FIR 1 - INSPECTION REPORT

Permit Holder: XTO Energy, Inc. Well Name/No: M M M Permit: 33144
Lease Name: M M M 1 Sec: 35 Twp: 8N Range 29W
GPS Well Location: Latitude: 35.3318 Longitude: -94.05677 Field: URSULA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway Hwy 60
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
No Vessels Found For This Inspection

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:
Final Inspection conducted by Mike Passmore. Location has been returned to grade and is being used by land owner for hay and equipment storage, single pipeline riser is still on location, clean location.

Inspected by: DAYMON BLOUNT   Date:  8/24/2017 3:34:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 8/24/2017
ADEQ referral:
Date of referral:  __________