FIR 1 - INSPECTION REPORT

Permit Holder: Weiser-Brown Operating Company Well Name/No: Federal 076212 Permit: 22998
Lease Name: Federal 076212 1 Sec: 1 Twp: 11N Range 25W
GPS Well Location: Latitude: 35.63984 Longitude: -93.60629 Field: BATSON  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: JOHNSON  
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:
No production equipment on site. All valves on wellhead appear to be closed. RBDMS-Active-Last production, 05/2015 current. No enforcement at this time.MP

Inspected by: DEREK GOODMAN   Date:  8/4/2015 12:00:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________