FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: Fulgham Permit: 39184
Lease Name: Fulgham 1-28 Sec: 28 Twp: 7N Range 32W
GPS Well Location: Latitude: 35.26447 Longitude: -94.42059 Field: BONANZA  
Lease/Tank Battery: Latitude: 35.26446 Longitude: 94.42062 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway Hwy 45
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 7' h = 141 bbls
2SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 24 Height: 3 Capacity (bbls): 242
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, containment ring does have a liner, clean location behind privacy fencing. NOTE: A large private residence has been built on location, since last inspection. More residences are also being built on lease road.

Inspected by: DAYMON BLOUNT   Date:  10/29/2019 3:13:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________