FIR 1 - INSPECTION REPORT

Permit Holder: Max Extract Technologies, LLC Well Name/No: Hill N Permit: 31736
Lease Name: Hill N 1 Sec: 6 Twp: 4N Range 30W
GPS Well Location: Latitude: 35.04761 Longitude: -94.22328 Field: B-44 AREA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SCOTT  
Entrance from nearest 911 address, public street or highway Tut Hill Rd.
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:
Unable to conduct inspection. Two locks on gate. No key will unlock either lock. 11/22/2017 Derek Goodman reports plugging of well in final stages. sjg

Inspected by: MICHAEL PASSMORE   Date:  8/25/2016 2:17:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 12/7/2017
ADEQ referral:
Date of referral:  __________