FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: Fort Chaffee Permit: 34919
Lease Name: Fort Chaffee 20-1 Sec: 21 Twp: 7N Range 30W
GPS Well Location: Latitude: 35.27557 Longitude: -94.20346 Field: EWING  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway Hwy 96
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
No Vessels Found For This Inspection

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 0 Height: 0 Capacity (bbls): 0
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, wellhead and meter only, wellhead is in an underground bunker, clean location inside secure area of Chaffee. Walk in access only, no Limerock key on gate, Range Control keys will not unlock gate.

Inspected by: DAYMON BLOUNT   Date:  11/8/2019 8:34:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________