FIR 1 - INSPECTION REPORT

Permit Holder: MMGK Arkoma, LLC Well Name/No: Williams, Forrest Permit: 35932
Lease Name: Williams, Forrest 3 Sec: 33 Twp: 10N Range 26W
GPS Well Location: Latitude: 35.48917 Longitude: -93.76451 Field: OZARK  
Lease/Tank Battery: Latitude: 35.48933 Longitude: 93.76463 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway Pritchard 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 7' round x 7' h = 48 bbls
2SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 21 Width: 21 Diameter: 0 Height: 1.5 Capacity (bbls): 118
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 04/22 = Tubing - 3436' @ 19 PSI, Casing - 1362' @ 0 PSI, plumbing to produced water tank is disconnected and plugged, clean location.

Inspected by: DAYMON BLOUNT   Date:  4/22/2021 1:57:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________