FIR 1 - INSPECTION REPORT

Permit Holder: Dennis & Eckhardt Management, LLC Well Name/No: Crutchfield 7-10 Permit: 40036
Lease Name: Crutchfield 7-10 1-22H Sec: 22 Twp: 7N Range 10W
GPS Well Location: Latitude: 35.22051 Longitude: -92.05749 Field: B-43  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: WHITE  
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
1Fluids TankFiberglass150  

Tank Containment:
Dimensions: Length: 39 Width: 19 Diameter: 0 Height: 3 Capacity (bbls): 396
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:
Location in compliance.

Inspected by: MISTY SILER   Date:  12/21/2016 4:03:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________