FIR 1 - INSPECTION REPORT

Permit Holder: Lime Rock Resources III-A, L.P. Well Name/No: Jeffers Permit: 35494
Lease Name: Jeffers 1-36 Sec: 36 Twp: 10N Range 28W
GPS Well Location: Latitude: 35.49635 Longitude: -93.93257 Field: WHITE OAK  
Lease/Tank Battery: Latitude: 35.49634 Longitude: 93.93279 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway Adams Road
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 10' h = 201 bbls (hole at 105" = 176 bbls)

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 16 Height: 6 Capacity (bbls): 215
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:
Re-inspect for Final Inspection, no changes from previous inspection. Tank and containment are still on location, old wellhead and metal scraps still laying on ground, pipeline riser has been flagged by Black Hills Energy, possibly for excavation. All tubing and scrap metal from well was left on location for land owner.DB previous inspection comment.MP

Inspected by: DAYMON BLOUNT   Date:  1/27/2020 10:32:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________