FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: Royce 10-5 Permit: 41775
Lease Name: Royce 10-5 2-20H Sec: 20 Twp: 10N Range 5W
GPS Well Location: Latitude: 35.47164 Longitude: -91.56545 Field: B-43  
Lease/Tank Battery: Latitude: 35.47171 Longitude: -91.56611 County: JACKSON  
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  

Tank Containment:
Dimensions: Length: 40 Width: 20 Diameter: 0 Height: 2 Capacity (bbls): 397
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:
Location in compliance.

Inspected by: MISTY SILER   Date:  7/30/2019 3:15:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________