FIR 1 - INSPECTION REPORT

Permit Holder: Sinclair Operating Company, LLC Well Name/No: Carroll Heirs Permit: 30605
Lease Name: Carroll Heirs 1 Sec: 1 Twp: 17S Range 14W
GPS Well Location: Latitude: 33.27239 Longitude: -92.49341 Field: CHAMPAGNOLLE  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: UNION  
Entrance from nearest 911 address, public street or highway
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
No Vessels Found For This Inspection

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 0 Height: 0 Capacity (bbls): 0
Capacity compliance: Breaches/Erosion: Excessive vegetation present: Compliance agreement:
Containment Conditions: Fluids Present:
Well Site Compressor:
Is it in compliance?
Trash/Debris:
Use as storage area:
Unusual equipment:
Excessive erosion:
If yes to any, explain:
Entry Gate Present:
  Gate locked on arrival:
Gate locked on departure:
Is spill or discharge of drilling, completion or produced fluids present:
 
If yes, did spill or discharge of drilling, completion or produced fluids occur or travel off the well pad:
(If yes, complete FIR 5)
Compliance Summary Remarks:
Well is casing and the tubing is capped. The power is off at the electrical box. There is no additional equipment on site. There is excess vegetation. The road to this well is drivable.

Inspected by: GLEN OWENS   Date:  1/11/2022 10:42:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________