FIR 1 - INSPECTION REPORT

Permit Holder: Sinclair Operating Company, LLC Well Name/No: Short Permit: 20950
Lease Name: Short 1 Sec: 28 Twp: 17S Range 14W
GPS Well Location: Latitude: 33.20602 Longitude: -92.54996 Field: SHORT  
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:
This well is casing only. It is open with a half blue plastic barrel over the top of it. The electrical box has the power shut off. There is no pumping unit or any equipment on site. No ID for this well is present. The Tank Battery for this well has been removed except for the electrical box. No equipment at the tank battery site.

Inspected by: GLEN OWENS   Date:  1/4/2022 1:44:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________