FIR 1 - INSPECTION REPORT

Permit Holder: Weiser-Brown Operating Company Well Name/No: Federal ES 076212 Permit: 32580
Lease Name: Federal ES 076212 3-1 Sec: 1 Twp: 11N Range 25W
GPS Well Location: Latitude: 35.63735 Longitude: -93.60759 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
1Fluids TankFiberglass50 7' x 7'
2Separator    
3Other Tanks    

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 18 Height: 2 Capacity (bbls): 91
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:
Site in compliance.

Inspected by: DEREK GOODMAN   Date:  8/5/2021 4:14:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________