FIR 1 - INSPECTION REPORT

Permit Holder: Weiser-Brown Operating Company Well Name/No: Y Addition Permit: 26417
Lease Name: Y Addition 3 Sec: 16 Twp: 16S Range 24W
GPS Well Location: Latitude: 33.35786 Longitude: -93.58894 Field: LEWISVILLE WEST  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: LAFAYETTE  
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 and equipped with a submersible pump. Flow line is connected. Pump jack that was not in use has been removed off location. Power to pump is in the off position. Well is inactive.

Inspected by: RONNIE KENNEDY   Date:  2/29/2024 2:23:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________