FIR 1 - INSPECTION REPORT

Permit Holder: Berg, Laney & Brown Company Well Name/No: COOK Permit: 23888
Lease Name: COOK 4 Sec: 16 Twp: 16S Range 15W
GPS Well Location: Latitude: 33.33738 Longitude: -92.6562 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 well equipped with rods and tubing. Excess vegetation and pine trees cover road to well and location. Found no well ID. No pumping unit present. Some electrical equipment in place and power line still on location.

Inspected by: JO COOK   Date:  2/24/2020 9:57:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________