FIR 1 - INSPECTION REPORT

Permit Holder: Stephens Production Company Well Name/No: Thomas, Wayne Permit: 36421
Lease Name: Thomas, Wayne 4 Sec: 33 Twp: 8N Range 30W
GPS Well Location: Latitude: 35.325 Longitude: -94.19762 Field: EWING  
Lease/Tank Battery: Latitude: 35.32522 Longitude: 94.19721 County: SEBASTIAN  
Entrance from nearest 911 address, public street or highway South River Road
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
1Fluids TankFiberglassOther Size 7' round x 7' h = 48 bbls
2SeparatorSteel Welded   

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 12 Height: 5 Capacity (bbls): 101
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:
Fluid level test conducted on 04/07 = Tubing - 2047' @ 205 PSI, well is open hole, no casing test conducted, all plumbing at wellhead is disconnected, but is left open, chemical injection tanks are disconnected, plumbing to produced water tank is disconnected and plugged, clean location.

Inspected by: DAYMON BLOUNT   Date:  4/7/2020 1:15:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________