FIR 1 - INSPECTION REPORT

Permit Holder: LBOC, LLC Well Name/No: Lawn Forest City Box Permit: 17416
Lease Name: Lawn Forest City Box 2 Sec: 14 Twp: 16S Range 14W
GPS Well Location: Latitude: 33.33121 Longitude: -92.51406 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 consists of casing with rods and tubing with a flow line. The only equipment on site is the pumping unit frame and horse head along with the metal pumping unit base. The Well ID is correct however the Well name is faded badly. GPS is 33.33109 -92.51420

Inspected by: GLEN OWENS   Date:  12/15/2023 9:27:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________