FIR 1 - INSPECTION REPORT

Permit Holder: Shelton, Marty, Inc Well Name/No: Anthony "B" Permit: 26668
Lease Name: Anthony "B" 1 Sec: 34 Twp: 16S Range 16W
GPS Well Location: Latitude: 33.28036 Longitude: -92.75343 Field: LISBON  
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:
Pete moss and hey has been put on the spill. some staining is present but all live produced fluids have been removed from the woods and well location. the small pit has been drained and has hey on the staining.

Inspected by: BILLY HANEY   Date:  3/29/2022 4:32:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________