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DIVISION OF OIL AND GAS <br /> CHEC2. IST - RECORDS RECEIVED AND WE4 STATUS <br /> Company CZ NTA1_0l L. I aS CpRp. Well No. UcVea- <br /> API No. /)-77 Sec. , T. Z4 Iv , R.Fes_, B.&M. <br /> County SN� 5 U�I� Field <br /> RECORDS RECEIVED DATE STATUS STATUS <br /> Well Summary (Form OG100) l 9 6 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 /> F,c 'Q�L- 7�-- Gas Storage Waterflood Source_ <br /> y n 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.) _J 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 �a <br /> 10. Casing Record <br /> 11. Plugs <br /> 12. Surface Inspection_ <br /> 13. Production <br /> 14. E Well on Prod. , enter EDP <br /> 15. Directional Survey <br /> 17 <br /> AP__ <br /> RECORDS NOT APPROVED RECORDS APPROVED �C <br /> Reason: <br /> RELEASE BOND <br /> Date Eligible <br /> (Use date last needed records were <br /> received.) <br /> MAP AND MAP BOOK 7 <br /> OGD2 (e 87 cVwFs s'.+) LONG BEACH OFFICE - USE REVERSE SIDE <br />