Form Ogb-6 - Report Of Well Treatment

Download a blank fillable Form Ogb-6 - Report Of Well Treatment in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Ogb-6 - Report Of Well Treatment with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

STATE OIL AND GAS BOARD OF ALABAMA
OGB-6
Report of Well Treatment*
01
-
-
-
-
___________________________________________
____________________________________________
Form OGB-6, Rev. 07/13
Permit Number
API Number
(File in triplicate)
Chemically Treat
Fracture
Other
Name of Operator ____________________________________________________________________________________________________
Address ________________________________________ City ___________________________ State ____________ Zip _____________
1. Well name and number
2. County
(give footage from nearest section or offshore tract lines)
Section-Township-Range or Tract
3. Well Location
(actual surface)
4. Field (If wildcat, so state)
5. Pool
6. Person to contact
Phone number
regarding this form
Fax number
E-mail Address
WELL DATA
New well
Producer
Type of Well (oil, gas, Class II) _________________ Formation treated ___________________________
Interval(s) treated: ___________________________________________________________________________________________________
Daily production (or injection) prior to treatment ____________________________________________________________________________
RESULTS OF TREATMENT
Permission to treat well authorized by ________________________________________________ Date _______________________________
(Oil & Gas Board Agent)
Date treatment was begun __________________________________ Date treatment was completed ________________________________
Treatment contractor ___________________________________________ Fracture gradient (psi/ft) _________________________________
Daily production (or injection) after treatment is _____________________________________________________________________________
Give full details of treatment*
*A separate form is required for each individual treatment.
Operation witnessed by Agent of the Board
Yes
No
If yes, give name of Agent _________________________________
__________
________
___________________________________________________
Executed this the _______ day of __________
, 20 __
Signature
________________________________________
Before me, the undersigned authority, on this day personally appeared
known to me to be the person
whose name is subscribed to the above instrument, who being by me duly sworn on oath states that he/she is duly authorized to make the above report and that
he/she has knowledge of the facts stated therein, and that said report is true and correct.
_______
____________________
_________
Subscribed and sworn to before me this
day of
, 20
_____________________________________
SEAL
_____________________
Notary Public in and for
____________________
My commission expires
________________________________
County,

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go