FIR 1 - INSPECTION REPORT

Permit Holder: Urban Oil & Gas Group, LLC Well Name/No: Machen Permit: 30567
Lease Name: Machen 5 Sec: 9 Twp: 17S Range 19W
GPS Well Location: Latitude: 33.26509 Longitude: -93.07565 Field: VILLAGE  
Lease/Tank Battery: Latitude: 33.26528 Longitude: -93.07576 County: COLUMBIA  
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
1Oil TankSteel Welded210  
2Oil TankSteel Welded210  
3Heater TreaterSteel WeldedOther Size Size is 4ft.x20ft. Stands separate from Vessels 1&2 in its on containment dike measuring 34ft. in length and 33ft in width and 2 ft in height.

Tank Containment:
Dimensions: Length: 63 Width: 39 Diameter: 0 Height: 3.5 Capacity (bbls): 1532
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:
In compliance with AOGC Rule B-26.

Inspected by: AOGC INSPECTOR   Date:  2/27/2013 11:11:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________