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SU0000087 SSC RPT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MS-99-09
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SU0000087 SSC RPT
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Entry Properties
Last modified
11/21/2019 10:20:56 AM
Creation date
11/21/2019 9:48:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSC RPT
RECORD_ID
SU0000087
PE
2622
FACILITY_NAME
MS-99-09
STREET_NUMBER
1120
Direction
W
STREET_NAME
FOREST LAKE
City
ACAMPO
ENTERED_DATE
8/8/2001 12:00:00 AM
SITE_LOCATION
1120 W FOREST LAKE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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D IV IS ION OF O IL AND GAS f <br /> CHECK LIST - RECORDS RECEIVED AND W LL STATUS <br /> Company ;2` ,`h Qo!- Well No. �-ave/li -R <br /> API No. 0 / ✓ Vrr Sec. , T.-�� R. E <br /> CountyField -- <br /> RECORDS RECEIVED DATE STATUS STATUS <br /> Well Summary (Form OG100) // - 1-7 - e74 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 logs: Abandoned - Gas LPG Injection <br /> Gas-Open to Oil Zone— Observation <br /> Gas Storage Waterflood Source_ <br /> DATE "E" well Yes ❑ No❑ <br /> RECOMPLETED <br /> REMARKS <br /> ENGINEER'S CHECK LIST CLERICAL CHECK LIST <br /> 1. Summary, History, & 1. Location change (F-OGD165) <br /> Core record (dupl.) 2. Elevation changes (F-OGD165) <br /> 2. Electric Log 3. Form OGD121 �/ <br /> 3. Operator's Name 4. Form OG159 (Final Letter)�Ni:� <br /> 4. Signature 5. Form OGD Ob 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 I' ' ` l <br /> 13. Production <br /> 14. E Well on Prod. , enter EDP <br /> 15. Directional Survey <br /> l 7 2 04 ,8 <br /> FC_ <br /> 010 0 - 211,11- <br /> RECORDS NOT APPROVED RECORDS APPROVED_/fi 7 <br /> Reason: <br /> RELEASE BOND <br /> Date Eligible <br /> (Use date last needed records were <br /> received.) <br /> MAP AND MAP BOOK <br /> OGD2 f?;85/DWRR/S.W LONG BEACH OFFICE - USE REVERSE SIDE <br />
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