FIR 1 - INSPECTION REPORT

Permit Holder: Bonanza Creek Energy Resources, LLC Well Name/No: Heritage Energy Permit: 33247
Lease Name: Heritage Energy 1 Sec: 17 Twp: 18S Range 21W
GPS Well Location: Latitude: 33.17415 Longitude: -93.30681 Field: DORCHEAT MACEDONIA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: COLUMBIA  
Entrance from nearest 911 address, public street or highway
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
No Vessels Found For This Inspection

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 0 Height: 0 Capacity (bbls): 0
Capacity compliance: Breaches/Erosion: Excessive vegetation present: Compliance agreement:
Containment Conditions: Fluids Present:
Well Site Compressor:
Is it in compliance?
Trash/Debris:
Use as storage area:
Unusual equipment:
Excessive erosion:
If yes to any, explain:
Entry Gate Present:
  Gate locked on arrival:
Gate locked on departure:
Is spill or discharge of drilling, completion or produced fluids present:
 
If yes, did spill or discharge of drilling, completion or produced fluids occur or travel off the well pad:
(If yes, complete FIR 5)
Compliance Summary Remarks:
Well is inactive with tubing and casing only. Well is secure with valves and bullplugs. Flowline is not connected to the well. Pumping unit is not present on the location at the time of inspection.

Inspected by: ERIC FERRELL   Date:  1/2/2013 11:33:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________