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D IV IS ION OF OIL AND GAS <br /> CHECK LIST - RECORDS RECEIVED AND WELL STATUS <br /> Com an .: I`r- j.-' r- i n We 11 No._ i j1n '�7 c l- <br /> P Y - =,�s� r- -- <br /> API No. (_.> .�� V 't � t Sec. 2.7 , T._31V , R. 7 , ` TSD B.&M. <br /> County—Sr''^. .,l �c:�ci � r� �"o_ Field --- -------- — <br /> RECORDS RECEIVED DATE STATUS STATUS <br /> Well Summary (Form OG100) 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 CO2 Injection <br /> Electric :__ <br /> to o ._�!�,�� �' <br /> g _.._n__...�_— /._ Abandoned - Gas LPG Injection <br /> Gas-Open to Oil Zone_ Observation <br /> . Gas Storage Water..flood Source_ <br /> ag L. 5' ✓ '' =_ DATE "E" well Yes ❑ No❑ <br /> RECOMPLETED <br /> REMARKS ._.. <br /> et _ _ 2- <br /> ENGINEER'S CHECK LIST CLERICAL CHECK LIST <br /> 1. Summary, History, & 1. Location change (F-OGD165) <br /> Core record (dupl.) 2. Elevation change (F-OGD 5) <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 <br /> 13. Production - <br /> 14. <br /> roduction ._14. E Well on Prod. , enter. EDP <br /> 15. Directional Survey 077 2048 '4 <br /> RECORDS NOT gPROVED �r 7 /Zr/ RECORDS APPROVED <br /> Reason: tv (Lr! ; f „ <br /> RELEASE BOND <br /> Date Eligible—.. .. <br /> (2 <br /> 2, ZZ �, r7 ,;� (Use date last needed records were <br /> /C.. 2. received.) <br /> MAP AND MAP BOOK <br /> 1 42 <br /> T , <br /> LONG BEACH OFFICE - USE REVERSE SIDE <br />