FIR 1 - INSPECTION REPORT

Permit Holder: Oxley Energy, LLC Well Name/No: Black Permit: 36334
Lease Name: Black 3-35 Sec: 35 Twp: 5N Range 30W
GPS Well Location: Latitude: 35.06762 Longitude: -94.16813 Field: B-44 AREA  
Lease/Tank Battery: Latitude: 35.067632 Longitude: 94.168498 County: SCOTT  
Entrance from nearest 911 address, public street or highway Highway 71
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' D x 5.5' H = 110 bbls
2Fluids TankSteel WeldedOther Size 200 gal steel oil tank
3Fluids TankSteel WeldedOther Size 200 gal steel oil tank
4Fluids TankOther TypesOther Size plastic tank
5SeparatorSteel Welded   
6SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 22 Width: 22 Diameter: 0 Height: 2 Capacity (bbls): 172
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:
Production well, there is a small waste oil spill next to the plastic tank, the compressor was running during the inspection, otherwise a clean location.

Inspected by: STEVEN PIKE   Date:  7/19/2021 12:44:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________