FIR 1 - INSPECTION REPORT

Permit Holder: Delone, M S Well Name/No: Sal-Mar Permit: 17383
Lease Name: Sal-Mar 2 Sec: 19 Twp: 17S Range 11W
GPS Well Location: Latitude: 33.22421 Longitude: -92.2848 Field: BENJAMIN LAKE  
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:
During my inspection I noted casing with a well head rods and tubing. I also noted a jack stand on location. The flow line was connected to the pumping tee but was not secured at the 90. The pumper was on the lease and stated that he would get a cap to secure the flow line at the 90.

Inspected by: BILLY HANEY   Date:  11/30/2023 4:34:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________