FIR 1 - INSPECTION REPORT

Permit Holder: Shelton, Marty, Inc Well Name/No: Dumas Permit: 12048
Lease Name: Dumas 1 Sec: 20 Twp: 17S Range 15W
GPS Well Location: Latitude: 33.22625 Longitude: -92.67779 Field: EL DORADO SOUTH  
Lease/Tank Battery: Latitude: 33.22626 Longitude: 92.67781 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
1Oil TankSteel Welded100  
2Oil TankSteel Welded100  
3SeparatorSteel Welded100  
4Fluids TankSteel Welded100  

Tank Containment:
Dimensions: Length: 60 Width: 40 Diameter: 0 Height: 3 Capacity (bbls): 1282
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 field related issues were noted at the time of my inspection, All issues have been tended to.

Inspected by: BILLY HANEY   Date:  9/10/2019 8:20:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________