FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: Hazel Permit: 28099
Lease Name: Hazel 2 Sec: 8 Twp: 6N Range 32W
GPS Well Location: Latitude: 35.21154 Longitude: -94.42985 Field: B-44 AREA  
Lease/Tank Battery: Latitude: 35.21148 Longitude: 94.429677 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway Bethel Road
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 11’ D x 6' H = 102 bbls
2SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 21 Height: 2.5 Capacity (bbls): 154
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, plunger in the well head, no liner in the secondary containment, a clean location.

Inspected by: STEVEN PIKE   Date:  4/19/2021 11:57:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________