FIR 1 - INSPECTION REPORT

Permit Holder: Dews, Dossie Well Name/No: Talley "B" Permit: 14642
Lease Name: Talley "B" 1 Sec: 1 Twp: 20S Range 22W
GPS Well Location: Latitude: 33.02855 Longitude: -93.3401 Field: PLAINFIELD  
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
1Oil TankSteel Welded400  
2Oil TankSteel Welded400  
3Fluids TankFiberglass300  
4Heater TreaterSteel WeldedOther Size 4x20 feet

Tank Containment:
Dimensions: Length: 75 Width: 30 Diameter: 0 Height: 3 Capacity (bbls): 1202
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 is not in compliance with AOGC rules, due to excessive vegetation and no signs were present at the well.

Inspected by: MICHAEL MULLINS   Date:  11/18/2013 9:50:00 AM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________