FIR 1 - INSPECTION REPORT

Permit Holder: Foundation Energy Management, LLC Well Name/No: Meadors Permit: 37023
Lease Name: Meadors 1 Sec: 12 Twp: 5N Range 32W
GPS Well Location: Latitude: 35.13011 Longitude: -94.37292 Field: B-44 AREA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway Hwy 45
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 10' round x 7' h = 98 bbls (holes at 14" = 16 bbls)
2SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 18 Width: 16 Diameter: 0 Height: 0.75 Capacity (bbls): 38
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 - 5139' @ 540 PSI, no casing test, clean location. LIST....

Inspected by: DAYMON BLOUNT   Date:  3/13/2018 9:47:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________