FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: Burcham Heirs Permit: 37209
Lease Name: Burcham Heirs 5-28 Sec: 28 Twp: 9N Range 27W
GPS Well Location: Latitude: 35.42974 Longitude: -93.87392 Field: AETNA  
Lease/Tank Battery: Latitude: 35.42977 Longitude: 93.87366 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway Hwy 96
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1Fluids TankFiberglass210 10' round x 15' h = 210 bbls
2SeparatorSteel Welded   
3SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 28 Height: 3.5 Capacity (bbls): 384
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:
Producing on tubing and casing, digital pipeline meter on location, containment ring does not have a liner, clean location.

Inspected by: DAYMON BLOUNT   Date:  5/23/2019 1:35:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________