FIR 1 - INSPECTION REPORT

Permit Holder: Sedna Energy, Inc Well Name/No: Myers Permit: 33856
Lease Name: Myers 3 Sec: 5 Twp: 8N Range 19W
GPS Well Location: Latitude: 35.36984 Longitude: -93.03872 Field: MORELAND  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: POPE  
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 TankFiberglass300  

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 has been Plugged, Produced water tank and several pipes remain on Location

Inspected by: BO SMITH   Date:  1/19/2017 12:57:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________