FIR 1 - INSPECTION REPORT

Permit Holder: Berg, Laney & Brown Company Well Name/No: Umsted, Sid Permit: 23744
Lease Name: Umsted, Sid 12 Sec: 33 Twp: 15S Range 15W
GPS Well Location: Latitude: 33.37082 Longitude: -92.65311 Field: SMACKOVER  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: OUACHITA  
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 pumping unit and it is bridled up to the polishing rod. The motor has been removed. The flow line valves is open. The well ID that is written on the electrical box is faded to an almost unreadable state. There is excess vegetation growing around the well.

Inspected by: GLEN OWENS   Date:  10/18/2022 11:48:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________