FIR 1 - INSPECTION REPORT

Permit Holder: Delone, M S Well Name/No: Nash Permit: 21831
Lease Name: Nash 1 Sec: 8 Twp: 17S Range 13W
GPS Well Location: Latitude: 33.25556 Longitude: -92.47124 Field: CYPRESS CREEK  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: UNION  
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 has a pumping unit with no motor or flow lines. The well is rods and tubing and it is not bridled up. There is no well ID and there is excess rods on site. The culvert under the road about 200 feet from well is washed out and a vehicle can not drive to the well.

Inspected by: GLEN OWENS   Date:  9/1/2022 3:53:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________