FIR 1 - INSPECTION REPORT

Permit Holder: Oxley Energy, LLC Well Name/No: Blackburn Permit: 34727
Lease Name: Blackburn 3 Sec: 16 Twp: 10N Range 24W
GPS Well Location: Latitude: 35.53048 Longitude: -93.54567 Field: CLARKSVILLE  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: JOHNSON  
Entrance from nearest 911 address, public street or highway
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1Fluids TankFiberglass150 12' x 7' Heavy oil
2Separator    
3Separator    
4Other Tanks    
5Dehy Unit    
6Dehy Unit   Unused

Tank Containment:
Dimensions: Length: 60 Width: 25 Diameter: 0 Height: 1 Capacity (bbls): 267
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: Heavy oil soaked soil at compressor.
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:
Leak at dehy in containment. Oil soaked soil at compressor. Trash and diapers all over location. Heavy oil in produced fluids tank. Excessive vegetation across location. Old fence, plumbing, and unused compressor and dehy on location. Location in poor condition. Operator contacted.MP

Inspected by: DEREK GOODMAN   Date:  6/22/2017 12:50:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________