FIR 1 - INSPECTION REPORT

Permit Holder: Camterra Resources, Inc Well Name/No: Gordon, Fannie I Permit: 28614
Lease Name: Gordon, Fannie I 1 Sec: 9 Twp: 8N Range 32W
GPS Well Location: Latitude: 35.3982 Longitude: -94.41261 Field: MASSARD  
Lease/Tank Battery: Latitude: 35.39825 Longitude: 94.41247 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway North 7th & Q 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 12' round x 7' h = 141 bbls
2Fluids TankFiberglassOther Size 5 bbl tank a dehy unit
3Fluids TankFiberglassOther Size 5 bbl tank at AOG sales meter
4Dehy UnitSteel Bolted   
5SeparatorSteel Welded   
6SeparatorSteel Welded   
7SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 28 Width: 28 Diameter: 0 Height: 1.5 Capacity (bbls): 209
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, well is equipped with H2S scavenger, clean location used as a Camtera storage facility. NOTE: Plumbing to produced water tank is rotted, Supervisor Mike McEntire is on location for replacement of the plumbing.

Inspected by: DAYMON BLOUNT   Date:  11/5/2021 10:24:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________