FIR 1 - INSPECTION REPORT

Permit Holder: Cornerstone Energy, LLC Well Name/No: Rosen Permit: 18072
Lease Name: Rosen 2 Sec: 2 Twp: 17S Range 12W
GPS Well Location: Latitude: 33.26668 Longitude: -92.31936 Field: CAREYVILLE LANDING  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: BRADLEY  
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 is capped casing only with the old concrete slab in place. No other equipment on site. No Well ID for this Well. Talked to the operator about this issue. GPS is 33.26657 -92.31945

Inspected by: GLEN OWENS   Date:  10/5/2023 1:52:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________