FIR 1 - INSPECTION REPORT

Permit Holder: XOG Operating, LLC Well Name/No: USA Permit: 37736
Lease Name: USA 1-7 Sec: 7 Twp: 8N Range 31W
GPS Well Location: Latitude: 35.3858 Longitude: -94.34155 Field: MASSARD  
Lease/Tank Battery: Latitude: 35.38582 Longitude: 94.34169 County: CRAWFORD  
Entrance from nearest 911 address, public street or highway Hwy 59 (through VB compost facility)
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1Fluids TankFiberglass100 12' round x 5' h = 100 bbls
2SeparatorSteel Welded   
3SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 24 Width: 24 Diameter: 0 Height: 1.75 Capacity (bbls): 180
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 on tubing and casing, clean location.

Inspected by: DAYMON BLOUNT   Date:  10/22/2021 12:38:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________