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: 35.13005 Longitude: 94.372832 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway State Highway 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) disconnected

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 0 Height: 0 Capacity (bbls): 0
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:
Shut in non-production well, preliminary inspection prior to the P&A activity, the the fluid tank has been disconnected and moved, the secondary containment has been leveled, and the separator has been disconnected and removed from location, the work over rig has arrived and will attempt to rig-up on the well today, currently, the well is being blown dead.

Inspected by: STEVEN PIKE   Date:  3/25/2020 10:55:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________