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401016736 19 2016-03-29T10:55:31.547-06:00 10112 FOUNDATION ENERGY MANAGEMENT LLC

16000 DALLAS PARKWAY #875

DALLAS TX 75248-6607 Rachel Grant 918 526-5592 918 638-1153 Rachel Grant Sr. HSE/Regulatory Tech. 2016-03-29T10:55:31.547-06:00 2016-03-29T10:55:31.53-06:00 in process rgrant 2016-03-29T09:24:01.453-06:00 rgrant regulatory@foundationenergy.com 0.00000 regulatory@foundationenergy.com rgrant rgrant 2016-03-29T10:55:29.953-06:00 401016736 401016736 2016-03-27T00:00:00-06:00 FLOWLINE 05 123 07611 WELD SWSE 18 2N 63W 6 N NON-CROP LAND Sunny, melting snow 0 0 Pumper arrived on location at 9:30am on 3/27 to discover a small line leak in the flowline going into the battery separator. There was approximately 0.5 bbl of fluid on the ground at the release point. Well production rates average around 1.5 bbls of oil/water per day, so that is the maximum release that could have occurred based on when the well was checked. Fluid is contained on the battery wellpad. 401016736 true 2016-03-27T00:00:00-06:00 40.135708 -104.479656 FEE 0 0 0 false <_x0032_7_approved>false I false >0 and <1 0 >0 and <1 0 0 false false true false false 0 2016-03-29T09:24:01.813-06:00 At most 1.5 bbls of oil/water mix was released 401016736 401016736 FORM 19 SUBMITTED 401016736.pdf 401016736 1 SPILL 2016-03-29T00:00:00-06:00 COGCC Bob Chesson

Left voicemail notifying of release, sent email

303 894-2100 x5112 401016736 2 SPILL 2016-03-29T00:00:00-06:00 Weld County LEPC Roy Rudisill

Sent email about release

970 356-4000 x3990 401016736 3 SPILL 2016-03-29T00:00:00-06:00 Surface Owner Julius Pluss/ Kaufman LP

Left voicemail notifying of release

720 320-5089 Thread was being aborted.