FIR 1 - INSPECTION REPORT

Permit Holder: SEECO, LLC Well Name/No: Shaver 09-06 Permit: 47799
Lease Name: Shaver 09-06 7-27H Sec: 27 Twp: 9N Range 6W
GPS Well Location: Latitude: 35.3708 Longitude: -91.63705 Field: B-43  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: WHITE  
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
1Fluids TankFiberglass400  

Tank Containment:
Dimensions: Length: 46 Width: 37 Diameter: 0 Height: 3 Capacity (bbls): 909
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:
Location in compliance. Spudded well.

Inspected by: MISTY SILER   Date:  4/13/2016 3:57:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________