FIR 1 - INSPECTION REPORT

Permit Holder: Van Buren Energy Production, LLC Well Name/No: Otis Permit: 44068
Lease Name: Otis 1-25H Sec: 25 Twp: 11N Range 6W
GPS Well Location: Latitude: 35.54513 Longitude: -91.59416 Field: B-43  
Lease/Tank Battery: Latitude: 35.54507 Longitude: -91.59346 County: INDEPENDENCE  
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: 63 Width: 35 Diameter: 0 Height: 3 Capacity (bbls): 1178
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.

Inspected by: MISTY SILER   Date:  4/8/2021 10:59:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________