FIR 1 - INSPECTION REPORT

Permit Holder: Gilbert, A A Arkansas Account Well Name/No: Umsted "B" Permit: 20589
Lease Name: Umsted "B" 4 Sec: 4 Twp: 16S Range 15W
GPS Well Location: Latitude: 33.36759 Longitude: -92.65635 Field: SMACKOVER  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: OUACHITA  
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 above stated well I noted that the pumping unit motor was missing at the time of my inspection. This well was not producing and all other equipment need to produce fluids was on site and the flow line was connected to the pumping tee.

Inspected by: BILLY HANEY   Date:  6/1/2017 2:10:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________