Form Ogb - 22 - Well Capacity Test printable pdf download

Form Ogb - 22 - Well Capacity Test

STATE OIL AND GAS BOARD OF ALABAMA

Form OGB - 22

420 Hackberry Lane

P.O. Box 869999

Permit number

5 / 00

Tuscaloosa, Alabama 35486-6999

01-

Fax (205)349-2861

(205) 349-2852

API number

Well Capacity Test

Retest

New Well

Annual

(file in duplicate)

Name of operator

State

Address

City

Zip

County

Well name and number

Section-Township-Range or Tract

(give footage from nearest section or tract lines)

Well

Location

Latitude

Longitude

Field (If wildcat,

Reservoir

so state)

Allowable (if assigned)

Date of last test

TEST DATA

Mcf/d

Average rate at which welI produced for 72 hours preceding capacity test

Time finished

am/pm Date

Time started

am/pm Date

72-hour wellhead shut-in pressure

( )

psia

Time started

am/pm Date

Time finished

am/pm Date

Mcf/d

Average production rate during 48-hour stabilization period

psia

Stabilized flowing wellhead pressure

Average production rate during 24-hour capacity period (C)

Mcf/d

P ( )

Stabilized flowing wellhead pressure

psia

Time started

am/pm Date

Time finished

am/pm Date

psig

Type

Pipeline pressure

Choke size

Deliverability (D) (see reverse side)

Test conducted by

(Name)

(Title)

Witnessed by

(Name)

(Title)

Phone number

Person to contact

regarding this

Fax number

form

E-Mail address

Remarks:

, 20

Executed this the

day of

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.

day of

, 20

Subscribed and sworn to before me this

SEAL

Notary Public in and for

County,

My commission expires

Form Ogb - 22 - Well Capacity Test

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