FIR 1 - INSPECTION REPORT

Permit Holder: XTO Energy, Inc. Well Name/No: M M M Permit: 33144
Lease Name: M M M 1 Sec: 35 Twp: 8N Range 29W
GPS Well Location: Latitude: 35.3318 Longitude: -94.05677 Field: URSULA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway State Hwy 60
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' round 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:
Fluid level test conducted on 05/16/16 = Tubing - 2760' @ 84 PSI, Casing - 3060' @ 84 PSI, containment ring does not have a liner, clean location.

Inspected by: DAYMON BLOUNT   Date:  5/16/2016 10:53:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________