BC New Location Assessment (NLA)

• Location Name

• Customer

• What service is Beaver Creek going to provide?

  Select Crude Production Crude Flowback Production Water Flowback Water Service Work Frac Construction

  • Crude Production
  • Crude Flowback
  • Production Water
  • Flowback Water
  • Service Work
  • Frac
  • Construction

• Prepared by

• Conducted on

  Date
• Location
  Address

General Information / Directions

• Precise direction to be used in place of GPS if the need arises.
  Address

• Client Name

• Location Name

• Service Provided (Initially)

  Select Crude Production Crude Flowback Production Water Flowback Water Service Work Frac Construction

  • Crude Production
  • Crude Flowback
  • Production Water
  • Flowback Water
  • Service Work
  • Frac
  • Construction

• Directions- Precise, Clear, and includes GPS anomalies.

Layout and Hazards

• Sketch the site layout. Include traffic flow and initial plans for stages, i.e. from frat to flowback, if available. Include tank and Getty locations.

  Drawing

• Please take clear photos of entrance and location. Multiple angles please. Specific hazards please.

  Media

• Unusual hazards

• Load, offload, or service directions.

• Is the windsock correctly installed and in appropriate location?

  Yes

  No

  N/A

• Have all the deadman's been identified and clearly marked on the site map?

  Yes

  No

  N/A

• Has the flare site been examined and safe work and parking distances established?

  Yes

  No

  N/A

• Have the crossovers been examined and checked for proper location and strength?<br>

  Yes

  No

  N/A

• Please write your assessment in your own words and the current site condition.

• Potential changes or services to be added later.

• Add media

  Media

• Company PIC or on-site contractors with phone numbers

  Media

• Co. PIC / Phone

• Co. PIC /Phone

• Co. PIC or Contractor / Phone

• Co. PIC or Contractor / Phone

Sign Off

• Add signature

  Sign

• Add signature

  Sign