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✓� D 1V IS ION OF 0 IL AND GAS <br /> CHEGip !.JS - RECORDS RECEIV 'D AND VE LATUS <br /> 1 \ ^ � > <br /> 1 - Well 1 No. L r _ - <br /> Company Zt=ti _X;r4 � _� <br /> API No._-- 7 7- e Zp JSec. � , T. 3� • R. 4 , Ad 8.66M. <br /> County rte...__ zi - .� --- Field ----- --.__�— <br /> i <br /> RECORDS RECEIVED DATE / STATUS STATUS <br /> 4,-11 Sumnary (Form OG100) _e Producing - Oil Water Disposal <br /> history (Form OG103) _-_f Idle - Oil Water Flood <br /> Core Record (Forms OG101) Abandoned - Oil Steam Flood <br /> Directional Survey Drilling - Idle Fire Flood <br /> Sidewall Samples Abandoned - Dry Hole-It"lir Injection <br /> Other Producing - Gas Gas Injection <br /> Date final records received Idle - Gas CO2 Injection <br /> Electric logs: Abandoned - Gas LPG Injection <br /> Z i sJ30 7 Co Gas-Open to Oil Zone_ Observation <br /> 2 S — iz/3 0.1 ? cr . Water Flood Source <br /> DATE <br /> RECOMPLETED <br /> REMARKS <br /> ENGINEER'S CHECK LIST CLERICAL CHECK LIST <br /> 1. Sussmary, History, b 1. Location change (F-OGD165) <br /> Core record (dupl.) 2. Elevation change (F-OG 165) <br /> 2. Electric Log 3. Form OGD121 <br /> 3. operator's Nave 4. Form OG159 (Final Letter) <br /> 4. Signature 5. Form OGD150b (Release of Bond <br /> 5. Well Designation 6. Duplicate loge to archives <br /> 6. Location 7. Notice of Records due(F-OGD170) <br /> 7. Elevation <br /> 8. Notices <br /> 9. "T" Reports <br /> 10. Casing Record <br /> 11. Plugs <br /> 12. Surface Inspection ✓ <br /> 13. Production <br /> 14. E Well on Prod. Dir. Sur. <br /> RECORDS NOT APP D3` ��� <br /> RECORDS APPROVED L'� GZ <br /> Reason: 2 <br /> RELEASE BOND— <br /> Date <br /> OND -Date Eligible <br /> (Use date last needed records were <br /> received.) <br /> MAP AND MAP BOOK <br /> OGD2 (2-75-GSR1-4M) - - _ ��- LONG BEACH OFFICE - USE REVERSE SIDE <br />