FIR 1 - INSPECTION REPORT

Permit Holder: Max Extract Technologies, LLC Well Name/No: Deffenbaugh Permit: 39364
Lease Name: Deffenbaugh 1 Sec: 27 Twp: 11N Range 32W
GPS Well Location: Latitude: 35.60807 Longitude: -94.39417 Field: NATURAL DAM  
Lease/Tank Battery: Latitude: 35.55398 Longitude: 94.37552 County: CRAWFORD  
Entrance from nearest 911 address, public street or highway Pinecrest Road
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
2Fluids TankOther TypesOther Size 500 gal plastic tank at with dehy unit
3Dehy UnitSteel Bolted  At tank battery
4SeparatorSteel Welded  At tank battery

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 24 Height: 1.5 Capacity (bbls): 121
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:
APM, containment ring does have a liner, cellar around well head has collapsed and is open, compressor is not running, pipeline meter at tank battery has been removed, compressor is at secondary location with tank battery, moderate vegetation around well head location.

Inspected by: DAYMON BLOUNT   Date:  10/31/2016 8:16:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________