FIR 1 - INSPECTION REPORT

Permit Holder: Berg, Laney & Brown Company Well Name/No: Burns Permit: 31477
Lease Name: Burns 1 Sec: 20 Twp: 16S Range 15W
GPS Well Location: Latitude: 33.32086 Longitude: -92.67246 Field: SMACKOVER  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: UNION  
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:
Found open well and small knock out tank on site. Found no well ID. Power line to well in place and found well head end of flow line. Found no tanks for this well. No road to well. Walked approx 300 yards to this site. Excess vegetation present.

Inspected by: JO COOK   Date:  2/24/2020 3:19:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________