FIR 1 - INSPECTION REPORT

Permit Holder: 3 G Energy, LLC Well Name/No: Sandy Bend Nacatoch Unit Permit: 10168
Lease Name: Sandy Bend Nacatoch Unit 1-1 Sec: 1 Twp: 18S Range 13W
GPS Well Location: Latitude: 33.18773 Longitude: -92.39111 Field: SANDY BEND  
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
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:
All equipment needed to produce was present and in working order. No field related issues were noted at the time of my inspection. The well was not producing at the time of my inspection.

Inspected by: BILLY HANEY   Date:  8/25/2021 8:55:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________