FIR 1 - INSPECTION REPORT

Permit Holder: Kaiser Francis Oil Company Well Name/No: Sturgis, W H Permit: 35616
Lease Name: Sturgis, W H 1 Sec: 17 Twp: 17S Range 27W
GPS Well Location: Latitude: 33.27105 Longitude: -93.91853 Field: FOUKE WEST  
Lease/Tank Battery: Latitude: 33.2709 Longitude: -93.91863 County: MILLER  
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
1Oil TankSteel Welded400 18.2264
2Oil TankSteel Welded400 18.2264

Tank Containment:
Dimensions: Length: 60 Width: 36 Diameter: 0 Height: 3 Capacity (bbls): 1154
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 and pumping unit are present. Flow line is connected. Unit is powered by gas motor which is not operating.

Inspected by: RONNIE KENNEDY   Date:  5/20/2020 10:40:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________