FIR 1 - INSPECTION REPORT

Permit Holder: Jamie Oil, Inc Well Name/No: Phillips Permit: 7034
Lease Name: Phillips D-1 Sec: 15 Twp: 17S Range 19W
GPS Well Location: Latitude: 33.25839 Longitude: -93.06402 Field: VILLAGE  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: COLUMBIA  
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:
Well is inactive with rods and tubing. Trees are growing around the pumping unit. Flowline is not connected to the well. Well is not in operational condition at the time of inspection. A pile of dirt and oil mixture is present on the location.

Inspected by: ERIC FERRELL   Date:  6/8/2017 10:50:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________