FIR 1 - INSPECTION REPORT

Permit Holder: Camterra Resources, Inc Well Name/No: Gordon, Fannie I Permit: 28614
Lease Name: Gordon, Fannie I 1 Sec: 9 Twp: 8N Range 32W
GPS Well Location: Latitude: 35.3982 Longitude: -94.41261 Field: MASSARD  
Lease/Tank Battery: Latitude: 35.39825 Longitude: 94.41247 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway North 7th & Q Streets
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1Fluids TankFiberglassOther Size 12' round x 7' h = 141 bbls
2Fluids TankFiberglassOther Size 5 bbl tank at dehy unit
3Fluids TankFiberglassOther Size 5 bbl tank at AOG meter run
4Dehy UnitSteel Bolted   
5SeparatorSteel Welded   
6SeparatorSteel Welded   
7SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 28 Width: 28 Diameter: 0 Height: 1.5 Capacity (bbls): 209
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:
Producing, well is equipped with H2S scavenger, previous relief hole in produced water tank has been plugged, water tank at AOG meter run has been recently added, no containment for tank at dehy or meter run, clean location behind chain link fencing. NOTE: Camterra also used location for equipment storage.

Inspected by: DAYMON BLOUNT   Date:  1/26/2021 9:19:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________