FIR 1 - INSPECTION REPORT

Permit Holder: Foundation Energy Management, LLC Well Name/No: Kinder Permit: 32748
Lease Name: Kinder 4-2 Sec: 2 Twp: 8N Range 19W
GPS Well Location: Latitude: 35.36654 Longitude: -92.98134 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 TankFiberglass100  

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 27 Height: 4 Capacity (bbls): 408
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:
In compliance.

Inspected by: JIMMY WIEDOWER   Date:  2/24/2017 10:30:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________