FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: Ozark Townsite Permit: 27060
Lease Name: Ozark Townsite 1-36 Sec: 36 Twp: 10N Range 27W
GPS Well Location: Latitude: 35.4927 Longitude: -93.83022 Field: WHITE OAK  
Lease/Tank Battery: Latitude: 35.49263 Longitude: 93.83018 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway Nickell Street
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 7' round x 7' h = 48 bbls
2SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 12 Height: 5 Capacity (bbls): 101
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, clean location.

Inspected by: DAYMON BLOUNT   Date:  10/17/2019 3:34:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________