Document BvME7B0j73pzMeKD6Or6DXrKE
Inspection ID
Facility Contact Information
Class I and II Well Inspection Form
US Environmental Protection Agency - Region 4 Underground Injection Control Program
61 Forsyth Street SW, MC 9T25, Atlanta, Georgia, 30303 Phone: (404)562-9424
Inspector(s): Carl E. Weller
_ (lead),
,
EPA Well ID#: F L S 1 1 3 0 0 1 4
Year-Month-Day: 2 0 2 3 - 0 3 - 2 9 EPA Permit # (or RA): N O N E
Page 1 Of 2
Carol Chen
Start Time: 10:34 am
End Time: 10:42 am
Facility Name: Maverick Natural Resources, LLC (Breitburn Operating LP)
Street Address: 5415 Oil Plant Rd
City: Jay
County: Santa Rosa
State: FL Zip: 32565
Nature of Business: oil and gas production
Facility Owner/Operator: Maverick Natural Resources, LLC
Phone: 850-675-1702
Email:
Facility Contact (if different): Al Jones, Plant Superintendent
O/O Mailing Address: 5415 Oil Plant Rd
City:
Jay
County: Santa Rosa
Phone: 251-227-3319 State: FL Zip: 32565
Well Name & #: McDavid Lands Etal #7-3 Well Type (see table): Enhanced Oil Recovery (EOR)
Latitude (N):
30.97708272
Longitude (W):
API No. 0911320025 PA No. 311581
State Permit:
-87.18008261
OG_496
Elevation (ft):
Injection Method (check applicable): Casing Injector; X Tubing & Packer; Cemented Injection Tubing
PBTD: 15,592'
Other:
surface casing 10" @3524' Lower BHA, Otis WB Packer: 15206'
15,846'
Upper BHA, BWD Packer 15067'
Total Depth (ft):
Inner Casing Size (in):
Tubing Size (in):
Packer Depth (ft):
Inj. Zone: Open Hole; X Perforated; Top(ft) 15,480' Bottom(ft): 15,540'
4400 psi PW Max. Injection Pressure (psig):
Latitude (N): 30.97707
Longitude (W):
87.18010
Elevation (ft):
EPA GPS ID: SX8123 Well Status (see table): AC If not Active, Reported Date Last Active:
Nature of Injected Fluid(s) if any: Produced water fluids
General Condition of the Well Site:
Well Data from File
Field Measurements and Observations
Notes & Comments (include discrepancies from database values):
Maximum Injection pressure: 7500 psi N (nitrogen), 4400 psi PW (produced fluids)
Perforations (Smackover Formation):
15480' to 15500' (6SPF) 12/01/2018
Tubing gauge:
1500 psi
15500' to 15520' (6SPF) 11/29/2018
Production gauge
0 psi
15520' to 15540' (6SPF) 11/29/2018
Surface gauge:
0 psi
The injection well passed a mechanical integrity test on 2/24/2023
Name: Signature:
See reverse for additional observations, comments and photo log
UIC Inspector
UIC Inspector
Carl E. Weller
Digitally signed by CARL WELLER
CARL WELLER (Affiliate) (Affiliate)
Date: 2023.05.17 10:08:01 -04'00'
Name:
Carol Chen
Signature: CAROL CHEN Date: 2023.05.15 12:51:30 -04'00' Digitally signed by CAROL CHEN
Version 2018-04-18
Inspection ID
Class I and II Well Inspection Form
US Environmental Protection Agency - Region 4 Underground Injection Control Program
61 Forsyth Street SW, MC 9T25, Atlanta, Georgia, 30303 Phone: (404)562-9424
(Cont)
EPA Well ID#: F L S 1 1 3 0 0 1 4 Year-Month-Day: 2 0 2 3 - 0 3 - 2 9
EPA Permit # (or RA): N O N E
Page 2 Of 2
Field Measurements and Observations (Cont.)
Photo Log
Photographer: Photo ID: Description: Photo ID: Description:
Carl E. Weller
EPA Camera ID:
SX8123
168
Time: 10:34 am Lat (N): 30.97707
Long (W) -87.18010
photo of sign that is posted on the injection well, shows closest GPS location
169
Time: 10:34 am Lat (N): 30.97704
Long (W) -87.18012
photo of the injection well, a few feet back from the well
Photo ID:
Time:
Lat (N):
Long (W)
Description:
Photo ID:
Time:
Lat (N):
Long (W)
Description:
Photo ID:
Time:
Lat (N):
Long (W)
Description:
Photo ID:
Time:
Lat (N):
Long (W)
Description:
UIC Inspector
Name: Signature:
Carl E. Weller
CARL WELLER (Affiliate)
Digitally signed by CARL WELLER (Affiliate) Date: 2023.05.17 10:08:43 -04'00'
UIC Inspector
Name: Carol Chen
CAROL CHEN Date: 2023.05.15 12:52:02 -04'00' Digitally signed by CAROL CHEN
Signature:
Version 2018-04-18