FIR 1 - INSPECTION REPORT

Permit Holder: El Dorado Operating, LLC Well Name/No: Sample Realty Permit: 33321
Lease Name: Sample Realty 2-X Sec: 8 Twp: 17S Range 13W
GPS Well Location: Latitude: 33.25304 Longitude: -92.4641 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 a submersible pump and is down with the power shut off. The flow line has been cut and removed from the area. The road to this well is drivable but starting to wash out.

Inspected by: GLEN OWENS   Date:  1/14/2022 10:24:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________