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e D IV IS ION OF OIL AND GAS 1�0- <br /> CHECK LIST - RECORDS RECEIVED AND WELL STAUS (� <br /> Company Al?6-0 f 7,�Q�LF�r-i id�QP Well No. <br /> API No. 09? Sec. IS— , T.1, R. ,� E , e�jZ)—B.&M. \ <br /> CountyMAL,) 7a#4Q4,rA-Z Field <br /> RECORDS RECEIVED DATE STATUS STATUS <br /> Well Susary (Form OG100) �-��-��" Producing - Oil Water Disposal <br /> History (Form OG103) Idle - Oil Water Flood <br /> Core Record (Form 00101) Abandoned - 011 Steam Flood <br /> Directional Survey Drilling - Idle Fire Flood <br /> Sidevall Samples Abandoned - Dry Hole— Air Injection <br /> Other Producing - Gas Gas Injection <br /> Date final records received Idle - Gas CO2 Injection <br /> E5 is ss Abandoned - Gas LPG Injection <br /> -s r Gas-Open to Oil Zone_ Observation <br /> ✓ Water Flood Source <br /> 2- ✓ DOE <br /> t- <br /> REMPLETED <br /> V- �" REMARKS <br /> 9W DIEER•S CHECK LIST CLERICAL CHECK LIST <br /> ,1! S�sary, History, & 1. Location change (F-OGD165) <br /> Core record (duel.) 2. Elevation change�F-OGD165)_ <br /> ,2. Electric Lag '� 3. Form OGD121 <br /> -3: Operator's Name 4. Form OG159 (Final Letter) s <br /> .*'. Signature 5. Form OGD150b (Release of Bond) <br /> -4-. Well Designation 6. Duplicate logs to archives <br /> AKLocation 7. Notice of Records due(F-OGD170) <br /> 7? Elevation <br /> 4K. Notices <br /> A: "T" Reports ;Z4 4AP <br /> JW. Casing Record <br /> „1k. Plug. <br /> Surface Inspection <br /> A3r: Production <br /> 14. B Well on Prod. Dir. Sur. <br /> RECORDS NOT AT VED , RECORDS APPROVED JG�t �L✓ 7 Z,[) ;?� <br /> Reasons fit/ <br /> RELEASE BOND <br /> Date Eligible <br /> (Use date last needed records were <br /> received.) <br /> ------- ------------ -- — MAP AND MAP BOOK <br /> LONG BEACH OFFICE - USE REVERSE SIDE <br /> OGD2 (10-78-GSRI-5M) <br />