FIR 1 - INSPECTION REPORT

Permit Holder: J-LU Ltd Co Well Name/No: Keller-Shelton Permit: 28857
Lease Name: Keller-Shelton 1 Sec: 14 Twp: 16S Range 27W
GPS Well Location: Latitude: 33.36958 Longitude: -93.87284 Field: GENOA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: MILLER  
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 connected. Unit has no drive belts. There is excessive equipment on location that's not in use. There is no sign at well. Well is inactive.

Inspected by: RONNIE KENNEDY   Date:  10/6/2023 3:11:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________