FIR 1 - INSPECTION REPORT

Permit Holder: Jamie Oil, Inc Well Name/No: Anthony Forest Permit: 27433
Lease Name: Anthony Forest 1 Sec: 27 Twp: 18S Range 17W
GPS Well Location: Latitude: 33.13248 Longitude: -92.84305 Field: CURTIS CREEK  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: UNION  
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 Welded210  
2Oil TankSteel Welded210  
3SeparatorSteel Welded150  
4Fluids TankFiberglass200  

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 70 Height: 3 Capacity (bbls): 2056
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 Anthony Forest #1 well and tank battery I noted oil inside the containment excess vegetation and excess oil field trash

Inspected by: BILLY HANEY   Date:  6/3/2013 3:47:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________