FIR 1 - INSPECTION REPORT

Permit Holder: Urban Oil & Gas Group, LLC Well Name/No: Kerlin Pettet Unit Permit: 24958
Lease Name: Kerlin Pettet Unit 21-D Sec: 33 Twp: 17S Range 20W
GPS Well Location: Latitude: 33.2215 Longitude: -93.18534 Field: KERLIN  
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 is present with casing and tubing only. Tubing is sealed with bull plug. Concrete slab is on site with no pumping unit. Flow line is connected with no leaks. Well is shut in.

Inspected by: RONNIE KENNEDY   Date:  12/22/2014 1:22:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________