FIR 1 - INSPECTION REPORT

Permit Holder: Oxley Energy, LLC Well Name/No: Black Permit: 36334
Lease Name: Black 3-35 Sec: 35 Twp: 5N Range 30W
GPS Well Location: Latitude: 35.06762 Longitude: -94.16813 Field: B-44 AREA  
Lease/Tank Battery: Latitude: 35.067628 Longitude: 94.168492 County: SCOTT  
Entrance from nearest 911 address, public street or highway Highway 71
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 12' D x 5.5' H = 110 bbls
2Fluids TankSteel WeldedOther Size 200 gal steel oil tank
3Fluids TankSteel WeldedOther Size 200 gal steel oil tank
4SeparatorSteel Welded   
5SeparatorSteel Welded   
6SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 22 Width: 21 Diameter: 0 Height: 2 Capacity (bbls): 165
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:
Production well; the compressor was running during the inspection; digital pipeline meter on location; a clean site.

Inspected by: STEVEN PIKE   Date:  4/12/2023 2:27:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________