FIR 1 - INSPECTION REPORT

Permit Holder: Hickman, Johnny Well Name/No: Placid Permit: 28543
Lease Name: Placid 1 Sec: 3 Twp: 18S Range 23W
GPS Well Location: Latitude: 33.20423 Longitude: -93.48134 Field: CANFIELD  
Lease/Tank Battery: Latitude: 33.20511 Longitude: 93.47929 County: COLUMBIA  
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 Welded210  

Tank Containment:
Dimensions: Length: 90 Width: 45 Diameter: 0 Height: 3 Capacity (bbls): 2164
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 inactive with rods and tubing. Flowline is connected to the well. Pumping unit is not present on the location at the time of the inspection. AOGC AOW program placard is still located on the well and tank battery

Inspected by: MICHAEL MULLINS   Date:  7/9/2013 10:15:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________