FIR 1 - INSPECTION REPORT

Permit Holder: Gerard, CHC Well Name/No: Williams, Anthony Permit: 23903
Lease Name: Williams, Anthony 2 Sec: 35 Twp: 16S Range 14W
GPS Well Location: Latitude: 33.28187 Longitude: -92.51315 Field: CRAIN CITY  
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:
This well has been plugged. The casing has been cut off and buried. The location has been restored. I did not see any grass seed.

Inspected by: BILLY HANEY   Date:  2/4/2021 10:30:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________