FIR 1 - INSPECTION REPORT

Permit Holder: Lime Rock Resources III-A, L.P. Well Name/No: USA Permit: 34754
Lease Name: USA 17-3 Sec: 16 Twp: 7N Range 30W
GPS Well Location: Latitude: 35.27982 Longitude: -94.20381 Field: EWING  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway State Hwy 96
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 in T/A status, well head only, well head is in an underground bunker, well is on secure Chaffee property. NOTE: Well has been in T/A status since 02/2014, with no activities or fluid level testing. RBDMS Last production 03/2012, T/A status 3-6-14. T/A expires 3/6/2017.MP No enforcement at this time.MP

Inspected by: DAYMON BLOUNT   Date:  1/30/2017 3:19:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 1/31/2017
ADEQ referral:
Date of referral:  __________