FIR 1 - INSPECTION REPORT

Permit Holder: Jax Oil Co., LLC Well Name/No: Garrett, U R Permit: 13224
Lease Name: Garrett, U R 1 Sec: 10 Twp: 18S Range 15W
GPS Well Location: Latitude: 33.17565 Longitude: -92.63651 Field: WOODLEY WEST  
Lease/Tank Battery: Latitude: 33.17554 Longitude: 92.63869 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
1Oil TankSteel Welded100 1-SW100 bbls tank is not in use
2Oil TankSteel Welded100  
3SeparatorSteel Welded100  
4Fluids TankFiberglass100  

Tank Containment:
Dimensions: Length: 60 Width: 45 Diameter: 0 Height: 1.5 Capacity (bbls): 721
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:
The well and battery site are in compliance. The well is on a timer which has power on.

Inspected by: AOGC INSPECTOR   Date:  3/12/2013 11:12:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________