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SUBMIT IN DUPLICrATE �i rw l N Or OIL ANO GAS <br /> RESOURCES AGENCY OF CALIFORNIA ti Ci I V F' 0 <br /> DEPARTMENT OF CONSERVATION <br /> DIVISION OF OIL AND GAS NOV 1 71986 <br /> History of Oil or Gas Well WOOC'LAND• <br /> Operator....4UINTANA. PETROLEUM .CORPORAT.IQJ......... . Field or County ........San..Joaq.uia..C.o.unt.y............. <br /> Weil .........BROVELLI 1..8..... ........................ ........... ............ . Sec.. .$...., T ..4N...., R ..G .... ,. ..D.B. & M. <br /> A.P.I. No..P77-.20487.......,....... . Name...... M.-...WzIIiams.................. Title .P.r.odu.c.t.ion..T.e.ch... <br /> Date ...... .NQV�mF ?r..1.3....... 10.6... (Person suomnung repos) (President.Secretary or Agent) <br /> Signature ..... <br /> 10,50.......17th. S,tree.t.a...S.....t.e...4..0.0.,..D.env.er.,...C.o.lo.ra..d.o.....8.0.2.65.... ........ ......(303.)628-92.1.1. ..... <br /> (Address) (Trlepnunc Numner) <br /> History must be complete in all detail. Use this form to report all operations dining drilling and testing of the well or durin.q redrilling <br /> or altering the casing,plugging,or abandonment with the dates thereof. Include such items as hole size,formation test details, :)mounts <br /> of cement used, top and bottom of plugs, perforation details, sidetracked junk, bailing tests and initial production data. <br /> Dace <br /> Please see attached detail sheets <br /> t, <br />