FIR 1 - INSPECTION REPORT

Permit Holder: Mills Resource Services LLC Well Name/No: Willisville Nacatoch Unit Permit: 32292
Lease Name: Willisville Nacatoch Unit 15-1 Sec: 20 Twp: 14S Range 21W
GPS Well Location: Latitude: 33.51271 Longitude: -93.30344 Field: WILLISVILLE  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: NEVADA  
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:
Well is present with casing only. Flow line is not connected. No leaks or discharges were observed. There is no concrete slab or pumping unit on site. Well is inactive.

Inspected by: RONNIE KENNEDY   Date:  9/23/2015 9:07:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________