FIR 1 - INSPECTION REPORT

Permit Holder: LBOC, LLC Well Name/No: Forest City Box Permit: 16661
Lease Name: Forest City Box 2 Sec: 13 Twp: 16S Range 14W
GPS Well Location: Latitude: 33.33007 Longitude: -92.50406 Field: MUD LAKE  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: CALHOUN  
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 casing with rods and tubing with a pumping tee. The tee has 2 valves and one is starting to leak through every once in a while. There is no free standing oil just some on the end of the valve and the brush that is grown up around the Well. There is a metal pumping unit base with excess vegetation growing all on and through it. There is chain link fence and posts piled up around the Well and the pumping unit frame. There is no Well ID. GPS is 33.33007 -92.50409

Inspected by: GLEN OWENS   Date:  12/15/2023 1:26:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________