FIR 1 - INSPECTION REPORT

Permit Holder: Foundation Energy Management, LLC Well Name/No: Thomas, Wayne Permit: 36357
Lease Name: Thomas, Wayne 3 Sec: 33 Twp: 8N Range 30W
GPS Well Location: Latitude: 35.33271 Longitude: -94.19208 Field: EWING (UNCONTROLLED)  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway South River 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 TankFiberglass  12' round x 5' h = 100 bbls (holes at 3' = 60 bbls)
2Fluids TankOther Types  55 gal plastic tank inside containment
3Fluids TankOther Types  55 gal plastic tank inside containment
4SeparatorSteel Welded   
5SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 15 Height: 2.66 Capacity (bbls): 84
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:
Fluid level test conducted on 03/13 = Tubing - 1875' @ 46 PSI, Casing - 2237' @ 46 PSI, containment ring has a large hole, plumbing for produced water tank is disconnected and plugged.

Inspected by: DAYMON BLOUNT   Date:  3/13/2018 10:49:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________