FIR 1 - INSPECTION REPORT

Permit Holder: Stephens Production Company Well Name/No: Hicks, Ethel Permit: 28339
Lease Name: Hicks, Ethel 2-30 Sec: 30 Twp: 10N Range 31W
GPS Well Location: Latitude: 35.51986 Longitude: -94.33115 Field: RUDY  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: CRAWFORD  
Entrance from nearest 911 address, public street or highway Worn Key Bend
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1Fluids TankFiberglassOther Size 7' round x 7' h = 48 bbls
2Fluids TankFiberglassOther Size 5 bbl tank at dehy unit
3Dehy UnitSteel Bolted   
4SeparatorSteel Welded   
5SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 12 Height: 3.75 Capacity (bbls): 76
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:
Fluid level test conducted on 11/20 = Tubing - 2391' @ 701 PSI, Casing - 2054 @ 621 PSI, clean location.

Inspected by: DAYMON BLOUNT   Date:  11/20/2018 2:01:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________