FIR 1 - INSPECTION REPORT

Permit Holder: Triple C Production LLC Well Name/No: Purifoy "B" Permit: 18299
Lease Name: Purifoy "B" 1 Sec: 19 Twp: 16S Range 26W
GPS Well Location: Latitude: 33.34927 Longitude: -93.82896 Field: FOUKE NORTH  
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, tubing and rods. Flow line is not connected. Well is secured with valves and bull plugs. Rods are secured with a clamp bolt. Well is inactive and shut in.

Inspected by: RONNIE KENNEDY   Date:  6/8/2020 4:33:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________