FIR 1 - INSPECTION REPORT

Permit Holder: El Dorado Operating, LLC Well Name/No: Sample Realty Permit: 29269
Lease Name: Sample Realty 1 Sec: 8 Twp: 17S Range 13W
GPS Well Location: Latitude: 33.25198 Longitude: -92.46684 Field: CYPRESS CREEK  
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 has rods and tubing and is bridled up to the horse head. There is no motor on the pumping unit and the power is off. There is no flow lines connected. There is no ID at this well. The road to this well is drivable.

Inspected by: GLEN OWENS   Date:  1/14/2022 10:07:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________