FIR 1 - INSPECTION REPORT

Permit Holder: L & L Energy Company Well Name/No: Hickey Permit: 29067
Lease Name: Hickey 1 Sec: 12 Twp: 4N Range 31W
GPS Well Location: Latitude: 35.02471 Longitude: -94.24194 Field: B-44 AREA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway Elmore Road
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1SeparatorSteel Welded   

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:
Producing well, both the lease road and well signs have Max Extract listed as the operator, well head, separator and chart recorder only, there is no current chart on the chart recorder.

Inspected by: STEVEN PIKE   Date:  10/1/2021 1:59:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 10/8/2021
ADEQ referral:
Date of referral:  __________