FIR 1 - INSPECTION REPORT

Permit Holder: L & B Enterprise, LLC Well Name/No: Haltom, E P Permit: 15769
Lease Name: Haltom, E P 4 Sec: 35 Twp: 14S Range 20W
GPS Well Location: Latitude: 33.47565 Longitude: -93.14443 Field: STEPHENS NORTH  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: NEVADA  
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 presents with casing and tubing. Flow line is not connected. There is no concrete slab or pumping unit. Casing is secured with bull plugs. Tubing is unsecured. There is no sign on location. Well is inactive.

Inspected by: RONNIE KENNEDY   Date:  7/16/2018 1:40:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________