FIR 1 - INSPECTION REPORT

Permit Holder: LBOC, LLC Well Name/No: Champagnolle Landing Baker Unit Permit: 17242
Lease Name: Champagnolle Landing Baker Unit 1 Sec: 22 Twp: 16S Range 14W
GPS Well Location: Latitude: 33.31515 Longitude: -92.52688 Field: CHAMPAGNOLLE LANDING  
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:
During my inspection I noted that the land had been returned to its normal grade and that the wellhead has been cut off and buried. Grass seed will be put out per David long

Inspected by: BILLY HANEY   Date:  8/31/2023 1:12:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________