FIR 1 - INSPECTION REPORT

Permit Holder: Williamson, Richard Well Name/No: Hodnett, W. E. Permit: 15036
Lease Name: Hodnett, W. E. 1 Sec: 31 Twp: 15S Range 23W
GPS Well Location: Latitude: 33.4006 Longitude: -93.52097 Field: STAMPS NORTHWEST  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: LAFAYETTE  
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 and pumping unit are present. Flow line is not connected. Well head presents with casing, tubing and rods. Horse head is missing from pumping unit. Casing and tubing are secured with valves. Rods are secured with a clamp bolt. Well is inactive and shut in.

Inspected by: RONNIE KENNEDY   Date:  10/28/2016 9:49:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________