Aerial Investigation / Right-of-Way Inspection Reports urged

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Chaparral Energy

Aerial Investigation / Right-of-Way Inspection Report

• Aerial Field Investigation Report

• Right-of-Way Inspection Report

• Line Segment

• Reported By

• Select date

  Date

• Survey / Section

• State

  Texas

  Oklahoma

  Kansas

• County

Field Investigation

• Party Contacted

• Address
  Address

• Phone

• Location

• Actual Activity

Line Markers (Check all the apply)

• Well Marked

• Needed on ROW

• Markers Need Paint

• Needed on Road Crossing

• Other

Exposed Line (Check all that apply)

• N / A

• In Water

• Free Span

• In Ditch

• In Field

• Other

Line Condition

• N / A

• Heavy Rust

• Heavy Pitting

• Good Coating

• Light Rust

• Moderate Pitting

• Poor Coating

• Painted

• Other

• ROW Conditions

• Comments and Recommendations

• Employee

• Select date

  Date

• Add signature

  Sign

• Revised : 01-30-12