FIR 1 - INSPECTION REPORT

Permit Holder: Max Extract Technologies, LLC Well Name/No: Galloway Permit: 24083
Lease Name: Galloway 1 Sec: 36 Twp: 12N Range 24W
GPS Well Location: Latitude: 35.65007 Longitude: -93.49025 Field: OZONE  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: JOHNSON  
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
1Fluids TankFiberglass400 12' x 20'
2Fluids TankFiberglass400 12' x 20'
3Other Tanks    
4Separator    

Tank Containment:
Dimensions: Length: 48 Width: 24 Diameter: 0 Height: 3.8 Capacity (bbls): 1086
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:
Chart replaced within past 24hr. Appears propane tank to operate pumpjack is empty. Appears pumpjack has not ran recently due to rust on polish rod and caked oil on stuffing box.

Inspected by: DEREK GOODMAN   Date:  3/26/2019 2:06:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________