FIR 1 - INSPECTION REPORT

Permit Holder: Sinclair Operating Company, LLC Well Name/No: Kelly Permit: 22094
Lease Name: Kelly 3 Sec: 3 Twp: 17S Range 14W
GPS Well Location: Latitude: 33.26405 Longitude: -92.52806 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:
Found well is open casing only. There is no other equipment on site. Excess vegetation and no ID at this site. The old electrical box is open and no fuses in it. Had to walk to find this well. The road to it is washed out real bad.

Inspected by: GLEN OWENS   Date:  1/13/2022 12:04:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________