Oil And Gas Form 9 - Well Completion Report

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Oil & Gas Form 9
Florida
WELL COMPLETION REPORT
Form Title:
(FIRST PRODUCTION OR RETEST REPORT)
Department of
Environmental Protection
Date Revised:
March, 1998
Incorporated by Reference in:
Section 62C-26.008, F.A.C.
File this report with the Florida Department of Environmental Protection, Oil and Gas Program, 2600 Blair Stone Road, MS 3588,
Tallahassee, Florida 32399-2400 (phone 850/245-8336) or, Email:
OGP@dep.state.fl.us
within 30 days after testing.
Type of Report:
__________________________________________
(First Production or Retest?)
Permit Number:
__________________________________________
A. P. I. Number:
__________________________________________
Field: ________________________________________________
Time Gauged or Metered: ________________________________
Operator: _____________________________________________
Opening Tank Gauge: _________________ Ft. ___________ In.
Well Name & Number: __________________________________
Closing Tank Gauge: __________________ Ft. ___________ In.
__________________________________________________
Difference: ___________________________Ft. ___________ In.
Type of Well (Oil or Gas): ________________________________
Volume Metered: _______________________________________
County: ______________________________________________
Tank Co-Eff. (Bbls./In.) _________________________________
Location (Section Calls, Section, T, R) ______________________
Oil ________________________ Bbls. per _______________ Hrs.
___________________________________________________
Gas ________________________ M.C.F. per ____________ Hrs.
___________________________________________________
Salt Water ___________________ Bbls. per _____________ Hrs.
___________________________________________________
Oil ______________________________ Estimated Bbls. per Day
Date Completed: _______________________________________
Salt Water ________________________ Estimated Bbls. per Day
Flowing or Pumping: ____________________________________
Gas ___________________________ Estimated M.C.F. per Day
Production Horizon: _____________________________________
Choke Size: ______________________ Type: _______________
Producing From: __________________ To: _________________
If pumping, Strokes/Min.: _________________________________
Perforated From: __________________ To: ________________
Gas Oil Ratio: _________________________________________
Oil String Size: _________________ Seat:: _________________
Tubing Pressure: _______________________________________
Tubing Size: ___________________ Bottom: _______________
Casing Pressure: _______________________________________
Total Depth: ___________________________________________
Volume or Percent B. S. & W.: ____________________________
Elevation: DF ___________ KB ____________ GL ___________
Corrected Gravity: ______________ A.P. I. __________________
Type of Subsurface Safety Device: _________________________
Amount of Oil Produced Prior to Test: ______________________
Depth Set: ____________________ DF Ht.: _________________
BHSI Pressure: ________________________________________
Gauged By: ______________________________________________________________________________________________________
(Name)
(Title)
Witnessed By: ____________________________________________________________________________________________________
(Name)
(Title)
[Type here]

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