Well Site Inspection

Inspector Info

Inspected By Inspection Date Well Site

959 wells

Location

Well Sign Present & Correct?

Yes

No

Stained Pad?

Yes

No

Pad Clear of Brush?

Yes

No

Trash and/or unused rods, tubing, or tanks on location?

Yes

No

Unused Chemical Drum or Other Equipment on Location?

Yes

No

Environmental Concerns

Well

Rod Pump - Belt Guard Installed?

Yes

No

Producer - Oxygen Reading, PPM

Numbers only

Wellhead Parts Requiring Attention (valves, hose, plugs, etc) Injection - Screen Require Cleaning?

Yes

No

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