FIR 1 - INSPECTION REPORT

Permit Holder: 3 G Energy, LLC Well Name/No: Ford Permit: 16058
Lease Name: Ford 1 Sec: 26 Twp: 17S Range 13W
GPS Well Location: Latitude: 33.21067 Longitude: -92.41555 Field: SANDY BEND  
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 consists of rods and tubing with a partial pumping unit with no flow line. The walking beam and horse head are laying on the ground and there is no electrical box. Pine trees all around the unit and well. The ID sign still shows the former operator name on it.

Inspected by: GLEN OWENS   Date:  10/13/2022 1:13:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________