FIR 1 - INSPECTION REPORT

Permit Holder: Oxley Energy, LLC Well Name/No: Black Permit: 38056
Lease Name: Black 11-35 Sec: 35 Twp: 5N Range 30W
GPS Well Location: Latitude: 35.06914 Longitude: -94.17131 Field: B-44 AREA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SCOTT  
Entrance from nearest 911 address, public street or highway Hwy 71
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1Fluids TankFiberglass100 12' round x 5' h = 100 bbls
2SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 27 Width: 24 Diameter: 0 Height: 2 Capacity (bbls): 231
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:
DPM, signs still show Eagle Rock as operator, clean location. Form 23 received 11/3/15. Form 23 approved 11/9/15. New signage has to be installed by 1/9/16. No enforcement.MP

Inspected by: DAYMON BLOUNT   Date:  12/7/2015 12:00:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 12/10/2015
ADEQ referral:
Date of referral:  __________