FIR 1 - INSPECTION REPORT

Permit Holder: Agave Energy, Inc Well Name/No: USA Permit: 28501
Lease Name: USA 22-1 Sec: 22 Twp: 7N Range 31W
GPS Well Location: Latitude: 35.2714 Longitude: -94.28533 Field: BONANZA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway South Boundary Road (inside Chaffee)
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:
Producing, wellhead and equipment are in underground bunkers, location is shared with SPC USA 1, signs at entry and wellhead still show Wynn Crosby. Operater contacted. No enforcement at this time.MP

Inspected by: DAYMON BLOUNT   Date:  9/20/2018 8:41:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 10/2/2018
ADEQ referral:
Date of referral:  __________