FIR 1 - INSPECTION REPORT

Permit Holder: Camterra Resources, Inc Well Name/No: Leftwich, Francis Permit: 27647
Lease Name: Leftwich, Francis 1-30 Sec: 30 Twp: 6N Range 28W
GPS Well Location: Latitude: 35.16574 Longitude: -94.02485 Field: B-44 AREA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: LOGAN  
Entrance from nearest 911 address, public street or highway Auxiliary road off of Antioch 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
2Heater TreaterSteel Bolted   

Tank Containment:
Dimensions: Length: 18 Width: 16 Diameter: 0 Height: 1.5 Capacity (bbls): 77
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, no sign at the main road (Antioch Road) or the auxiliary road leading from Antioch Road to the well location, clean site.

Inspected by: STEVEN PIKE   Date:  2/15/2019 4:11:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________