FIR 1 - INSPECTION REPORT

Permit Holder: Betsy Production Company, Inc Well Name/No: Crowley-Wilson "A" Permit: 19551
Lease Name: Crowley-Wilson "A" 2 Sec: 27 Twp: 15S Range 18W
GPS Well Location: Latitude: 33.39921 Longitude: -92.94521 Field: GUM CREEK  
Lease/Tank Battery: Latitude: 33.39916 Longitude: 92.94482 County: OUACHITA  
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 TankSteel Welded300  
2Fluids TankSteel Welded300 Not in service

Tank Containment:
Dimensions: Length: 45 Width: 45 Diameter: 0 Height: 2 Capacity (bbls): 721
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:
Tank and well site in compliance.

Inspected by: JO COOK   Date:  1/21/2020 9:22:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________