FIR 1 - INSPECTION REPORT

Permit Holder: Stephens Production Company Well Name/No: King, Allen W Permit: 39936
Lease Name: King, Allen W 4 Sec: 29 Twp: 8N Range 28W
GPS Well Location: Latitude: 35.34147 Longitude: -93.99705 Field: PETER PENDER  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway North Grand Prairie Road
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:
Final Inspection, location has been returned to grade, is being used by land owner as cattle feeding area, clean location.

Inspected by: DAYMON BLOUNT   Date:  10/12/2016 3:56:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 10/13/2016
ADEQ referral:
Date of referral:  __________