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w-' D IV IS ION OF 0I AND GAS �--• <br /> CHECK LIST - RECORDS RECEIVED AND WELL STATUS <br /> v <br /> Company . q We 11 No._'��/cnl /-/0V s� ��t , S--g y <br /> API No. ' �a Sec. T. 5/U , R. Sf , 112n B.&M. <br /> CountyField --- <br /> RECORDS RECEIVED DATE STATUS STATUS <br /> Well Summary (Form OG100) ,r �'.'- d P Producing - Oil Water Disposal <br /> History (Form OG103) Idle - Oil Waterflood <br /> Core Record (Form OG101) Abandoned - Oil Steamflood <br /> Directional Survey Drilling - Idle Fire Flood <br /> Sidewall Samples Abandoned - Dry Hole_ Air Injection <br /> Other Producing - Gas Gas Injection <br /> Date final records received Idle - Gas 002 Injection <br /> Electric logo: ,' Abandoned - Gas LPG Injection <br /> Gas-Open to Oil Zone_ Observation <br /> Gas Storage Waterflood Source_ <br /> DATE "E" Well Yes❑ No❑ <br /> RLOOMPLETED <br /> RV(&RKS <br /> ENGINEER'S CHECK LIST CLERICAL CHECK LIST <br /> I. Summary, History, 6 1. Location change (F-OGD165) <br /> Core record (dupl.) ✓ 2, Elevation change (F-OGD165) <br /> 2. Electric Log 3, Form OGD121 :;� <br /> 3. Operator's Name 4. Form OG159 (Final Letter) <br /> 4. Signature 5. Form OGD150b (Release of Bond) <br /> 5. Well Designation 6. Duplicate logs to archives <br /> 6. Location 7. Notice of Records due(F-OGD170) <br /> 7. Elevation 8. EDP (F-OGD42A-1, 2) <br /> 8. Notices <br /> 9. "T" Reports <br /> 10. Casing Record <br /> 11. Plugs <br /> 12. Surface Inspection _ i y <br /> 13. Production <br /> 14. E Well on Prod., enter EDP <br /> 15. Directional Survey <br /> I <br /> RECORDS NOT APPROVED RECORDS APPROVED Ar f -z4(- S t <br /> Reasons ,r1,11,4 L C- E 7144. <br /> RELEASE BOND <br /> Date Eligible <br /> (Use date last needed records were <br /> received,) <br /> MAP AND MAP BOOK <br /> -7 s - <br /> OGD2 (8/87/DWRR/6M) �_— <br /> LONG BEACH OFFICE - USE REVERSE SIDE <br />