FIR 1 - INSPECTION REPORT

Permit Holder: Burdine, David Well Name/No: Brown, H D "D" Permit: 9597
Lease Name: Brown, H D "D" 2 Sec: 13 Twp: 15S Range 20W
GPS Well Location: Latitude: 33.42678 Longitude: -93.11835 Field: STEPHENS  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: COLUMBIA  
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 consists of casing with rods and tubing. No flow line attached. There are closed valves on the pumping tee. Pumping unit frame and gearbox in place. Electrical box and walking beam is on the ground. The well ID still shows the former operator name on it. GPS is 33.42676 -93.11835

Inspected by: GLEN OWENS   Date:  1/12/2023 3:10:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________