FIR 1 - INSPECTION REPORT

Permit Holder: KLS, Inc. Well Name/No: SAXON "A" Permit: 13082
Lease Name: SAXON "A" 3 Sec: 28 Twp: 16S Range 16W
GPS Well Location: Latitude: 33.29856 Longitude: -92.75803 Field: LISBON NORTH  
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:
During my Inspection of the Sext "A" 3 Operated by LBOC, LLc I noted incorrect identification and excess vegetation. I also noted that their was no motor for the pumping units, the hose head was missing, no rods or tubing and a bucket was placed over an open well bore.

Inspected by: BILLY HANEY   Date:  4/17/2013 12:38:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________