FIR 1 - INSPECTION REPORT

Permit Holder: Max Extract Technologies, LLC Well Name/No: Galloway Permit: 24083
Lease Name: Galloway 1 Sec: 36 Twp: 12N Range 24W
GPS Well Location: Latitude: 35.65007 Longitude: -93.49025 Field: OZONE  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: JOHNSON  
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 TankFiberglass400 12' x 20'
2Fluids TankFiberglass400 12' x 20'
3Separator    
4Other Tanks    

Tank Containment:
Dimensions: Length: 48 Width: 24 Diameter: 0 Height: 0.1 Capacity (bbls): 29
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:
Containment ring rusted out around ground. No meter. Hearing February 23, 2022 requiring well to be plugged. sjg

Inspected by: DEREK GOODMAN   Date:  2/18/2022 3:43:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________