FIR 1 - INSPECTION REPORT

Permit Holder: J-LU Ltd Co Well Name/No: Miller Land & Lumber Permit: 31720
Lease Name: Miller Land & Lumber 8 Sec: 29 Twp: 18S Range 27W
GPS Well Location: Latitude: 33.16563 Longitude: -93.9299 Field: FORT LYNN  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: MILLER  
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 PRESENTS WITH CASING AND TUBING. FLOW LINE IS NOT CONNECTED. THERE IS NO CONCRETE SLAB OR PUMPING UNIT. CASING AND TUBING ARE SECURED WITH VALVES. WELL IS INACTIVE AND SHUT IN. THERE IS NO SIGN AT WELL SITE.

Inspected by: RONNIE KENNEDY   Date:  9/3/2019 12:55:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________