FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: Burcham Permit: 32176
Lease Name: Burcham 2 Sec: 29 Twp: 9N Range 28W
GPS Well Location: Latitude: 35.43507 Longitude: -93.9984 Field: CECIL  
Lease/Tank Battery: Latitude: 35.43461 Longitude: 93.99808 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway Valley Creek 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 9' 6" round x 7' 6" h = 95 bbls
2Fluids TankFiberglassOther Size 15 bbl used oil tank inside containment
3Fluids TankOther TypesOther Size 200 gal used oil tank inside containment
4Separator    
5Separator    

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 21 Height: 2.5 Capacity (bbls): 154
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 pump jack at wellhead clean location

Inspected by: HAYDEN SLAYTON   Date:  2/7/2023 10:19:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________