FIR 1 - INSPECTION REPORT

Permit Holder: Eylau Oil, Inc Well Name/No: Collins, R M Permit: 36877
Lease Name: Collins, R M 1 Sec: 4 Twp: 15S Range 27W
GPS Well Location: Latitude: 33.47699 Longitude: -93.90238 Field: MANDEVILLE  
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. POWER SUPPLY IS IN THE OFF POSITION. THERE IS EXCESSIVE VEGETATION PRESENT. THERE IS NO SIGN POSTED AT WELL SITE. POLISH ROD PRESENTS WITH RUST SPOTS. WELL IS INACTIVE.

Inspected by: RONNIE KENNEDY   Date:  11/19/2018 9:58:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________