FIR 1 - INSPECTION REPORT

Permit Holder: Lime Rock Resources III-A, L.P. Well Name/No: Holt, Hillard Permit: 26663
Lease Name: Holt, Hillard 1-8 Sec: 8 Twp: 9N Range 26W
GPS Well Location: Latitude: 35.46193 Longitude: -93.79163 Field: ALTUS  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway Shady Lane
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 7' round x 7' h = 48 bbls
2SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 12 Height: 5 Capacity (bbls): 101
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 04/11 = Tubing - 3675' @ 100 PSI, clean location.

Inspected by: DAYMON BLOUNT   Date:  4/11/2017 9:31:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________