin at Engineering Enterprises, Inc.’s Norman, OK
office.
Peculiarities/Potential Problems — Chances are that there
will not be many, if any, 5A5 wells in EPA Region V because
it is not a thermally active area (most wells are in the
western U.S.). Many operators (and state regulatory
agencies holding records) will claim confidentiality of
information, especially geologic data. Most injection wells
are regulated, along with rest of the facility, under state
programs or the BLM (federal leases). Regulation and
information required by permits will vary from agency to
agency (so will cooperation). A considerable amount of data
and information should generally be available for 5A5 wells
where they exist.
5A6 Direct Heat Reinjection Wells — reinject geothermal fluids
used to provide heat for large buildings or developments -
deep or shallow wells.
Inspection Contacts — operator or maintenance supervisor,
utility representative or state utility board, developer or
local planner/engineer, BLM (federal leases).
Well-Type Specific Questions/Tips — Does the direct heat
system use downhole or surface heat exchangers? Is the
2—8

-------
geothermal, fluid piped to a central facility or to many
buildings! facilities? Is information available on analyses
of geothermal fluids, etc? Note: As for 5A5 wells, this
line of questioning could be continued to cover many more
aspects of geothermal injection. Please contact Mr. Gary
Ciprianb or Mr. Mike Quillin at EEl’s Norman, OK office.
Peculiarities/Potential Problems — Some direct heat facili-
ties are considered by the state to be utilities. Regula—
tiori of these wells varies from state to state and may be
dependent on volumes of heat-spent fluid injected. Where
these wills are actively regulated (e.g., permitted), a
large information database should exist. None of these
wells has been inventoried in EPA Region V yet, and future
use of these wells in Region V is expected to be limited or
non—existent.
5A7 Heat Pump/Air Conditioning Return Flow Wells - reinject
groundwater used to heat or cool a building by a heat pump
or air conditioning system.
Inspection Contacts — home owner (residential systems),
developer, local planner or engineer, maintenance supervisor
(large systems like in shopping malls), heat pump installer
or contractor.
Well— ’pe Specific Questions/Tips — Does the groundwater
pump utilize an open-loop system or a closed-loop system?
(Note that some heat pump systems are installed with
2—9

-------
subsurface closed—loop circulation systems. Injection wells
are not utilized with systems such as this, since water is
recirculated.] Does the system have an injection well for
fluid discharge (as opposed to surface discharge or drain
tile systems)? Are additives used in the system? Is
injection into the same formation as withdrawal?
Peculiarities/Potential Problems — Closed-loop, earth-
coupled heat pumps are not injection wells. The closed-loop
exchanger is filled just one time with water or some other
fluid which is continuously circulated in the buried
vertical loop. Many states may have well construction
standards such as requiring surface grouting around both
production and injection wells. Water may be injected into
a zone other than the supply zone.
5A8 Aquaculture Return Flow Wells - reinject groundwater or
geothermal fluids used to support aguaculture. Non-
geothermal aquacu].ture disposal wells are also included in
this category (e.g., marine aquariums in Hawaii use rela-
tively cool sea water).
Inspection Contacts — owner/operator (fish farms and
hatcheries), state department of land and natural resources
or health department (many facilities are state operated —
DNR in Indiana owns/operates fish hatcheries), state fish
and game or recreation departments. The U.S. Fish &
Wildlife Service also owns and operates fish hatcheries.
2 — 10

-------
well—Type Specific Questions/Tips — What is the source of
water used in the aquaculture operation? Is the water
system a continuous once-through system or is the water
recycled several times before disposal? What is the
specific disposal method (via injection wells, surface
disposal, or sewer system)? Are additives used in the
aquarium water and, if so, what is used, how much, etc.?
Peculiarities/Potential Problems — Commercial aquaculture
facility owners may be leery of inspectors and may think you
are a competitor trying to find out his operational secrets
(this has happened before). Surface water disposal is much
easier than injection because the wastewater can easily clog
the injection well and/or formation. In the absence of
surface water, aquaculture wastewater may be injected to the
subsurface or percolated in ponds. The only inventoried 5A8
wells are located in Hawaii where the injection zones are
extremely permeable.
DOMESTIC WASTEWATER DISPOSAL WELLS
5W9 Untreated Sewage Waste Disposal Wells — receive raw sewage
wastes from pumping trucks or other vehicles which collect
such wastes from one or more sources; also receive wastes
directly injected from facilities (e.g., injection into
abandoned mines, lava tubes, cavern systems).
5W10 Cesspools — include multiple-family dwelling, community, or
regional cesspools, or other devices which receive wastes
and which must have an open bottom and sometimes have
2 — 11

-------
perforated sides. Must serve more than 20 persons per day
if receiving solely sanitary wastes.
5W11 Septic Systems (undifferentiated disposal methods) — receive
waste or effluent from a multiple—family dwelling, business
establishment, community, or regional establishment septic
tank. Must serve more than 20 persons per day if receiving
solely sanitary wastes.
5W31 Septic Systems (Well disposal method) — include, for
example, actual wells, seepage pits, cavitettes, etc. which
inject effluent from septic tank(s). The largest surface
dimension of the well is less than or equal to the depth
dimension. Must serve more than 20 persons per day if
receiving solely sanitary wastes.
5W32 Septic Systems (drainfield disposal method) — include, for
example, drain or tile lines, absorption mounds, and
trenches. Horizontal dimension(s) are greater than vertical
dimensions. Must serve more than 20 persons per day if
receiving solely sanitary wastes.
Inspection Contacts — Owner or property manager, maintenance
supervisor, city or county sanitarians (health department),
plant manager, maintenance supervisor, or environmental
coordinator (if large industrial facility).
Well - rpe Specific Questions/Tips — How are sewage wastes
disposed? (If a septic system is used, ascertain what kind
2 — 12

-------
of disposal system is used (e.g., drainfield, cavitette,
etc.).] Is the septic tank or cesspool pumped out
periodically? Who pumps out the facility, and where do the
pumping wastes go? Are any chemicals used to “treat” the
septic system? Does the system receive any wastes other
than sanitary wastes? (Find out all sources of waste, e.g.,
lab drains, toilets, etc.] Have there been any problems
with the system? What is the capacity of the system?
Peculiarities/Potential Problems — Many owners may not have
a clue as to what kind of sewage disposal system they have,
and any records may have “disappeared.” Sewage waste
disposal wells may receive wastes other than sanitary
wastes, especially at industrial or commercial facilities.
Owner/operators may be hesitant to tell you about this or
may even lie about it (this has happened). Access to the
wells may be difficult or impossible without exhuming the
systems. Sampling to detect wastes other than sanitary
wastes may be difficult because of construction features.
If cesspools or septic systems are exhumed for sampling,
dangerous levels of gases such as methane or hydrogen
sulfide may be present.
5W12 Domestic Wastewater Treatment Plant Effluent Disposal Wells
— dispose of treated sewage or domestic effluent from small
package plants up to large municipal treatment plants
(treatment should be secondary or further).
2 — 13

-------
Inspection Contacts — plant operator or manager, city public
works department, local or state health department.
Well—Type Specific Questions/Tips — Please describe the
plant’s treatment process and operation. (Try to get a tour
of the plant as the contact describes the processes.] What
level of treatment is provided and does the plant
consistently achieve this treatment level? Are effluent
analyses available? Have any problems occurred injecting
this volume? (Continue on with questions as per the high-
tech inspection checklists (Section 4 of this report).]
Peculiarities/Potential Problems — Sewage treatment plant
(STP) effluent disposal wells may serve a secondary purpose
of recharging depleted aquifers or acting as a hydraulic
barrier to salt water intrusion. In some cases, disposal
may be the secondary purpose and recharge may be the primary
purpose. Sewage treatment plants generally experience
periods where treatment processes are not adequate to treat
wastes as designed. Many such injection facilities may hold
monitoring data on the injectate and possibly on the
groundwater quality; these data should be obtained if
possible. Some STP disposal wells need periodic maintenance
(e.g., acidizing wells). Maintenance records and descrip-
tions should be noted.
2 — 14

-------
MINERAL AND FOSSIL FUEL RECOVERY RELATED WELLS
5X13 Mining, Sand, or Other Backfill Wells — inject a mixture of
fluid, and, mill tailings, or other solids into mined out
portions of subsurface mines. Also includes special wells
used to control mine fires and acid mine drainage wells.
Inspection Contacts — mine operator/supervisor, environ-
mental coordinator or mine engineer, plant supervisor (sand
and gravel quarries).
Well—Type Specific Questions/Tips — What is the composition
of material injected? How are the wells plugged and
abandoned? Does the state mining, minerals, or energy
department permit the wells, perhaps as part of an overall
mining project permit? (Obtain permit application data, or
note type of information and where it is available for
review.]
Peculiarities/Potential Problems — Some backfill wells have
a very short lifetime (2 — 3 days). Backfill wells can be
used for subsidence control, mining waste disposal, acid
mine drainage, and mine fire control.
5X14 Solution Mining Wells — are used for in situ solution mining
of conventionally mined areas, such as stopes leaching.
Inspection Contacts — mine operator, supervisor, or process
engineer, company environmental coordinator, state bureau of
mines, BLM (federal leases).
2 — 15

-------
Well-Type Specific Questions/Tips — What minerals are you
producing and what isthe lixiviant used in the mining
process? What zones are being mined? How many wells are
used to inject lixiviant? Are analyses of injected fluid
available? What percent of fluids are recovered (e.g.,
90%)? Are there any aquifers in the mining vicinity, and is
there a groundwater monitoring network? If so, are analyses
available? (Proceed with questions from the high-tech well
inspection forms in Section 4 of this text.]
Peculiarities/Potential Problems — Solution mining opera-
tions may use both Class III and V injection wells. Class V
wells are those used in previously mined areas (by conven-
tional methods) or pilot—scale experimental projects.
Solution mining operations typically use several injection
wells, on the order of hundreds of wells. Often, these
operations will recover over 100% of fluids injected, which
indicates the mine is acting as a groundwater sump. Opera-
tors generally know exactly what they are injecting (part of
the process) and will reuse the lixiviant until it is
totally spent. Lixiviant chemistry will vary with the
mineral product to be mined but is typically a very acidic
or basic solution. -
5X15 In Situ Fossil Fuel Recovery Wells — are used for in Situ
recovery of coal, lignite, oil shale, and tar sands.
2 — 16

-------
Inspection Contacts — plant supervisor or operator, company
environmental coordinator or process engineer, state depart-
ments of energy or minerals, BLM (federal leases).
Well—Type Specific Questions/Tips — What energy-related
product is the operation producing, and by what method is it
produced? [ If the operation is confidential or patent—
pending status, ask for at least a brief overview. Items to
note are: 1) what is produced, 2) what is injected, 3) how
many wells over what three-dimensional area are used, 4)
what is left in the burn zone, 5) whether the project has a
groundwater monitoring network in place, 6) whether the
project (as a whole) is permitted or regulated by some
federal or state agency and 7) what was required for a
permit application (should review permit material).]
Peculiarities/Potential Problems — Very few, if any, of
these type of projects are currently operating, due to the
economic situation. Other federal agencies, such as the
Department of Energy (DOE) or Bureau of Land Management
(BLM) may be more involved in regulating projects such as
these; however, these agencies probably are regulating the
entire project and not just the injection well part of the
project. Development of coal and lignite appears to be more
likely than development of oil shale or tar sand in Region V
(in situ processing).
2 — 17

-------
5X16 Spent Brine Return Flow Wells — reinject spent brine into
the same formation from which it was withdrawn after extrac—
tion of halogens or their salts.
Inspection Contacts — operator or company environmental
coordinator, state agency (e.g., oil and gas division,
corporation commission).
Well—Type Specific Questions/Tips — Which halogens or salts
are being extracted? Is injection into the same horizon
from which production is occurring? [ Examine production
volumes and injection volumes. Be wary of high injection
volumes which would indicate other fluids (e.g., process
wastewater) may be injected in the spent brine stream.
Proceed with either the high—tech well inspection form
(Section 4 of this text) or with a verification-type Class
II inspection (once the permit application data has been
examined) .1
Peculiarities/Potential Problems — These wells are very
similar in construction and operation to Class II wells and
most are permitted by state agencies. Some states regulate
5X16 wells as either Class I, II, or III wells and require
permits for operation. In such a case, permit application
records should be reviewed before inspection, and the
inspection should be verification or routine level. Some
Arkansas 5X16 operators have been discovered to dispose of
other process wastewater along with the spent-brine, a
practice which, according to USEPA HQ, is illegal. Casing,
2 — 18

-------
tubing, and other construction features are susceptible to
corrosion from the brines disposed.
OIL FIELD PRODUCTION WASTE DISPOSAL WELLS
5X17 Air Scrubber Waste Disposal Wells — inject wastes from air
scrubbers used to remove sulfur from crude oil which is
burned in steam generation for thermal oil recovery
/
projects. (If injection is used directly for enhanced
recovery and not just for disposal it is a Class II
injection well.)
5X18 Water Softener Regeneration Brine Disposal Wells — inject
regeneration wastes from water softeners which are used to
improve the quality of brines used for enhanced oil
recovery. (If injection is for enhanced oil recovery and
not just disposal it is a Class II injection well.)
Inspection Contacts — well operator or company environmental
coordinator, state oil and gas regulatory agency.
Well—Type Specific Questions — For air scrubber wells, what
are the approximate relative percentages of scrubber liquor,
regeneration brine, and produced water that are commingled
for injection? Are injectate analyses available? Similar-
ly, for regeneration brine disposal wells, what are the
approximate relative percentages of regeneration brine and
produced water? Is cogeneration a part of the overall oper-
ation? If so, what processes are involved? (This is impor-
tant primarily for inventory purposes.) Is the system fired
2 — 19

-------
by crude oil or natural gas? (This will aid in determining
air scrubber waste constituent types and concentrations.)
Is the injection zone hydrocarbon productive? (This may be
important for future aquifer exemptions.) What is the
cation exchange medium used in the water softener, and how
of ten is it replaced? Is there a plot available showing
origins and holding facilities for all wastes that are
commingled prior to injection?
Peculiarities/Potential Problems — Reclassification of 5X17
and 5X18 injection wells to Class II wells is currently
being considered by USEPA Headquarters. However, these
wells will be treated as Class V wells until notification
otherwise by USEPA HQ. Waste streams will be commingled
either at the welihead or at a central storage facility.
This is important to note if waste stream sampling is
anticipated. If wastes are commingled at a central holding
tank, sampling can be conducted under low pressure
conditions. However, if commingling occurs at the wellhead,
accurate characterization of the waste stream will require
sampling at the welihead. This may involve the use of high
pressure welihead sampling equipment. One strategy behind
injection of these wastes may be for enhanced oil recovery
purposes, which would make such injection Class II. It is
important to identify the operator’s intentions so that
differentiation between Class II and V disposal practices
can be made.
2 — 20

-------
INDUSTRIAL/ COMNERCIAL/UTIL ITY DISPOSAL WELLS
5A19 Cooling Water Return Flow Wells — inject water which has
been used in a cooling process and include contact systems
and open- and closed—loop processes.
Inspection Contacts — plant manager, supervisor, or environ-
mental coordinator (large industries), plant maintenance
supervisor, owner/operator, building safety inspector.
Well-Type Specific Questions/Tips — What products are
manufactured at this facility? What processes are employed
to make the products? What wastes are generated from each
process? What is done with the wastes? Which processes
require the use of cooling water? Are any of the waste
streams commingled with the spent-cooling water? What type
of cooling water system is used (e.g., contact, open-loop,
or closed-loop)? What is the source of supply water? Are
any chemical additives used? Is there a scale problem and,
if so, how is it removed? If so, what is used, for what
reason, and how much is used? (Inspect the entire cooling
system and return flow well(s). Look for any pipes which do
not originate from the cooling system but lead to the
circulation system or return flow well, and ask for the
source of each pipe. Ask to see all waste handling/storage
areas.] Does the facility have a spill containment!
contigency plan?.
Peculiarities/Potential Problems — Wastes other than spent
cooling water may be injected along with cooling water. If
2 — 21

-------
a contact system or open-loop system is used, there is a
possibility that contaminants may enter the spent cooling
water. The type of system and its integrity should be
checked during inspection. Water may be injected into a
zone other than the supply zone.
5W20 Industrial Process Water and Waste Disposal Wells — dispose
of a large variety of wastes and wastewaters from industri-
al, commercial, and utility processes. Examples of indus-
trial, commercial, and utility facilities include refin-
eries, chemical plants, smelters, pharmaceutical plants,
laundromats, dry cleaners, tanneries, laboratories, petro—
leum storage facilities, electric power generation plants,
car washes, electroplating shops, funeral homes, etc.
Inspection Contacts — plant supervisor or manager, environ-
mental coordinator (large industries), plant supervisor or
owner/operator (small industries), maintenance supervisor,
building safety inspector.
Well—Type Specific Questions/Tips — What products are made
or what services are provided? What processes are employed
to make the products? What wastes are generated from each
process? What is done with these wastes? May I see the
waste storage/handling areas? Is there a spill containment!
contingency plan? Are there any floor drains in the process
areas or waste handling/storage areas? Are any wastes,
other than sanitary wastes, discharged into the sewage
2 — 22

-------
disposal system (e.g. lab chemicals, etc.)? Are any wastes
discharged into or could any waste potentially enter the
storm water runoff drainage wells? Is equipment (such as
trucks, heavy machinery, etc.) washed at the facility? If
so, what types of cleaners are used, and how is the rinsate
disposed? Are any storm water drainage wells susceptible to
injection of rinsate? Is there an aquifer remediation
project on site? If so, does it utilize injection/recharge
wells as part of the system? Is a cooling water system
used? If so, is the spent cooling water injected? Is there
a groundwater or vadose zone monitoring system on site? If
so, is any monitoring data available? Is any waste
discharged to pits, wells, or leach lines? Are any
injectate analyses available?
Peculiarities/Potential Problems - Many owner/operators will
be hesitant to provide such information on their waste dis-
posal wells. Many industries mix their waste streams. Many
industries use dual purpose wells (e.g., sewage waste dis-
posal or storm water runoff wells). Some of these wells may
actually be Class IV hazardous waste disposal wells.
Appropriate sampling and analysis is required to determine
if Class IV waste disposal is practiced. Keen observation
is warranted at all industrial site inspections. This is
especially important for facilities where the inspection
contact is hesitant to provide information.
2 — 23

-------
5X28 Automobile Service Station Disposal Wells — inject wastes
from repair bay drains or other floor drains at service
stations, garages, car dealerships, etc.
Inspection Contacts — manager of station (gas stations and
garages), maintenance or repair supervisor (automobile
dealers).
Well—Type Specific Questions/Tips — Does the facility have
a recycling/reuse or waste management system in place? If
so, please describe. How are the repair bay wastes managed
or disposed? Is an oil/water separator, or other grease
trap device used to remove oils before disposal of wastes
into the injection well? What type of injection well is
used (e.g., dry well, septic system, cesspool, drainage
well, etc.)? Are there any plumbing plans for the disposal
system? May I see the plans? Does the facility have a car
wash? If so, how is the car wash effluent disposea and what
cleaners are used? Is the station area hosed down? If so,
where does the floor/lot drainage water go? How many cars
are serviced daily? Specifically name all wastes and
describe the associated disposal practice. [ Observe setting
and determine if any other wastes can be or have been
injected into the on—site disposal well(s).]
Peculiarities/Potential Problems — Many gasoline station
and garage owners may not have knowledge or records on their
disposal systems. Intensive detailed questioning may pro-
vide some answers which were not easily answered before.
2 — 24

-------
Many facilities may use dual purpose wells (e.g., cesspools,
septic systems, and storm runoff drainage wells). The
inspector may have to check city records to determine if the
station is sewered or not. This may be a tedious task. All
legal implications of inspecting such facilities, especially
at stations owned or leased by major oil companies, should
be reviewed before any inspections are conducted. Some
wastes injected by such facilities may be Class IV hazardous
wastes. All such sampling and analysis must be carefully
undertaken, especially if enforcement actions are anticipa-
ted.
RECHARGE WELLS
5R21 Aquifer Recharge Wells — recharge depleted aquifers arid may
inject fluids from a variety of sources such as lakes,
streams, domestic wastewater (sewage) treatment plants,
other aquifers, etc.
5B22 Saline Water Intrusion Barrier Wells — inject water into
fresh water aquifers to prevent intrusion of salt water into
fresh water aquifers.
5S23 Subsidence Control Wells — inject fluids into a non-oil or
gas producing zone to reduce or eliminate subsidence
associated with overdraft of fresh water.
Inspection Contacts — owner/operator (e.g., flood control
district), state agency (e.g., Water Resources Division),
consulting engineer.
2 — 25

-------
Well—Type Specific Questions/Tips — What is the source and
quality of injected •fluids? Do these wells serve a
secondary purpose such as sewage treatment plant effluent
disposal? Which aquifer is being recharged? What is the
injection zone? Please present an overview of the recharge
project including specific details on the injection portion
of the project. Is there a groundwater monitoring and/or
injectate monitoring system on site? If so, may I review
the periodic/continuous analyses? Is this project regulated
by a local or state agency?
Peculiarities/Potential Problems — Define the purpose of the
injection project (e.g., recharge, salt water barrier, or
subsidence control). Determine any secondary uses of
system. Many of these projects are under jurisdiction of a
local or state agency. This is primarily due to the fact
that most such projects inject directly into USDW. Some of
these projects may be operated irresponsibly with regard to
injectate water quality.
MISCELLANEOUS WELLS
5N24 Radioactive Waste Disposal Wells — include all radioactive
waste disposal wells other than Class IV wells (Class V
radioactive disposal wells include those injecting deeper
than the lowermost USDW).
Inspection Contacts — environmental coordinator, company
process engineer, or waste disposal supervisor, Department
2 — 26

-------
of Energy (DOE), Nuclear Regulatory Commission (NRC), or
Department of Defense (DOD) official.
Well—type Specific Questions/Tips — What specifically is
injected and what is the fluid quality and quantity? Please
delineate all aquifers (USDW) nearby with respect to the
injection zone (to determine if this is a Class IV or V
well).
Peculiarities/Potential Problems — Very little is currently
known about 5N24 wells. Any 5N24 site inspection should be
conducted only after careful planning and coordination with
USEPA and the facility owner/operator or other
representative. Although USEPA’s motive would be to obtain
all site specific assessment level information, the health
and safety of field inspectors is paramount. Coordination
with other regulatory agencies such as DOE and NRC is
crucial. More details on inspecting 5N24 wells will be
developed as more is understood about these wells.
5X25 Experimental Technology Wells — are used in experimental or
unproven technologies such as pilot scale in Situ solution
mining wells in previously urimiried areas, tracer studies,
secondary water recovery, thermal storage, etc.
Inspection Contacts — site specific (will have to play by
ear), project supervisor or environmental coordinator.
2 — 27

-------
Well—type Specific Questions/Tips - Please explain project
‘and the specific usage of injection wells. What type and
quality of fluids are injected? Does the facility have a
groundwater or injectate quality monitoring. system on site?
(Proceed with assessment level inspection questions (see
checklists in Section 4 of this text).]
Peculiarities/Potential Problems — This is an unlimited,
diverse class of injection wells which require specific
questioning to determine use and purpose, threat to
groundwater quality, etc. If the wells are associated with
in situ solution mining, aquifer remediation, underground
coal gasification, or in situ oil shale/tar sands retorting,
proceed with reviewing tips presented for these well types,
respectively. Some owner/operators may consider these
associated technologies as experimental. Very little is
known about other experimental technologies using injection
wells; thus, assessment level inspections are warranted.
5X26 Aquifer Remediation Related Wells — inject fluids to
prevent, control, or remediate aquifer pollution, including
but not limited to wells at Superfund sites.
Inspection Contacts’ — company environmental coordinator,
plant manager, or project engineer, state agency (e.g.,
Departments of Water Resources, Health, etc.).
Well—type Specific Questions/Tips — What contaminant(s)
is(are) being recovered by the remediation system? Please
2—28

-------
detail the remediation system specifics. Are any treatments
used before the recovered groundwater is reinjected? If so,
please detail. What is the source, quality, and quantity of
injected fluids? Is there a groundwater or injectate
monitoring system on site? May I review the system reports
and periodic analyses? How effective has the system been to
date? Is the project under regulatory authority of any
federal, state, or local agency? If so, please detail. [ A
tour of the system and each component, complete with
explanation, is in order.]
Peculiarities/Potential Problems — Each system is site
specific. Inspection questions should be developed for each
facility to compensate for site specific conditions. Any
federal, local, or state regulatory agency overseeing the
remediation system should be identified and coordinated with
during site investigations. Depending on the site and the
stage of remediation in place, it may not be practical or
necessary to treat recovered groundwater before injection.
This is true for facilities where hydrocarbon contamination
is being remedjated; at such sites, the “free hydrocarbon”
(source) is first removed before further groundwater
treatment can effectively be conducted.
5X29 Abandoned Drinking Water Wells - include those abandoned
water wells which are used intentionally for the disposal of
wastes.
2 — 29

-------
Inspection Contacts — owner/operator (including land owner),
SCS county agents, local or county sanitarians.
Well—Specific Questions/Tips — Are there any other abandoned
water supply (potable, irrigation, or process water) wells
on site? Are the wells properly plugged and abandoned? If
not, are any wastes, intentionally or unintentionally,
discharged to the wells? If so, please specify type,
quantity, and quality of fluids injected. How long and by
whom has this injection been occurring? Have any nearby
water wells have been affected or have had any water quality
changes? (Inspect all wells, including the abandoned water
wells, on or near site.]
Peculiarities/Potential Problems — Finding out about such
wells is difficult. Most cases of abandoned wells being
used for waste disposal come from citizen complaints or
anonymous telephone calls. The state or local water
resources agency or health departments may be aware of such
practices.
5X27 Other Wells — any other unspecified Class V wells. Well
type/purpose and injected fluids must be specified. Use
your best judgment on inspections, based on above listed
suggestions.
2 — 30

-------
SECTION 3
GENERAL CLASS V WELL INSPECTION TIPS
This section is intended to provide some guidance for
inspection situations where the inspector has no prior knowledge
of the type of Class V well(s) which might be present and little
or no information about the type of activities or manufacturing
processes occurring at a given inspection site. In this case the
initial step in the inspection process is to obtain a description
of the type of activities occurring on-site from the contact
person. This should include descriptions of processes and
wastes generated from each process. The inspector should ask the
general questions listed below to help determine what wastes or
fluids are generated on site, keeping in mind what the facility
business is.
What is the nature of business at this facility? What
L hat i 4c trca. ’j ic. pr.cJu J 4
products or services are provided?fl (Have contact person list
each waste stream and its ulitmate fate (e.g., well disposal,
sewer disposal, recycled, etc.).] How is storm water handled on
site (e.g., by storm sewer disposal, by drainage well disposal,
etc.)? Is this facility connected to a sanitary sewer system?
Does the facility dispose of sewage wastes in the sewer or by an
on—site system like a cesspool or septic system? Is the use of
sewers available for all wastes generated? If not, are wastes
other than sanitary wastes disposed in the on-site systems or by
some other means? Please specify for each waste stream. Is an
aquifer remediation (clean—up) project operating at the facility?
3—1

-------
If so, are injection wells used in the system? Does the facility
heating/air conditioning system utilize groundwater and, if so,
does the system have reinjection wells associated with it? Are
there any nearby potable water, industrial, or irrigation water
supply wells (including abandoned water wells)? (At this point
it may be worthwhile to review the listing of Class V injection
well types.] Are there any other kind of injection wells known
to operate nearby?
Once this information has been obtained and as many of the
general questions have been answered, the inspector should ask
for a tour of the facility and to see the wells. A facility tour
is very important. During this tour, the inspector has the
opportunity to see any waste management facilities, examine
general site conditions, and to look for possible violations such
as sinks or floor drains plumbed into the wells. The inspector
should ask about anything that appears to have any potential to
contaminate the wells including chemicals stored nearby, floor
drains, catch basins, waste disposal practices, etc. It is not
uncommon to discover information that changes a well’s
classification during a facility tour (e.g., presence of floor
drains connected to a septic system which might result in
reclassification to a 5W20 industrial waste disposal well). It
is also not uncommon to discover additional wells, particularly
drainage wells, which were not originally declared by the
inspection contact.
3—2

-------
After all wells have been located and classified by type,
the inspector should attempt to obtain the information specific
to each well type identified (see Sections 2 and 4).
3—3

-------
SECTION 4
VARIOUS CLASS V INJECTION WELL INSPECTION CHECKLISTS
Six example, inspection checklists are presented in this
section. The first two inspection forms could be used or
modified for use during reconnaissance-level inspections. The
last four checklists could be used or modified for use during
verification, assessment, or enforcement-level inspections and
reflect the generally greater amount of details needed for such
inspections. The third and fourth checklists (one for high-tech
and one for low—tech wells) ask for relatively less detail than
the fifth and sixth checklists and could be used for
verification—level inspections.
4—1

-------
RECONNAISSANcE-LEVEL INSPECTION CHECKL ISTS
4—2

-------
FIELD INSPECTION REPORT
Field Inspectors
Previous Inspections yes no
If yes, date(s) _______________
Date of Inspection: _____
Type of Well: ________
L ation of Well: ______
rber of Wells: _______
G P DA
FAcThI’IY INF R’1M’ION
s-rk< r ____________
a’wis’rizi
P E m: ___
CX)N AC PERSON:
Type of Inspection:
rrective ?ction
Ca plaint _______
Capliances ______
Mech. mt. _______
nstruction _____
Re-Work _________
Reconnaissarxe
L AL QER
PRE P
‘z?/s’r/zIP
O E : ___
CDN AC PERSON:
LOCATED IN NS P
OR LATITUDE
_____ _____ SECrION _____ Q1’R S TION
________ z r FR 4 THE ________ LD E ND
________ FRQI THE ________ LINE
LO ’I ]DE
P&A ______
Misc. (ecplain)
, ,
4— -,

-------
‘1’Y S ?ND Nt ERS OF P 1 SS V ECI’ION
WELLS OPERATED:
DRAfl GE W JLS
A icult .zal Drainage Wells ____
Storm Water Drainage Wells ____
Im ro ,ed Sinkholes _____
Iniustrial Drainage Wells ____
Special Damage wells
(specify) _________________
GEDTHE tP.L REDUEC ICN WELLS
.ectric P r Reinjection Wells ____
Direct Heat Reinjection Wells _____
Heat P inp/AC Return Fl Wells ____
Pquaculture Return Floe. Wells ____
ric WPISTEWATER DIS S L W TJ-
Untreated Sewage Waste Disposal
Cesspool s
Septic Syst ns
(TJr i fferentiated)
Septic Systens (Well Disposal)
Septic Systans
(Drainf ield Disposal)
Waste ater ‘frea ent Plant
fluent
I’DNERNJ ND FOSS J FUEL RELATED
____ Mining, Saixi , or Other 3 ) ill ____
____ Solution Mining Wells ____
____ In Situ FOssil Fuel Recovery Wells ____
____ Spent Brine Return Flo Wells
0Th FIELD JC1’ION WASTE DIS SAL
Air Scrtbber Waste Disposal
Water Softener Regeneration Brine
______ fl WSTP IN / a?L/TJr rr’f
oling Water Return F1o i ____
Irdus trial Process Water/Waste _____
(specify) ____________________________
Autanthile Service Station Waste
R.EOiA E WELLS
) uifer Recharge Wells
Saline Water Intxusion Barrier
Subsiderce Control Wells
MISC LLANEaJS
Radioactive Waste Disposal
E çerinental Technolo
(spec.fy) _______
?q ñ fer Ranediation
) bd. Drinid.ng Water
Other
Fa. r -uP NE SSARY (‘ SfNO):
? NY NON— 1 I?N I NirrJ u :
E O’IOS TA
L G NUb SER WI’fli DES IPPION OF OT :
SI2 A’IURE OF D SPECflR:
(spec.fy)
4—4

-------
USEPA REGION IX
UNDERGROUND INJECTION CONTROL PROGRAM
RECONNAISSANCE LEVEL FIELD INSPECTION REPORT
FACILITY INFORMATION
Inverztory/Pemnit ID: ________________ Other ID ________
Facility Nait : ____________________ Contact Person: ______
_________________________________ Title: ______________
Facility Mdress: __________________ Contact’s Address: ____
Inspection tate (N, D, CY): ____ - -
N es ai Affiliations of Field Inspector(s): ________________
W L i TION DNrA:
________ Type ________ *S s ________ Years of Cper. ____ to ____
Ni. ±er ________ Type ________ *St ________ Years of Oper. ____ to ____
N rber ________ Type ________ *Status ________ Years of Oper. ____ to ____
N’m’ber ________ Type ________ * 5 a ________ Yeaxs of Oper. ____ to ____
*1= Proposed 2=Urxier Constxuction 3=Existing/Active 4=Tezpararily Aarx1on i
5=Pez:mariently Abarxb ied 6=Pexinanently ?baxx oned ar t bt Approved
Any rbn-Ca liarce rbted? (YIN) _______ (List possible violations on back)
Folla -Up edai? (YIN) _______
Recar rerx ed Fol l r-up Action*: __________________________________________
ENF=fliergerey R ponse/ ifoxc nt SMP=S pling PLG=Plug Well
RT Routine/Periodic Inspections RFIi=Ra uest for ?Mitional Inforsation
PI to(s) Taken? (YIN) ________ Roll M . ________ Fraz s. ________
Attac rents? List: _____________________________________________________
4—5
(Comments on Reverse Side)

-------
G 4ERAL co * rrs
(Operator c ments, weather, surrounding land use, susceptibility
to spills, appearance of wells, security, etc.)
Signature(s) of Inspector(s): —
4—6

-------
VERIFICATION, ASSESSMENT, OR ENFORCEMENT-LEVEL
INSPECTION CHECKLISTS
4—7

-------
USEPA. REGION IX
UNDERGROUND INJECTION CONTROL PROGRAM
IN-DEPTH INSPECTION REPORT
LOW TECH WELLS
GENERAL FACILITY INFORMATION
Inventory/Permit ID _____________ Other ID No. —
Operator/Facility: Name ___________________________
Address:
City: __________ Ccxinty: __________ State: — Zip: _____ Phone:
Legal Contact: Name ______________________________
Company:
Address:
City: __________ Ccunty: __________ State: Zip: _____ Phone:
Owner: Name __________________________________
Company:.
Address:
City: __________ C nty: __________ State: — Zip: _____ Phone:
Parent Company: _____________________________________________
vnership Stat is: 1 = F 2 = TE 3 = PRIVM’E 4 = JRTi C 5 =
(Cix 1e e)
Nature of Business: ________________________________________
RC A Facility? (Y/N/M) Y = Yes N = 1.b M = MAYBE, ADDITIO L
RMM’ION
Insp tion Date: CM, D, C ): ____/ /___
NanEs ai Affiliations Inspectors: _____
Signature(s) of Inspector(s): ______
Date Inspection Report Car leted: —
4—s

-------
Inventory/Permit ID ___________ Operator/Facility
Inspection Type: _________________, ! CT = Witness z a’r
= flrergercy Response/ orc nent
= Witness ,struction
PLC = Witness Plugging
RTN = Routine/Periodic Inspection
SMP = Saspling
EPA Project Officer: _____________________________________________
Mditional Participants: ______________________________________________
1 11 C.assi.ficatiai t ta
Mmber _______ Type ________ *Status ________ Years of Oper. ____ to _____
Niunber _______ Type _______ *Sta ________ Years of Oper. ___ to ____
I4 i urber _______ Type _______ *S t tus ________ Years of Oper. ___ to ____
N i unber _______ Type _______ *Sta ________ Years of Oper. ___ to ____
*j=p posed 2=Ur er c nstxuction 3=E dsting/Active 4=’1 xporarily bar or
5=Pexmanently Abandoned 6=Pexrlax3ently Abandoned az bt Approved
Well O on
ta1
D th (ft) Dia. (in) Casing? (Y/N)
Well Type ____ _______ _______ __________
Well Type _____ __________ _________ _____________
Well e ____ _______ _______ _________
Well Type ____ _______ _______ _________
Describe any prcviois prthlaz with the wells: ___________________________
Describe injection well peintits that this facility has applied for or cbtained:
List substances stored on-site: ____________
List possible RC a rdc,is Waste(s) on—site:
- h_fl

-------
Inventory/Per nit ID ___________ Operator/Facility
crxa FIDID n ai
Describe Injectate Source/Pre-trea nt Pr esses: ________
Inj ec tate Cai Osi tiOrl:__________________________________________________
Eossible Q ritaninants:____________________________________________________
Averaqe Voltzie Inject :____________________________ (gallons/day/well)
Specify periodicity of injection voltme ai of injectate caiçosition:
Describe pot tial sanpi irig points: _________________________________________________
cricz i A C ____ ____
General i ntS (appearar e of ll Cs), susc ti i1ity to spills, sec ity,
etc.):
Any bn-Cpliance Ibted? (YIN) ____ Foll -Up Needed? (YIN) ____
Recar rerded Foll v up ? tion: ________
PLG= Plug Well J=Routine/Periodic Inspections =Saup1 ing
ENF=E xergency Respnse/ forceu ent RFI=R uest for Mditional Thfornatian
4-10

-------
Inventory/Permit ID __________ Operator/Facility __________
1 . 1ST (P M’rA i1’S — bte as follovs:
X if atP ) i. A if available l it rxt att 1 vi, if r t available
o Map of Facility Grouix1s: ____
o Well or Sat ling Point Plxtos: (Y/N) Roll . ____ Fraie ,.
o Well Log(s) for Injection Well(s): ____
o As—built Dia9ran of Injection Well(s): ____
o risultant R orts for Injection Well (s): ____
o orts on Well Construct ion/Workov-ers: ____
o nitorthg Data for Injection Well:
- records of injectate arialysis(es): ____
— records of injection voitme (s) /rate Cs): _____
o nitoring Well Data:
- .mber of M,nitoring Wells: ____
- Location: Vertical and Horizontal Distance and Direction
of bnitoring Well Cs) Fran Injection Well: ____
— D th of Ca pletion and S rp1ing Interval: ____
— nical and Physical Analyses: _____
o Water Supply Wells (within a one-quarter mile r ius of
the injection well):
- Nimber of walls: ____
- Location: Vertical xi Horizontal Distance and Direction of
Supply Well (s) fran Injection Well: ____
— n r ical and Physical Analyses: _____
- Status of Wells (operating, abarx1oned, etc.): ____
- Status of Any Nearby Surface Waters (possibly affect by
injection well operation): ____
- Fl Diagr of ocesses, waste neration and disposal: _____
o Operator Interview tes: ____
o Manifests: ____
o R orts on Site Hydro ology: ____
£ —l 1

-------
us ’A, K11uc11 D C
UN DurX fl 1 Dfl I
-D rH P Ic J i cr
HI j w yz..g
GE2 AL FACImY X1
Irwentory/Pennit ____________ Other tb. ________
Operator/Facility: Nane ______________________________
Address:
City: ___________ Cc1znty: __________ State: — Zip: _____ P1x ,ne:
Legal Contact: Name ______________________________
Company:
Address:
City: __________ Cainty: __________ State: — Zip: ____ Pl cne:
Owner: Name __________________________________
Company:
Address:
City: __________ CQinty: __________ State: — Zip: _____ P1x ne:
Parent Company: _____________________________________________
nership Sta as: 1 = F 2 = S’ E 3 = PRIVM’E 4 = YHLIC 5 =
(Cix 1e One)
Nature of Business: ________________________________________
RCRA Facility? (Y/NIM) Y = Yes N = t b M = ? BE, P W ADDITIO L
]2 FO1 a’IoN
]] P D F
Inspection Date: CM, D, CY): ____/ /____
Names az Affiliations Inspectors: -
Signature(s) of Inspector Cs): _______
Date Inspection R ort Capleted: —
4—12

-------
Inventory/Permit ID __________ Operator/Facility
Inspection T ype: _________________, Z T = Witness ‘Tr
= E ergerry Response/ forc t nt
= Witness i5tniction
PLC = Witness Plugging
R = Routine/Periodic Inspection
= Saupling
PA Project Officer: __________________________________________________
.Mditional Participants: ________________________________________________
Wel]. CJ .assi.ficatiai Deta
Ninrber _______ Type ________ *Status ________ Years of Cper. ____ to ____
Nunber _______ Type ________ *St JS ________ Years of Oper. ____ to ____
Nurber _______ Type _______ *Status ________ Years of Cper. ____ to ____
Ntm ber _______ Type ________ *St 1S ________ Years of Cper. ____ to ____
*l=Pruposed 2=Ur er Cons txuction 3 cisting/Active 4=Teiporarily Abardoned
5=Perrnanently Abarx cned 6=Perxnanent] .y Abaix1oned ar Isbt Approved
Describe injection well pe xtits that this facility has applied for or cbtained:
List substances stored on-site: ___________________________________________
List possible RC A Hazaxdcus Waste Cs) on-site: _____________________________
flU
Describe lxii ectate S jrce/Pre—trea ent Prccesses: ___________________________
lxii ectate Ca position __________________________________________________
Fossible itaninants ____________________________________________________
Average Volt Injected ____________________________ (gallons/day/well)
Specify periodicity of injection voh e ard of irijectate caxpositiori:
Describe potential sanp]. ing points: _____________________________
4—13

-------
Inventory/Permit ID __________ Operator/Facility
L OATh
API NLmiber: ________________________
Date Drilled: _______________________ Surface Elev:
Date Converted: ____________________ Pli ged Back To: _________
Date Abathoned: ____________________
Well Stab.is*: __________________
*1 = Proposed 2 = Urger Construction 3 = cisting/ tive
4 = Tarporarily ?tbai ned 5 = Permanently Abar oned
6 = Permanently Abarxioned Not Approved
1e, Casing/Li r, C m-rit, Packer, Tubii ThfuuIkttiCXl
Hole Casing Wt./ Cai nt Top of
Size Depth (a)) Grade Depth C.ass h3d . Sacks Caent
Packer Type: ________________ Tubing Size/Wt.:
Packer Depth: _______________ Tubing Depth: —
Ar i 1 r Fluid: ______________ Inhibitors:
FluidSeal: Yes/No
pl etixi Type
Perforations (sk ts/ft) Depth _________ to _____
Depth _________ to _____
Depth _________ to _____
Screened Interval
(Sq. in/LF) Depth_____ to___
Depth_____ to___
Depth to _____
Open Hole Depth _________ to _____
Note: If the facility has i re thai one injection well,
attach a carpleted Page 3 for each.
4—14

-------
Inventory/Permit ID
Operator/Facility
IM E !I ZQ E AN OP TflG D
Fran ________to ________
Fruit ________to ________
Fran ________to ________
Fran ________to ________
Above fruit ________ to
Be1 fran ________ to
Cai rents: _________
ha a1 Iut ity 1 stirq
Litbolo r
Litbolo ’
Date Of Last T: ____________
Results: __________________________
cVeraHt 1 jt ii of hxjecti Well
Type of MIT:
Injection Rate ______ Injection Pressure ______ Anxn. lar Pressure
Fluid T iperature _____ Athient Tesiperature _______ pH ____
Daily Voltm (average) __________ Daily Voltni (maxini n) —
?txtthly Vo1t ne (avg) _____________ kxithly Voluzze (max) ____
Pressure Gauge Type _______ Pressure Range ________ Ir reient
Calibration Date _________ Recorder Type ________ L ation
Any Previous Prthlare with ll Cs)? cribe: _____________
Geologic YL ’.. flt
Nate(s) of Injection fl it/Interval(s):
Geologic Age of Injection fin(s):___
Depth(s) to p of Fornation: _____
Depth(s) to Base of Formation: ____
Depth(s) of Injection Zone(s):
Lithology
Lithology
Lithology
Lithology
‘IDS
IDS
‘IDS
IDS
Confining Fornation Nazie(s):
Geologic Age of Confining fin(s):
Depth of First Confining Zone(s):
s._i c

-------
Inventory/Per nit ID __________ Operator/Facility _________
List Records intained ath Re’iewe:I. Also, Describe any Inad uacies in Record
Ke ing:
PE I I LTS AN) I A1
List Results:
Any M n-caTIp1iar1ce t i? (YIN) Follow-Up Ne ed? (Y/N)
List RecaT rer ations:
ReCcn IX1e Follow-Up P ction: *
* =Plug Well R itthe/Pericdic Inspections =S pling
‘=E rergency R ponse/ foxcer it RFI=R iest for ? 1 dditional Info.
4—16

-------
Inventory/Permit ID __________ Operator/Facility _________
LIST AT a* EM’S — te as fol1c s:
X if attack , A if available but r t atP r h d, Z if zr t available
o Map of Facility Gr irds: ____
o Well or Sarrpling Point P1 tos (YIN) Roll l b. ____ Frane lb. _____
o Well Log(s) for Injection Well(s): _____
o As-built Diagran of Injection Well(s): ____
o nsultant R orts for Injection Well Cs): ____
o R ts on well const ction/workovers: _____
o Z’bnitoring Data for Injection Well:
- records of injectate analysis (es): ____
- records of injection vol me (s) Irate Cs): _____
o rbnitorfng Well Data:
- Nurber of rLitOrthg Wells: ____
- L ation Map or Coordinat : ____
- D th of Caxpletion ath Saupling Iiiterval: ____
— thanical and Physical z,alyses: _____
o Water Supply Wells (within a one-quarter mile rwthis of
the injection well):
— N mber of wells: _____
- L ation Map or Coordinates: ____
- Chenical ai Physical Analyses: _____
- Status of Wells (operating. abardoned, etc.): _____
- Status of Any axby Surface Waters (possibly affected by
injection well operation): ____
- Flc v Dia -aui of processes, waste generation ard disposal: _____
o Operator Interview Ibtes: ____
o Manifests: _____
o R orts on Site Hydrogeology: ____
4—t i

-------
UNDERGROUND INJECTION CONTROL PROGRAM
SITE INSPECTION
SECTION I — General Information
Name of Facility:
Address:
Telephone:
Owner Address and Telephone (if different from above)
Nature of Business:
Use of Injection Well Cs) (drainage, direct disposal, etc.) :
Identification, Permit or EPA Number (s):
Injection Well (s) Location (township, range and section,
latitude and longitude, verbal description, land marks, etc.):
Type of Injection Well Cs):
Industrial Drainage:
Storm—runoff:
Agricultural Drainage:
Improved Sinkhole:
Beat Pump Air Conditioning Return:
Aquaculture:
Cesspool
Septic Tank:
Domestic Wastewater Treatment Plant Effluent:
Sand/Mining Backfill:
Cooling Water Return Flow:
Industrial. Waste Disposal:
Service (Gas) Station:
Other (specify):
Injection Well (s) Currently Operating: Yes _______ No _______
If No, Last Date of Operation:
Date of Construction of Injection Well Cs):
Years Injection Well in Operation:
4—18

-------
SECTION II — Hydrogeo]ogic Information
Injection Formation — Name:
— Description:
— Extent of tnjection Zone Cs) Below Land Surface (or
elevation above Mean Sea Level):
— Minimum Distance from Injection Well to Underground Source
of Drinking Water (U.S.D.W.):
Location (depth below land surface, areal extent, etc.) and
description (thickness, lithology, etc.) of Any Relatively
Impermeable Strata (aquitard Cs)) Present:
Underground Sources of Drinking Water:
Confined:
Unconf ined:
Depth to Perched Water Table (if present):
Depth to Water:
Saturated Thickness:
Description and Characteristics:
Extent of Use of U.S.D.W. (extensive, moderate, municipal,
domestic, potential, etc.)
Comments:
4—19

-------
SECTION II — Hydrogeologic Information, Continued
Attach the Following Information (note if unavailable)
— Map of Facility Grounds:
— Well Log Cs) for Injection Well Cs)
— As—built Diagram of Injection Well (s) (may use attached
general schematic if necessary):
— Consultant Reports for Injection Well Cs) and/or Site
Hydrogeology:
— Monitoring Data for Injection Well:
— Monitoring Well Data:
— Number of Monitoring Wells:
— Location: Vertical and Horizontal Distance and
Direction of Monitoring Well Cs) From Injection Well:
— Depth of Completion and Sampling Interval:
— Chemical and Physical Analyses:
— Downgradient Water Supply Wells (up to a two mile radius
of the injection well):
— Number of wells:
— Location: Vertical and Horizontal Distance and
Direction of Supply Well (s) from Injection Well:
— Chemical and Physical Analyses:
— Status of Wells (operating, abandoned, etc.)
— Status of Any Nearby Surface Waters (possibly
affected by injection well operation):
4-20

-------
SECTION III — Operating Data
Injection Rate, Frequency, and Volume (drainage area,
precipitation, etc, for drainage wells):
Description of Injection Operation (including brief history):
Fluid Source:
Fluid Composition/Characteristics (including any treatment
process):
Contaminant Cs) and Potential Source Cs) of Contamination:
Method of Disposal (transport to well):
Previous Problems with Well (clogging, overflowing, etc.):
No ________
Yes _______ Description of Problem:
Operating Records Attached: Yes ________ No ________
Injection Fluid Analyses Attached: Yes ______ No _______
4—21

-------
SECTION IV - SITE INSPECTION SPECIFICS
Name and Affiliation of Inspectors:
Name and Affiliation of Facility Contact:
Date: Time:
Reason for Inspection:
Number of Injection Wells:
Number of Injection Wells Inspected:
Site Conditions:
Inspection Comments:
4—22

-------
SECTION V
Primary Contact Information Sheet
Name:
Phone:
Address:
Affiliation (local, state, federal, etc.):
Notes:
4—23

-------
WELL COMPLETION SKETCHES
.11
LftATOR
HYDROGEOLOGIC
D T
FACILITY
FIELD
WELL CLASS
TYPE
ORIGiNAL
COMP OATE
CONVERSION
DATE
WELL COMPLETION
DAT I
4—24

-------
NOTES
4—25

-------
NOTES
4—26

-------
Cover Page
UNDER ROVND I? JECTION CONTROL PROGRAM INSPECTION REPORT
FACILIT! NAME: ______________________________
NAME AND PERMIT/EPA NUMEER OF INJECTION W L (S):
NATURE OF BUSINESS:
DATE(S) OF INSPECTION: ___________________________________ TIME: ______________
INSPECTOR(S):
Name(s):
Affiliation(s)
Phone Number(s)
ADDITIONAL PARTICIPANTS
Name(s):
Affiliation(s)
Phone Number(s):
GENERAL SITE CONDITIONS DURING INSPECTION [ weather; well(s) operational status.
ease of entry, general housekeeping etc.]:
PURPOSE OF INSPECTION:
INSPECTION RESULTS (SUMMARIZED) • COMMENTS AND REMAP.FZS:
I certify that I conducted the inspection described in the attached report and
that, to the best of my knowledge, this report is accurate.
Signature of Inspector
Name, Title and Affiliation of Inspector
Date of Completed Report
4—27

-------
UIC INSPECTION REPORT
SECTION I - C ERAL INFORMATION
1. Facility Name, Address and Telephone Number:
Name
Address
Telephone Number _____________________________________________________________
2. Facility Contact:
Name
Title/Affiliation ____________________________________________________________
Telephone Number _____________________________________________________________
3. Injection Well(s) Identification:
Injection Well(s) Identification ________________________________________
4. Location of Injection Well(s):
Latitude/Longitude ________________________________________________________
Township/Range. Section _________________________________________________
Street Address _______________________________________________________________
Other
5. Name and Address of Legal Contact (if different from above): ______________
6. Types of Permits Issued for this Facility (include permit numbers and names
of federal, state and local agencies and programs which regulate the
facility):
7. Number and Operational Status of Injection Well(s):
Well Class/Type Active Under Abandoned Idle Other
Construct.
Conments/Remarks (include reasons for abandonment):
8. Visual Appearance of Injection Well(s) (Attach photographs if available):
4—29

-------
UIC flISPECTION REPORT
SECTION III - OPERATIM DATh
1. Description of Injection Opera tion (including brief history):
2. Surface Facilities/Treatment Processes:
3. Industrial/Wastewater Sources (processes by vhich the injected fluid is
produced)
4. Generalized fluid/Waste Category (les) /Composition:
5. Method of Delivery of Fluid to the Injection Well(s):
4—29

-------
UIC INSPECTION REPORT
SECTION II - ETDROGEOLOGIC ENVIRONM IT AND INJECTION W IL INFORMATION
1. Well(s) Construction Details (complete attached diagram for simple Class V
well(s) and/or provide sketch of well(s); sketch or provide photograph of
well, head):
a. Total Depth _____________________________________________________________
b. Casing:
Diameter: _____ Grade: _____ We. (#/ft) _____ Depth: _____ to ________
Diameter: _____ Grade: _____ Wt. (f/ft) _____ Depth: _____ to ________
Diameter: _____ Grade: _____ Wt. (0/fe) _____ Depth: _____ to ________
Diameter: _____ Grade: _____ Wt. (0/fe) _____ Depth: _____ to ________
Diameter: _____ Grade: _____ Wt. (0/fe) _____ Depth: _____ to ________
c. Tubing:
Diameter: _____ Grade: _____ Wt. (#/ft) _____ Depth: _____ to ________
d. Cement (also indicate drilling mud):
Depth ______ to ______ Grade _______ Additives _______________________
Depth ______ to ______ Grade _______ Additives _______________________
Depth ______ to ______ Grade _______ Additives _______________________
Depth ______ to _______ Grade _______ Additives ________________________
Depth ‘ to ______ Grade _______ Additives _______________________
e. Annular fluid Type: ____________________ Inhibitors: _________________
f. Packer Type: _________________________ Depth: _____________________
g. Fluid Seal: Tes No
h. Copletion Type:
Perforated Openings (holes/f t) Depth ______ to ___________
Depth ______ to ___________
Depth ______ to ___________
Screened Openings (sq in/LF) Depth ______ to ___________
Depth ______ to ___________
Depth ______ to ___________
Open Mole ________________________________________________________
4-30

-------
UIC INSPECTION REPORT
SECTION II — HYDROGEOLOGIC INFORXAI”ION (continued)
2. Geologic Environment:
a. Name of Injection Formation/Interval ________________________________
Geologic Age of Injection Formation ________________________________
Depth (Subsea) to top of Formation ____________________________________
Depth (Subsea) to 3ase of Formation ___________________________________
Depth (Subsea) of Injection Zone(s): ______________________________
From To _________ L.ithology ____________ TDS ________
From To __________ Lithology ____________ TDS ________
From To _________ Lithology ___________ TDS ________
From To __________ Lithology ____________ TDS ________
Additional Information: ________________________________________________
b. Confining Formation Name(s): _____________________________________
Geologic Age of Confining Formation: ________________________________
Depth of Confining Zone(s):
From __________ To __________ Lithology __________________________
From To Lithology _________________________
Additional Information: ______________________________________________
c. Recent Geologic History Including Seiamic/Volcanic Activity
3. Subsurface Geology and Hydrology for Well Site:
Attach the following information or note that the information is to be
requested at the time of inspection. Where applicable, information on an area
within a 1/2 mile radius of the well bore should be included.
a. Map of facility grounds with well locations shown.
b. Indicate the depth to the base of the lowest USDW.
c. Well logs on Injection Wells.
d. As—built diagram of inj ection well Cs).
e. Location (horizontal and vertical) and data (water quality and
availability) for public drinking water supply wells and for
monitoring wells which are part of the injection project.
f. Geologic cross section(s) through injection well(s) down to at least
the base of the lowest injection zone.
g. Regional hydraulic gradient within the injection zone (direction and
quantity).
h. Bibliography of information used in preparing Section II. parts 2 and
3.
4—31

-------
UIC INSPECTION REPORT
SECTION III — OPERATDG DATA (continued) -
6. Mechanical Integrity Testing (include copy of pressure recording
charts/records):
Date of Last MIT Type of KIT _____________________________________
Results _____________________________________________
7. Operational Monitoring of Injection Well (at time of inspection):
Injection Rate Injection Pressure Annular Pressure
Fluid Temperature Ambient Temperature pH
Daily Volume (average) Daily Volume (maximum)
Monthly Volume Cave) Monthly Volume (max)
Pressure Gauge Type Pressure Range Increment ________________
Calibration Date ________Recorder Type Location ___________________
8. Any Previous Problems with Well(s):
If yes, describe
9. Attach the following information (note if unavailable):
1. All Appropriate Analyses of Injectate
2. All Appropriate Operating Records
3. Date and Report of Last Major Workover
SECrION I V — SAI1PLDG INFORMATION (if applicable)
1. Sample Data
Sample ID ________________________________ Date _____________________________
Time Sampling Point ___________________________
Sample Type
Analyses Requested
Preservatives Used
Name(s) of Collector(s)
2. Field Data
Temperature pH
Specific Conductance
3. Chain of Custody
Identify Analytical Laboratory to be Used
Indicate Chain of Custody Form and field data form are attached to
sample(s) by circling YES
4—32

-------
UIC DISPEC’rION REPORT
SECTION V — RE ORD PDIG
1. List Records Reviewed and Reasons for their Review (reference all docuzents
that were borrowed or copied):
2. Describe any Inadequacies in Record Keeping Procedures (Note if any
required information was unavailable or incomplete or inaccurate with
special attention paid to pressure and flow measurement records and
construction schedules if relevant):
SECTION VI — FINDI)GS MID 4 NauSIONS
1. Describe all Findings and Remarks:
2. List Conclusions:
3. List Rec mendations:
4—33

-------
WELL COMPLETION SKETCHES
WELL CLASS
WELL FACILITY flPE
ORIGINAL
OPERATOR FIELD COMP DATE
CONVERSION
__________________________________ DATE
HYDROGEOLOGIC WELL. COMPLETION
D T A DATA
4—34

-------
NOTES
4—35

-------
NOTES
4 36

-------
PREP 2XNG POR INSPECTIONS
Choose folder containing positive questionnaires with prioritized
well type.
Separate questionnaires by location.
Choose priority locations.
Call facilities. Record information on telephone correspondence
record. Note:
- date
- time
- who you are
- who you are talking to
- that information on questionnaire is correct or
otherwise
— date inspection will be conducted
- who will conduct inspection
— who inspectors should ask for (facility contact)
— directions to facility from major road.
Follow up phone call with letter of notification. Include:
- date of phone call
— who you spoke with, and who inspectors will contact
— date inspection will be conducted
- who will conduct inspection
- your name and phone number
— EPA representative name and phone number
— list of items that facility rep should make available
Prepare inspection file, including:
- copy of questionnaire
— copy of letter of notification
— Notice of Inspection form
— map with arrow indicating facility location
- Inspection Summary Report form
- copy of telephone correspondence record
- rating system form

-------
CONDUCTING INSPECTIONS - EVERY FACILITY
(Fill out form in ink)
— Sit down with facility representative - fill out questions
from inspection report form in its entirety or in field
notebook. Verify info on questionnaire.
— Walk through facility, noting locations of all Class V
systems, drains to systems, potential contaminants, sampling
points, etc. Keep notes in field notebook.
— Photograph all Class V systems, drains processes, etc.
Record description of each photo (by number) on photo log.
— Indicate what kind and number of wells were inspected and
any necessary follow up (e.g., mail MSDSs) on Notice of
Inspection form. Sign form. Have facility rep sign form.
Leave one copy of form with facility rep.
— Call project coordinator every other day (minimum) to report
number of wells inspected, any problems encountered, and to
get any messages concerning inspections.
— If inspection has been scheduled but, for some reason, date
cannot be kept, facility should be called as soon as
possible for rescheduling or to confirm that inspection has
been canceled, then follow up in writing.

-------
POLLOW UP ACTIVITIES
(Fill out forms in ink, neatly printed, or type)
(All files should be reviewed by Project Coordinator prior to
sending to Region)
- Fill out Inspection Summary Report form
— Fill out rating system for follow up activities
- Do ument photos
- Write one- to three-page summary report on facility.
Type.
— Submit completed file to project manager or project
coordinator for review.
— Send one set of inspection files to Region. Keep
duplicate set of files in—house. (See database
management).
- Update UICDB with new inventory information.
All follow up activities should be completed within two weeks
after completing inspections.

-------
UNDERGROUND INJECTION CONTROL PROGRAM
IN-DEPTH INSPECTION CHECKLIST
General Information
1. Facility Contact Name(s)
2. Facility Address, Phone #
3. Contact Address, Phone # (if different than above)
4. RCRA Facility: ID #
5. Inspection Date
6. Names and Affiliations of Inspectors
7. Additional Participants
8. Parent Company, Address
Nature of Business
1. Products or Services Offered?
2. Brief Description of any Process, Operation, or Maintenance
that Produces Waste
3. What Chemicals are Stored On Site?
4. Describe Waste Disposal Practices
5. Site History - Years of Occupation, Past Owners and Uses of
the Facility
Class V Injection Well Information
1. Numbers and Types of Class V Wells
2. Current Status and Years of Operation
3. Construction Details - TD, Diameter, Casing
4. Are the Injection Wells Regulated by a State or Local
Program? Permit?

-------
INJECTION FLUID INFORKATION
1. Describe the Source of Injectate
2. Describe any Pre-Treatment Processes
3. Describe Possible Contaminants
4. What Volume is Injected?
5. Specify Periodicity of Injection Volume and of Injectate
Composition
6. Describe Potential Sampling Points
GENERAL OBBERVATIONB
1. Measure Dimensions of Well(s)
2. Susceptibility to Spills
3. Security
4. G nera1 Appearance of Well(s)
5. Take Photographs, Record Roll #, Frame #
6. Surrounding Land Use
Documents to Request if Available
1. Map of Facility
2. Drillers Logs or Wireline Logs
3. As-built Diagrams
4. Reports on Well Performance or Maintenance
5. Monitoring Well Data
6. Water Supply Well Location and Ownership
7. Flow Diagram of Processes, Waste Generation, and Disposal
8. Manifests - Waste Disposal
9. Reports on Site Hydrogeology, Other Regulatory Agency
Investigations
10. Records of Injectate Composition and Volume
11. Obtain Necessary Material Safety Data Sheets

-------
E El ENGiNEERING
ENTERPRISES, INC. WATER RESOURCF.S SPECIALISTS
1225 We Main Nonnan, Oklahoma 73069 Phonie (4051 329 8300 T Iex 333666 (ENG ENT INCI FAX. t4C5) 366.S7 2
March 15,, 1989
Mr. Dennis Minnick
Stauffer Chemical Company
2300 S. Pennsylvania Avenue
Morrisville, PA 19067
Re: Confirmation of Inspection Arrangements
Dear Mr. Minnick:
As I indicated to you during our telephone conversation, the
U.S. Environmental Protection Agency and/or Engineering
Enterprises, Inc. plan to conduct an inspection of Class V
injection wells at the above mentioned facility on March 21 or
22, 1989.
EPA and its contractors are authorized to inspect records
and facilities under Section 1445 of the Safe Drinking Water Act.
Requested information cannot be withheld from EPA on the basis
that it is considered proprietary or confidential. For any
portions of the information submitted during the inspection which
you believe are entitled to confidential treatment, please
indicate during the inspection that you consider the information
to be confidential. If EPA determines that the information
designated as confidential meets the criteria set forth in 40
C.F.R. 2.208, the information will be disclosed only to the
extent, and by means of the procedures specified in 40 C.F.R.
Part 2, Subpart B. EPA will construe the failure to indicate
confidentiality as a waiver of confidentiality claim, and the
information may be made available to the public by EPA without
further notice.
Please inform your facility manager or other on-site
representatives of this notice. If any authorized representative
will not be available at the facility during regular business
hours, please contact me at 1—800—777—8300, or Mark Nelson,
Region III EPA, at (215) , 97—9031.
Sincerely,
• ‘/i 11;- /- , ///
Sharron B. Moore
Class V Specialist
S BM: kh
Enclosure
Norman Oklahoma Long Beach. California Martinez. California Philadelphia. Pennsylvania

-------
MEW
ENCLOSUR.E
The following items may be reviewed by an EPA inspector or EEl
personnel during the inspection of your facility. This enclosure
is intended to prevent confusion and wasted time during the
inspection. Please prepare the following information for review
during the forthcoming inspection..
1. Facility map showing well, locations,
2. Flow diagram showing flow of waste fluids and their
final destination,
3. As—built diagrams of the injection wells (if
available),
4. Material safety data sheets,
5. Waste disposal manifests (if applicable), and
6. Any permits obtained for operation of the Class V
system (dry well, drainfield, etc.) on site.

-------
US EPA
UNDERGRQJND INJECtION CONTROL PROGRAM
(LASS V W ..L Il PECfION AND SAMPLINC REPORT
FACILITY INPORMA F ION
UIC Inventory/Permit No.: - Other ID No. (SPDES. RCRAII etc.):
Facility Name: ______________________________ Contact Person: ____ ____________
____________________ — ____________ — Title: ——__________________________
Facility Address: ___________________— Contact’s Address: _______________
Facility Telephone: —____________________________ Contact’s Telephone: ________________________________
Nature of Business: __________________________ No. of Employees: — —
SIC Code(s): — ——_____________________ Ownership (circle): FED STATE PRIVATE FUBLIC OTHER
I1 PECrION INFORM ION
Inspection Date (H. D, CY): — — _____ Inspection Report Completed (Date):
Names and Affiliations of Field Inspector(s): _________________________________________________
Number of Wells — Well Types Inspected (i—type): _________________________ _________________
Any Non—Compliance Noted? (Y/N) ________ Photo(s) Taken**? (YiN) —____________
Follow-Up Needed? CT/N) ________ Roll No. ________ Frame Nos.
Recommended Follow—Up Action*: _________________________________________
Response/Enforcement SMPSampling PLGP1u 8 Well
RTtI=Routine/Periodic Inspection RFI=Requeat for Additional Information
**DescriptIon of photographs should be included on the photo log.

-------
Inventory/Permit No.: _________________________ Operator/Facility:
Wfl.L CLASSIFICATION AND CONSTIWCFION DATA
Well
Well Location (or Number Years of Opec. Total Gravel Pack! Casing Cement/ Tubing!
Type Well No.)** of Wells Status* From To Depth Cf t) Dia (in) Backfill (YIN) Mud Packer
*1=Proposed 2=Under Construction 3=Fxistfng/Active 4 Temporarily Abandoned
5Permanently Abandoned 6=Permanently Abandoned and Not Approved
‘ **Attach map or sketch of facility grounds with well locations, floor drains, plumbing
associated with wells, and chanical/waste storage areas.
INJRCrION FLUID INFOR}W ION
Average Volume and
Well - Frequency of Injection
Type Injectate Source/Composition Possible Contaminants (e.g.. gal/day)

-------
Inventory/Permit No.:
Operator/Facility:
HYDROGEOLOGI C I NFORMAT ION 1
General Composition of injection zone: —
Depth to currently used USDW: ___________
Distance to nearest public water supply:
Distance to nearest private water supply:
Distance to nearest surface water: —
Other notes:
PROXIMITY TO GRWNDW ER USE 1
(check all that apply)
Area Remote to Groundwater Use: —
Class I or II Recharge Area: ______
Sole Source Aquifer Recharge Area:
Karat Area: _______________________
High Density Use Area: _________—
Zone Contribution of PWS: ________
Other (describe):
liater Supply Wells (on—site):
— Number of wells:
— Location; Vertical and Horizontal Distance and
Direction of Supply Well(s) from Injection
Well (to include well seal depth and screened
interval): _____ ____________________________
— Chomical and Physical Analyses Available?:
— Status of Any Nearby Surface Waters (possibly
affected by injection well operation): —
— Depth of Completion and Sampling (screened)
Interval: _______
— Chemical and Physical Analyses Available?: ______
As described by the facility representative.
Note here if source of information differs.
ADDITIONAL WU.L DATA (as available)
Monitoring Wells (on—site):
— Number of Monitoring wells: ______
— Location: Vertical and Horizontal Distance and
Direction of Monitoring Well(s) from Injection
Well (to include well seal depth): _____________

-------
Inventory/Permit Ho.:
Operator/Facility:
LIST OF M7ACIINENTS — Note as follows:
I if attached 1 A if avaiable but not attached, NA if not available
_____ o Well Log(s) for Injection Well(s): ______
o As—built Diagram of Injection Well(s): ______
o Consultant Reports for Injection Well(s): ——
______ o Reports on Well Construction/Workovers: ______
o Monitoring Data for Injection Well:
— records of injectate analyais(es): ______
— records of injection volume(s)/rate: —
o Reports on Site Hydrogeology: ______
INSPECUON R ULTS AND RECOMHENDATIONS
Inspector’s comments (appearance of well(s), pretreatment processes, susceptibility to spills, security.
involvement of other agencies. etc.): ______________________________________________ —- - --
Recommendations (including description of potential sampling points):
o Location Hap: ______
o Map of Facility Grounds: —
o Well or Sampling Point Photos: (Y/N)
Roll No. Frame No. ______
o Fl s Diagram of processes, waste generation and
disposal: ___—
o Operator Interview Notes: ______
o Manifests:
Other notes:

-------
Inven Permit No.:
perator/Facility:
SAMPLING INFORMATION
(Complete one sheet for each Sample Station and/or Sample Matrix)
Data Samples Collected CM. D, CY): — — Date Samples Sent to Lab:
Names and Afflillationa of Samplers; —— —
— Drainage Sump/
Catch Basin
_____ Leachf i eld/
Drainf teld
Other (describe):
_____ Air
Water
Laboratory Name:
Contact Person:
Add teas:
Telephone:
Statute(s) Under Which Sample Was Collected:
Sample Station:
(Check only one)
Sample Matrix:
(Check only one)
Septic Tank/
Oil/Water Separator
Monitor Well
Seepage Pit/Well
Raw Injectate
— Liquid
Sediment/sludge/soil
•
Other (describe):
Total Metals
(Series 200)
Ignitsbility
(Method 1010)
.
EP Toxicity
(Method 1310)
Conductivity (Note results
here if measured in the field)
Reactivity Corroaivity (pH) (Note results
here if measured in the field)
Analyses Requested: _____ VOA
(Check all that apply) (Method 624)
_____ VOA
(Method 8240)
Semi—VOA
(Method 625)
Other (describe);

-------
Inventory/Permit lb.: ______________________________ Operator/Facility:
SAMPLING R ULTS*
(Complete one sheet for each Sample Station and/or Sample Matrix)
Sample Station: __________________________________ Sample Matrix: ___________________________________
Value RCU Haz. Value RCRA Has.
Parameter (units) MQ Substance Parameter (units) MCL Substance
( ) (YIN) (______ (Y/N)
VOLATILE ORGANI(S MEFALS
Acetone Arsenic
Benzene Barium ____
2—Butanone (M () _____ ____ _____ Cadmium ____
tl—Butylbenzene Chr nium ____
Chloroform Lead
Ethylbenzene Mercury
Merhylene Chloride • Selenium ____
4—Methyl 2—Pent anone (1IThK) _____ ____ _____ Silver ____
Tetrachloroetliene (PCE)
o Toluene
Trichioroethane (TCA) _____ ____ _____ METALS (EP TOX) ( )
Trichloroethylene (TCE) Arsenic _____
Trimethylbenzene Barium
(1.3.5 & 1.2.4) Cadmium _____
Xylene Chromium
________________________ Lead
_______________________ Mercury
Selenium
Silver
SF111 VOLATILE ORGANICS ( ) ______________
Aidrin MISC LANEWS. ( )
Dieldrin
Endrin Nitrate
Napihalene Sulfate
TDS
Pentachiorophenol pH
Ignit ability
Reactivity
Conductivity
*At additional sheets for parameters not listed.

-------
U.S. ENVIRONMENTAL PROTECTION AGENCY
NOTICE OF INSPECTION
Firm To Be Inspected
Inspection Contractor
1225 W 1 Main, Nonnw , OK 730w
(406) 329 63O0
MX (406) 366-8722
Date Notice of inspection is hereby given according to Section 1445(b) of the
Hour Safe Drinking Water Act (42 U.S.C. §300 f et seg.).
Reason For Inspection
For the purpose of inspecting records, files, papers, processes, controls and facilities.
and obtaining samples to determine whether the peison subject to an applicable
underground injection control program has acted or is acting in compliance with
the Safe Dnnking Water Act and any applicable permit or rule.
Section 1445(b) of the SDWA 1 42 U.S.C §300 j-4 (b) is quoted on the reverse of this fonn
ipt of this Notice of Inspection is hereby acknowledged.
rirm Representative Date Inspector

-------
Section 1445
* .* S S
(b) (1) 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) a national primary drinking water regulation prescribed under
section 1412, (B) any 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 persons in orderto determine whether
such SuDplier 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, processes, controls, and facilities, or in
order to test any feature of a public water system, including its raw water source.
(C) Whoever fails or refuses to comply with any requirement of. subsection (a) or to allow the
Administrator, the Comptroller General, or representatives of either, to enter and conduct any audit or
inspection authorized by subsection (b) shall be subject to a civil penalty of not to exceed $25,000.

-------
dotes: (1) Express Time in 24 hour clock notation; (2) Focal Length is of lens used.
Signature of Photographer________________________
E EI d or Witness
Camera____
Roll No. —
Film Type_
ASA Number
RECORD OF PHOTOGRAPHS
Project Code
[ HOTo
I NO. DATE
2
TINE
FOCAL
LENGTH
WEATHER
CONDITIONS
LOCATION
DESCRIPTION OF PHOTOGRAPH
.
3
4
5
6
7
8
9
10
11
1 2
‘3
14
15
16
17
18
19
20
21
22
21
24
25

-------
USEPA REGION V
CLASS V INJECTION WELL RATING SYSTEM FOR
FOLLOW-UP (ENFORCEMENT) INVESTIGATIONS
Pg 1 of 2
FACILITY NAME:
I NSPECTOR:
CITY. STATE: ____________________________
NUMBER. TYPE. & STATUS OF CLASS V WELL(S):,
_____ DATE: ____________
Response Points
(1) Does/did the well(s) discharge into,
above, or below (with potential for
fluid migration into) a currently
used USDW?
(2) Approximate vertical distance between
the injection zone and currently used
USDW.
(3) Approximate horizontal distance to the
nearest public or private water supply
well or surface discharge.
(4) General permeability (composition) of
the injection zone. -
(5) Probability that this is/was a Class
IV hazardous waste ?njectlon well(s).
— Into 15
- Above 10
- Below 5
- Unknown 5
— 0-25ft 15
- 25-75 ft 10
- 75- l5Oft 5
- > lSOft 0
- Unknown 5
— < 1/4 ml 15
— 1/4 - 1/2 mi 10
— 1/2 — 1 ml 5
- > lmi 0
- Unknown 5
- High (e.g., karat,
basalt, coarse gravel.
highly fractured bed-
rock, etc.) 15
- Moderate (e.g.. fine
to coarse sand/sand-
stone, highly frac-
tured shale, etc.) 10
- Low (e.g., clay, silt-
stone, shale, igneous
and metamorphic rocks,
etc.) 0
- Unknown 5
- High
- Moderate to High
- Low to Moderate
- Low
Score
.45
.30
.15
.0

-------
Reaponse
Pointa
Pg 2 of 2
Score
(6) Probability that the injectate
exceeds/exceeded the Safe Drinking
Water Act maximum contaminant
levels or poses/posed signficant
endangerment to USDW.
(7) Volume of fluids currently injected
(or frequency of injection if the
volume is unknown).
(8) Years of operation.
(9) Additional items:
- High 45
- Moderate to High 30
- Low to Moderate 15
- Low 0
- > 1500 GPD (or ) 2.5
hra per day injection
at 10 gpm) 25
- 600-1500 GPD (or 1-
2.5 bra per day
injection at 10 gpm).. . .15
- 1-6 0 0GPD(orupto
1 hr per day injection
at 10 gpm) S
- Incidental. 5
- 0 CPD - not operating... 0
- 20 yrs 15
- S-2øyrs 10
- 0-Sirs 5
- Discretionary 0 - 10
Indicate ease or ability to sample:
TOTAL POINTS _____
Describe involvement of
any
other agency:
Evaluators recommendations
and comments:

-------