FIR 1 - INSPECTION REPORT

Permit Holder: Webb Brothers Well Service, Inc. Well Name/No: Patterson Permit: 14819
Lease Name: Patterson 1 Sec: 29 Twp: 18S Range 14W
GPS Well Location: Latitude: 33.12158 Longitude: -92.57461 Field: HIBANK  
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
1Gun Barrel Other Size  
2Gun Barrel Other Size  
3Gun Barrel Other Size  
4Oil TankSteel Bolted100  
5Oil TankSteel Bolted100  
6Oil TankSteel Bolted100  
7Oil TankSteel Bolted   
8Oil TankSteel Bolted150  
9Fluids TankFiberglassOther Size  
10     
11     
12     

Tank Containment:
Dimensions: Length: 150 Width: 90 Diameter: 0 Height: 2 Capacity (bbls): 4809
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:
N/A

Inspected by: AOGC EMPLOYEE   Date:  8/5/2016 3:56:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________