FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: U S A Permit: 23643
Lease Name: U S A 1-8 Sec: 8 Twp: 7N Range 30W
GPS Well Location: Latitude: 35.29705 Longitude: -94.21026 Field: EWING  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway Fort Smith Blvd (inside Chaffee)
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 12' round x 4' 6" h = 91 bbls
2Fluids TankFiberglassOther Size 15 bbl used oil tank with containment
3Fluids TankOther TypesOther Size 200 gal used oil tank with containment
4SeparatorSteel Welded   
5SeparatorSteel Welded   
6SeparatorSteel Welded   
7SeparatorSteel 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:
Producing Clean location.

Inspected by: HAYDEN SLAYTON   Date:  5/30/2024 2:37:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________