FIR 1 - INSPECTION REPORT

Permit Holder: Cornerstone Energy, LLC Well Name/No: Clark, S. Permit: 30977
Lease Name: Clark, S. 1 Sec: 16 Twp: 18S Range 19W
GPS Well Location: Latitude: 33.1707 Longitude: -93.07728 Field: ATLANTA  
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
1Oil TankSteel Welded250  
2Oil TankSteel Welded250  
3Fluids TankFiberglass300  

Tank Containment:
Dimensions: Length: 70 Width: 30 Diameter: 0 Height: 3 Capacity (bbls): 1122
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 not in compliance with AOGC rules because of excess vegetation at well and tank.

Inspected by: MICHAEL MULLINS   Date:  7/8/2013 2:25:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________