FIR 1 - INSPECTION REPORT

Permit Holder: Hanna Oil and Gas Company Well Name/No: USA Permit: 21730
Lease Name: USA 1 Sec: 22 Twp: 8N Range 31W
GPS Well Location: Latitude: 35.36011 Longitude: -94.28457 Field: HOLLIS LAKE  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: CRAWFORD  
Entrance from nearest 911 address, public street or highway Gun Club 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 8' round x 6' h = 54 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:
DPM, pipeline meter on location, well is chemical injected (unlabeled barrel), excessive vegetation around well head.

Inspected by: DAYMON BLOUNT   Date:  5/12/2016 3:09:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________