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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 5 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: 10:47 am End Time: 10:56 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 & #: St. Regis Paper Company (SRPC) #8-1 API No. 0911320034 PA No. 311584
Well Type (see table):
Enhanced Oil Recovery (EOR)
State Permit:
OG_511
Latitude (N):
30.96869281
Longitude (W):
-87.18226779
Elevation (ft):
Injection Method (check applicable): Casing Injector; X Tubing & Packer; Cemented Injection Tubing 1/20/22 MIT, reports
PBTD: 15775'
Other:
surface casing 10" @3628'
Upper BHA is Perma Pak
Total Depth (ft): 15872' Inner Casing Size (in):
Tubing Size (in):
Packer Depth (ft): 15002'
15508'
15640'
Produced fluids 4400 psi
Inj. Zone: Open Hole; X Perforated; Top(ft)
Bottom(ft):
Max. Injection Pressure (psig):
Latitude (N):
30.96867
Longitude (W): -87.18232
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 fluids
General Condition of the Well Site:
Well Data from File
Field Measurements and Observations
Notes & Comments (include discrepancies from database values): Maximum Injection pressures: 7500 psi N/4400 psi PW This well successfully passed a Mechanical Integrity Test (MIT) on 1/20/2022.
earlier well diagram shows: Upper BHA 14983' Middle BHA: 15007' Bottom BHA: 15315'
Smackover Perforations: 15508' to 15520', 3/10/1974 15581' to 15607', 4/07/1972
Tubing gauge: Production gauge Surface gauge:
1500 psi
0 psi 0 psi
15616' to 15640', 4/07/1972
See reverse for additional observations, comments and photo log
UIC Inspector
UIC Inspector
Name: Signature:
Carl E. Weller
Digitally signed by CARL WELLER
CARL WELLER (Affiliate) (Affiliate)
Date: 2023.05.17 10:09:59 -04'00'
Name:
Carol Chen
CAROL CHEN Date: 2023.05.11 12:39:06 -04'00' Digitally signed by CAROL CHEN
Signature:
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 5 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
170
Time: 10:48 am Lat (N): 30.96867
Long (W)
sign posted directly on the well - with GPS location closest
171
Time: 10:48 am Lat (N): 30.96867
Long (W)
photo of the injection well, taken several feet away
-87.18232 -87.18235
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
Digitally signed by CARL WELLER
CARL WELLER (Affiliate) (Affiliate)
Date: 2023.05.17 10:10:30 -04'00'
UIC Inspector
Name: Carol Chen
CAROL CHEN Digitally signed by CAROL CHEN Date: 2023.05.11 12:39:34 -04'00'
Signature:
Version 2018-04-18