FIR 1 - INSPECTION REPORT

Permit Holder: Dews, Dossie Well Name/No: Jones Etal Permit: 31400
Lease Name: Jones Etal 1 Sec: 8 Twp: 18S Range 21W
GPS Well Location: Latitude: 33.18537 Longitude: -93.31081 Field: DORCHEAT MACEDONIA  
Lease/Tank Battery: Latitude: 0 Longitude: 0 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
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 consist of well head with polish rod and closed valves. There is an old pumping unit on site but not hooked up. Trees are growing up excessively around well. There is no ID at well.

Inspected by: JOSHUA HOLLAND   Date:  10/20/2023 12:45:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________