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<br /> Attachments to be submitted with the Completion•report: -
<br /> Geologic Information 4. Provide data on centralizers to include number,type
<br /> and depths.
<br /> Lithology and Stratigraphy 5.Provide data on bottom hole completions.
<br /> „Provide a geologic"description of the'rock units pane 6. Provide data on well stimulation used.
<br /> -ated by name, age, depth,thickness,and lithology of
<br /> ach rock_unit penetrated. 111. Description of Surface Equipment
<br /> Provide a description of the injection unit. 1.Provide data and a sketch®f holding tanks;flow lines,
<br /> !)Name filters,and vection pumr
<br /> t)Depth(drilled) IV. Monito� g SVEN= .
<br /> 3)Thickness
<br /> 4) 1.
<br /> Formation fluid p►cssure Provide data on recording and nonrecording injection
<br /> 5)Age unit pressure--gauges, casing-tubing annulus pressure
<br /> 5)Porosity(avg.) gauges,injection rate meters,temperature met erw,rand
<br /> 7)Permeability other meters or gauges.
<br /> B)Bottom hole temperature 2. Provide data on constructed monitor wells:such as
<br /> 9)Lithology location,depth,casing diameter,method of cementing,
<br /> 10)Bottom hole pressure `;etc.
<br /> 11)Fracture pressure.
<br /> Provide chemical characteristics of formation fluid V. Logging and Testing Results
<br /> attach chemical analysis). __ Provide a descriptive report interpreting the results of
<br /> >> _.:..
<br /> �. Provide a description of freshwater aquifers. geophysical=logs-and other tests,Include s descnption
<br /> and data on deviation checks run during d�iiing.
<br /> ;1) Depth to base of fresh water (less than 10,000 VI,Provide an as-built diagrammatic sketch of the injec-
<br /> mg/1 IDS). tion well(s) showing casing, cement, tubing, packer,
<br /> (2)Provide a geologic description of aquifer t:.• -s with etc., with proper setting depths. The sketch should
<br /> name,age,depth,thickness,lithology,and avrt ge total include well head and gauges.
<br /> dissolved solids. .VII. Provide data demonstrating mechanical integrity
<br /> if.well Design and Construction pursuant to 40 CFR 146.08.
<br /> 1:Provide data on surface,intermediate,and long string Vill.Report on the compatibility of injected wastes with_
<br /> casing and tubing. Data must include material, size, fluids and minerals in both the injection zone.and the
<br /> weight,grade, and depth set. confining zone.
<br /> 2 Provide data on the well cement,such as type/class, IX. Report the status.of corrective action on defective
<br /> additives,amount,and method of emplacement. wells in the area of review.
<br /> 3. Provide packer data on the packer (if used) such as X.Include the anticipated maximum pressure and flow
<br /> type,name and model,setting depth,and type of annu- rate at which injection will operate.
<br /> far fluid used.
<br /> Paperwork Reduction Act Notice
<br /> EPA Form 7620-9(2-84)Reverse Public reporting burden for this collection of information is
<br /> estimated at an average of 4 hours per well, including time for
<br /> reviewing instructions, .searching existing data.. sources,
<br /> gathering and _a�sint-aining the data needed, and completing- and
<br /> revievina tfi co2Uctson of ialormat oh. send'"•comments 1
<br /> regarding the burden estimate or any other aspect of this
<br /> collrctionof- .information, - including suggestions for reducina
<br /> this burden. to Chief. inforeation Pol`iey Srnch. P)1-223: U.S.
<br /> EnvJrimental-°Protection ]lgency, 401 W.-Street,, Sy. pashincton,
<br /> frilo'DC 20460. and the Office of Management and Budaet. PaPerNork
<br /> Reduction Pro ict. Washington. DC 20503..
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