FIR 1 - INSPECTION REPORT

Permit Holder: Smith, Roger G Well Name/No: Troy Tokio Unit Permit: 17377
Lease Name: Troy Tokio Unit 219 Sec: 10 Twp: 14S Range 20W
GPS Well Location: Latitude: 33.53713 Longitude: -93.1573 Field: TROY  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: NEVADA  
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 with casing and tubing. Flow line is not connected. No leaks or discharges were observed. There is no concrete slab or pumping unit on site. Tubing is secured with a valve. Casing is unsecured. Well is inactive.

Inspected by: RONNIE KENNEDY   Date:  3/7/2016 9:45:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________