FIR 1 - INSPECTION REPORT

Permit Holder: Hanna Oil and Gas Company Well Name/No: Smith, H F Permit: 18083
Lease Name: Smith, H F 1 Sec: 17 Twp: 9N Range 21W
GPS Well Location: Latitude: 35.43466 Longitude: -93.25401 Field: ROSS  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: POPE  
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 TankFiberglassOther Size 120 bbl tank

Tank Containment:
Dimensions: Length: 23 Width: 20 Diameter: 0 Height: 2.5 Capacity (bbls): 205
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: One working compressor on location.
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:
In compliance.

Inspected by: JIMMY WIEDOWER   Date:  6/22/2016 1:22:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________