FIR 1 - INSPECTION REPORT

Permit Holder: Burdine, David Well Name/No: Taylor, W.G. "A" Permit: 15719
Lease Name: Taylor, W.G. "A" 5 Sec: 12 Twp: 15S Range 20W
GPS Well Location: Latitude: 33.44654 Longitude: -93.1243 Field: STEPHENS  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: COLUMBIA  
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 a pumping unit and it is bridled up to the polishing rod. The pumping tee is open on the north side with no valve or plug. Flow line has been removed. This well is unsecure. The belts are removed from the motor. Excess vegetation around the well and no well ID on site. GPS is 33.44652 -93.12453

Inspected by: GLEN OWENS   Date:  12/21/2022 3:16:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________