FIR 1 - INSPECTION REPORT

Permit Holder: Merit Energy Company, LLC Well Name/No: USA Permit: 22621
Lease Name: USA 1-36 Sec: 36 Twp: 8N Range 31W
GPS Well Location: Latitude: 35.33049 Longitude: -94.25611 Field: HOLLIS LAKE  
Lease/Tank Battery: Latitude: 35.33081 Longitude: 94.25655 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway Hwy 22 (old Chaffee property north of hwy)
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 10' round x 8' h = 112 bbls
2Fluids TankFiberglassOther Size 15 bbl used oil tank with containment
3Fluids TankOther TypesOther Size 200 gal plastic used oil tank with containment
4SeparatorSteel Welded   
5SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 21 Height: 2.66 Capacity (bbls): 164
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:
FIR is for a spill reported by XTO, location has been covered by flood water, used oil tanks were overturned and released approx 300 gal, metal containment ring was also damaged. Tanks and containment have been repaired, pump jack at wellhead, compressor is running, clean location.

Inspected by: DAYMON BLOUNT   Date:  7/5/2019 3:38:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________