FIR 1 - INSPECTION REPORT

Permit Holder: Nevada Oil, LLC Well Name/No: Simmons, J. A. Permit: 12896
Lease Name: Simmons, J. A. 11 Sec: 12 Twp: 18S Range 13W
GPS Well Location: Latitude: 33.16049 Longitude: -92.39762 Field: SANDY BEND  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: UNION  
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 has casing and tubing with a pumping tee. The tubing is bent over towards the pumping unit. Motor and electrical box is present. Horse head is off of the beam. There is no Well ID on site. There is excess vegetation. This site was took over by a new operator in June 2023. GPS is 33.16049 -92.39762

Inspected by: GLEN OWENS   Date:  12/12/2023 11:13:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________