Document jgx3gE8ov2mZ6GKdeLbReeL12
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 8 0
Year-Month-Day: 2 0 2 3 - 0 3 - 2 9
EPA Permit # (or RA): F L I 0 0 5 2
Page 1 Of 2
Carol Chen
Start Time: 10:20 am
End Time: 10:28 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 & #: Well Type (see table): Latitude (N):
McMillan #7-10
Enhanced Oil Recovery (EOR)
30.98029639
Longitude (W):
API No. 0911320271 PA No. 326613
State Permit:
-87.17839333
OG_1363
Elevation (ft):
Injection Method (check applicable): Casing Injector; X Tubing & Packer; Cemented Injection Tubing
PBTD: 15589'
Other:
surface casing 10" @3783' Weatherford Seal 5/21/2017
Total Depth (ft): 15689' Inner Casing Size (in):
Tubing Size (in):
Packer Depth (ft): 14111'
Inj. Zone: Open Hole; X Perforated; Top(ft) 15328' Bottom(ft): 15526' Max. Injection Pressure (psig): 7120 psi
Latitude (N):
30.97982
Longitude (W):
-87.17834
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): Well passed mechanical integrity test on 5/12/2022.
Perforations (Smackover Formation):
Maximum injection pressure, at 7120 psi, is allowed
15328' to 15336' on 5/26/2017
for either produced fluids or gas injection.
15361' to 15391' on 5/26/2017
Tubing gauge:
2950 psi
15432' to 15448' on 5/26/2017
Production gauge
0 psi
15516' to 15526' on 5/26/2017
Surface gauge:
100 psi
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 10:22:29 -04'00'
Name:
Carol Chen
CAROL CHEN Date: 2023.05.16 09:11:57 -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 8 0 Year-Month-Day: 2 0 2 3 - 0 3 - 2 9
EPA Permit # (or RA): F L I 0 0 5 2
Page 2 Of 2
Field Measurements and Observations (Cont.)
Photo Log
Photographer: Photo ID: Description: Photo ID: Description:
Carl E. Weller
EPA Camera ID:
166
Time: 10:22 am Lat (N): 30.97982
photo of sign posted
167
Time: 10:23 am Lat (N): 30.97982
photo of injection well
SX8123
Long (W)
Long (W)
-87.17856 -87.17834
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 10:22:55 -04'00'
UIC Inspector
Name: Carol Chen
CAROL CHEN Date: 2023.05.16 09:12:33 -04'00' Digitally signed by CAROL CHEN
Signature:
Version 2018-04-18