FIR 1 - INSPECTION REPORT

Permit Holder: Oxley Energy, LLC Well Name/No: Blackburn C Permit: 34107
Lease Name: Blackburn C 2 Sec: 9 Twp: 10N Range 24W
GPS Well Location: Latitude: 35.53522 Longitude: -93.5554 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 TankFiberglass210 16' x 6'
2Separator    
3Dehy Unit   not in use

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 0 Height: 0 Capacity (bbls): 0
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:
APM producing. No sign at well. No containment. Excessive vegetation. Plumbing to produced fluids tank is plugged, tank is not being used for produced fluids.MP No enforcement at this time.MP

Inspected by: DEREK GOODMAN   Date:  8/23/2016 12:00:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 8/30/2016
ADEQ referral:
Date of referral:  __________