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.OMB No. 2040-00<42 United State.

Environmental WlShlngton, Protection Agency ApproViI Expll'H 12131/2011

&EPA

DC 20480

n f\ () u J

)..

'l1

ANNUAL DISPOSAUINJECTION

WEll

MONITORING REPORT ~~ \)

tDm.'.Jm\t.A!lct[l'.'...9LE.xlJlIn.ll.~trn1ln" ..... , [Jarvis Drilling, INC ! 1210 S Jasper ST Decatur IL 62521


Locate Well and Outline Unit on Section Plat 640 Acl'H N
~ n __'

~Imuno.Mltr.IILQI.$.!lI1.tCft.o.wn .L" ....


iRicky Neely ;3126 Martha Washington RD Clarkrange TN 38553

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M.~_. I_~ .. A._A~'

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County Fentre.s.s ... _ _

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...................... Description ;114 oft. ..1/4

. '.1

p.~gO~:~L ~

__ ~.~.....
:}~~~j
unit

-.'

Surface Location

"''''''11140fi
Surface LocatlonTfi!Jn. and )~~ft.

of~1/4 from neara.t

of

sectlon!.lL.;

Town.hlpj3:f}Range seenen and drilling

Locate well In two direction. .

line . of qUlrter

frm (N/S)LL-:Llne

of qUlrter

.ectlon

from (EIW).W.\lne

of quarter aectlon. TYPE OF PERMIT

WELL ACTIVITY

[j

Brine Disposal Recovery Storlge

IlJ Individual

[2] Enhanced

I' Hydrocarbon

DAm

Number of Wall.i __

, .. - _.. - _--.1 .

S
TUBING - CASING ANNULUS PRESSURE (OPTIONAL MONITORING) MINIMUM PSIG MAXIMUM PSIG

INJECTION PRESSURE MONTH


._

TOTAL VOLUME INJECTED BBL MCF

AVERAGE PSIG
._.... _.M

MAXJMUM PSIG

ikw

00.9 ..)

'.... .1.tf ....

/IJo. /00

IJP.:5
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Certification
t
I certify under the penalty of law that I have personally examined and am flmlllar with tha Information submitted In thl. document and all attaohmenc. and that, b 11on my Inquiry of tho InGIVIGUllllmm.dlat.ly rllpon.lble for obtaining the Information, I b.lI.v. that the Information I. trul, accurate, and complete. I am aware that there are significant penlltl for submitting fll Information, Including the po.slblllty of fine and tmprlsonment. (Ref. 40 CFR 144.32)

D~~a.S!~!1~d... __ .......

: / -2'}-2010:
EPA Form 752011 (Rev. 12-(8)

OMS No. 2040-4042 United Stete. Envlronmentel Protection Agency Waahlngton, DC 20480

Approval Exp/. 4130107

&EPA
i 1210
I

a 0~;

ANNUAL DISPOSAUINJECTION
..__ ...... _.._-,
1
I

WELL MONITORING REPORT ~~


NLI!I'- ..II!IA!I ..I..r!IILQtJiurt_!<'-..Q.wO.tL ! ______ ...... _.

~!'n.'.~.n!l .. . Adctr:!!.. .... EA!.~ltoJll!!!1!!jtt'-'........................... __..... _ ... _ ' 9f _ .. _....... _.. _ _


[Jarvis Drilling. INC S Jasper ST Decatur

. [Rickey Neely
IL 62521

locate Well and Outline Unit on Section Plat - 640 Acl'H N I I _ ...l_L...l__...l_L...l _ I I I
1

r~-- .......... .. --- lll;;~tress ~--Surface location r"-11/4 locate Surface Locat/oniUiilrt. frm (N1S)DL/ne Of[J1/4 Deacrlptlon ofl
11/4 of

i3126

Martha Washington

RD

Clark Range TN 38553

l
]

I Permit Number [TNIoa22"

I .... sect!onULlrownah/P[3S J 1/4 of

IRangel55E I

r--r-r--t- --t-r--tf-...l_L...l-_...l_L...l_
I
W

I I

well In two dIrection.

from neare.t

line. of quarter ct/on and drilling unIt

of quarter .ect/on of quarter .ect/on. TYPE OF PERMIT

I I

I I

I I

I I I

.
E

and[3851rt.

from (EIW)fW]L/ne

r-...l_L...l-_J._LJ._ r--t-r--t- r-.-t-r--tr-J._L...l- f-J._L...l_


I I I
S

o I2l o

WELL ACTIVITY BrIne O/.po.al Enhanced R.covery Hydrocarbon Storage

121 IndIvidual
DAres Numb.r of W.II.
1\J

L.a.e NametMarJeanne
..

/ 11 ,r.r J.Ni"V( , I
I

Jell

Number

Fi"---

INJECTION PRESSURE MONTH


I

TOTALVOLUMEINJECTED

TUBING - CASING ANNULUS PRESSURE (OPTIONAL MONITORING)

YEAR

iJanuary-2008
March-200S

I
I
!

2..

AVERAGEPSIG MAXIMUM PS/G . ....... -................. [275- ................... .... . , - 66 13

[287 ..

0...... ..... "J -

BBl

,........v _________

MCF
___

........ r"--- PSIG 1 MINIMUM ---~ i


I
I

MAXIMUM PSIG

IFebruary-2008

1275

i
I
-l
I I

1270.97
l275.5

I I
.....

1275
/275 i290 l..

I
i ..J
j

12845 /3617 ~ .. 3~ ___ 5 13199 [2796 12652 @828


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C C
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.... -

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!APril-2008

r-1255.65 [~50

I
!

May-200S

IJune-2008 IJU1Y-2008 IAugust-~. ISeptember-2008 IOctober-2008 INovemb~~-~008 /December-200S

J. [!.~~ J .. L___ ! I J -=:J


I

] i250

~ I .. ...---:~~ I r~~~ - ....

1250

..J

I r----

r" I I _
..

....- ..---- ..........J

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I

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1

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;

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'-r

r250

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~
-----,

1250

J .. J
"j

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1

,
i

J I I I
i

L~..s~ ........ .. _ -..---J _


hso
j

r2.~~~... ~ -~ .. : ....

=] [==::..;..-

189.52

_ ..

[79.17 ...

..-

I
J
I

Il~33-_ - ......... ~ 1"1395


t,

r-

rlOO"

[6""5.32

-]

175

11254

CI I

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Certification
I c.rt/fy und.r the penalty of law that I have personally examined and am familiar with the InformatIon submitted In thl. document and all attach mente and that, ba.ed on my InquIry of tho.e IndIvIdual. ImmedIately responsible for obtaining the Informetlon, I believe that the Inform.Uon .1. true, accurate, and complete. I am Iware that there Ire Ilgnlflcant pene/t/e. for lubmlttlng fal InformatIon. Including the poa.lblllty of fine and Imprisonment. (Ref. 40 CFR 144.32) Name and OfficIal Title (Pl IVice President -

type or print)

K. ~y ~ (J L U~Il r

EPA Form 7620-11 (Rev. 8-41)

~~A (

Data SIgned
..

I 2.-hh2 I
, 1

NNALCO
OILFIELD CHEMICALS WATER ANALYSIS WORKSHEET
COMPANY TIME -=:JA..::R.:.:V1:.:.:S~DR:..::I:.:.l::;;LI;.;.NG;;... LOCATION LEASE MARGEANNE CLARK RANGE. WAteR SOURce TN

Oa.
INJECTION

l111Q12008

TOTAL DISSOLVED

SOYcs; ColuMn 1 mg/l as compound Column 2 mgJla.lona


4,048
II

CoCurnn 3
maqll

CATIONS A. Sodium

as Nil
as

= 23.0 x

176

A.

B.
C. O. E.

Total Hardn.ss.
CalciUm. Magnesium.

CaCOs ~
,.

1.600 720 880. 10 x 0.400 x 0.243

as caCOs as CaC~
;::

288 214

Barium. as BaS04

x 0.589

"
:;

C.' x 0050 = Mg0. x 0.0823 ,.


Subtotal-

t04
18 0 32

C.
O. E. F.

6
4.555

as 8ao, x 0.0146

F.

Tot.r CatiOns ::
ANIONS

208

G.
H. I. J. K. L. M.

Qllorlde. as NaCI Sulfate.

11.800 120

)(0.607

as Na,50. ::
as CaCO, ::

x 0.678
x 0.600 x 1.220

..
=

7.163 81 0 268 7.512 12.068 1

as

cr x 0.0282
s

,.

202 2

G.
H. I.

ii&S04

x 0.0208 '" x 0.0333"

Carbonate,

as CO;

0
4

Bicarbonate, aa CaCO, '"

220

a8 HeOl x 0.0164

J.
K L

Total Anions

208

Tot.1

Dlsaolved Solids

Total Iron, as Fe

N.

Acidityto Phen., CaCO,

---~--60

xO.440"

----~---26
Turbidity Temperature OF Spec.Grav.

asCOz

OTHERPRQPERTII!!S;
P.
Q.

Sulfide, sa H~ Oxygen, pH
lIS

5
7

02

S. T. V.

R.

COMMENTS:'

DISTRICT/AREA: DIRECTIONS: Step 1: Complete Proper1I -. tests

10

ANALYST:

LONNIE OECKER

in

Column

1, and

"Other

Step 4: Subtract $ubtotat from 3K a~ enter difference 3A. In Column J. add 3A to subtotal and IIflter in JF. Sf9p 5: Multiply 3A by 23.0 and enter in 2A

in

Step 2: Com~le1e the multiplication steps for ColumrlS 2 and 3, except Une A. Step 3: In Column 3. add C. D. E to get subtotal. In COlumn 3. add G, H. I and J and enter total in 3K.

Step 8: Add Column 2 Clition. to get Total in 2F. Add Anions to get iotal in 2K. Add 2F and 2K to get 2l.

1./"

Certified Mail /I Z 148 049 109

..

':feo,

.,

&EPA

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON. DC ~

ANNUAL DISPOSAL/INJECTION

WELL MONITORING REPORT


NAME AND ADDRESS OF SURFACE OWNER

NAME AND ADDRESS OF EXlST1NG PERMITTEE

Jarvis Drilling, Inc. 1210 South Jasper Street Decatur .IL 62521-3521
STATE

Kenneth Needy' Rt 1 Box 725-C TN

LOCATE weL1. AND OUTlINE UNIT ON SEenON PlAT 640 ACRES N

I Fentress
COUNTY

1"'1

T~T ':lQr; r; ':l

I PERMIT

NUMBER

SURFACE LOCAnON

DESCRIPTION

.
3S
~ANGE

I
I

:
I
I
I

:
I
~

'ASEenON TOWNSHIP '.4 OF 'A OF LOCATE WEL1.IN TWO DIRECTIONS FROM NEAREST UNES OF QUARTER SEenON

13

55E
UNIT

AND DRIWNG

:
I
W

:.
I I I

I
~

l
I I I

:::: 550ft. fram and600 It.fromHVWI


Weu.ACTMTY

IN/Sl.2Lun.ot

~.-ion

Un. of auamr section

I I I
s

I
I I

I I
I

TYPEOF PERMIT

I I I
I I

I ; ; I I
I
-'

~Brin.Oi~' Enhanced Recovery Hydrocarbon Storage

ti Individual

OAr 1 Number of Wells __

I ; I

Lease Name

Note:

.- 'Well Number /I I-A Kenneth Nealy - e) Injection into this'well has not been initiated. Well is still under construction.
.'"

INJECTION PRESSURE MONTH YEAR AVERAGE PSIG MAXIMUM PSIG

TOTAL VOWME BBL

INJECTED MCf

TUBING - CASING ANNUWS PRESSURE (OPTIONAL MONITORING) MINIMUM PSIG MAXIMUM PSIG

Jan 1999 Feb 1999 Mar 1999 Apr 1999 May 1999 Jun 1999 Jul 1999 Aug 1999 Sep 1999 Oct 1999 Nov 1999 Dec 1999

0 0
0 0

0 0
0 0 0 0 0 0

0
0 0 0 0 0 0 0 0 0 0 0 CERTIFICATION

0
0 0 0 0 0 0 0

0 0
0 0

I certify under the penalty of law that I have personally examined and am familiar with theinformetion submitted in this document and all attachments end that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurete, and complete. I em awar. that theresre significant penalties for submitting false information, incltidingthe possibility of fine and imprisonment. (Ref. 40 CFR 144.32).
NAME AND OFFICIAL TITLE (Pl 'YIM ", prim} . SIGNATURE OATES/GNED

Ray Calvert ~ Superintendent


EPA Form 7520.11 (Rev. 9-90)

,fau fJa/1.4.

/// 7/00

p,

OptiChem, Inc P. O. BOX 1838 Henderson, KY 42419


lVompany Field Lease/Unit ~ell Formation lSample Location JARVIS DRILLING
__ ',or.

Water Analysis Report

WATER TANK

~nalysis# lSample 1.0. lSampled By lSample Date lSales Engr. Location

3 DECKER 9/30/99 DECKER

Cations

mall

meall
1,547.18 154.00 276.15 0.00 0.00 0.00 1,977.33 112,349 mgll !TRACE 120

Anions
Chloride,CIBicarbonate, HC03Sulfate, S04-2 Carbonate, C03-2 Hydroxide, OH Sulfide, S=(total)

mall
70,000 240 75 0 0 0 70,315

megll
1,971.83 3.93 1.56 0.00 0.00 0.00 1,977.33

35,585 lSodium,. Na+ (calc.) 3,080 lCalcium, Ca+2 3,369 Magnesium, MG+2 N/D Iron, Fe+2 0 Barium, Ba+2 0 IStrontium, Sr+2 42,034 Totals
-

Irotal Bissolved Solids (calc.) Dissolved Gases

Hydrogen Sulfide, H2S Carbon Dioxide, CO2 Oxygen, 02 H Ikalinitv otal Hardness Specific Grav. PROBABLE

mall mall mall

other Properties

6.300 21500.000 1.080 MINERAL COMPOSITION mall mall

lComments:

Compound
Ga(HG03)2 CaS04 CaCI2 Mg(HC03)2 MgS04 MgCI2 Na HC03 Na2 S04 NaGI

X Meall
4

= mall
319

0
0 3 23

a a

121 422

0 220 1,384 0 0 8,595 24,670

L. DECKER~~--IAnalyst

;{'/

-- ..

9/30/99 Analysis Date

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