FIR 1 - INSPECTION REPORT

Permit Holder: BHP Billiton Petroleum (Fayetteville), LLC Well Name/No: Lane, Sam 8-12 Permit: 43375
Lease Name: Lane, Sam 8-12 1-8H17 Sec: 8 Twp: 8N Range 12W
GPS Well Location: Latitude: 35.33635 Longitude: -92.29112 Field: B-43  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: FAULKNER  
Entrance from nearest 911 address, public street or highway
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1Fluids TankFiberglass150  
2Fluids TankFiberglass300  
3Fluids TankFiberglass300  
4Fluids TankFiberglass300  
5Fluids TankFiberglass300  

Tank Containment:
Dimensions: Length: 175 Width: 20 Diameter: 0 Height: 2 Capacity (bbls): 1359
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:
Well in T/A status, location in compliance

Inspected by: CHRIS GREENE   Date:  10/6/2015 10:12:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________