FIR 1 - INSPECTION REPORT

Permit Holder: Berg, Laney & Brown Company Well Name/No: Umsted, Sid Permit: 23744
Lease Name: Umsted, Sid 12 Sec: 33 Twp: 15S Range 15W
GPS Well Location: Latitude: 33.37082 Longitude: -92.65311 Field: SMACKOVER  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: OUACHITA  
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 fully equipped except for it has no motor. The flow line valve off of the well head is open. Excess vegetation and out of compliance on the ID of the well. It is written on the electrical box but is barely readable.

Inspected by: GLEN OWENS   Date:  11/23/2021 1:20:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________