FIR 1 - INSPECTION REPORT

Permit Holder: QEP Energy Company Well Name/No: Blair-Laws Permit: 25528
Lease Name: Blair-Laws 4-1 Sec: 4 Twp: 8N Range 20W
GPS Well Location: Latitude: 35.36921 Longitude: -93.12242 Field: FURGERSON  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: POPE  
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
1Fluids TankFiberglass50 8' x 6' = 54 BBLS
2Heater Treater    
3Fluids Tank    
4Other Tanks    

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 24 Height: 3 Capacity (bbls): 242
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: Compressor is plumbed to permit #30426. Pumper log sheet on compressor is current as of 10/7/15
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:
Plugged well site. Compressor for #30426 on this location. Centerpoint meter hut and gun barrel on location. All surface equipment associated to this well have been removed and land reclaimed.

Inspected by: DEREK GOODMAN   Date:  10/8/2015 12:00:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 10/8/2015
ADEQ referral:
Date of referral:  __________