Form 3260-5 - Monthly Report Of Geothermal Operations

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Form 3260-5
UNITED STATES
(April 2011)
DEPARTMENT OF THE INTERIOR
FORM APPROVED
OMB NO. 1004-0132
BUREAU OF LAND MANAGEMENT
Expires: December 31, 2013
MONTHLY REPORT OF GEOTHERMAL OPERATIONS
3. Lease Serial No.
The Bureau of Land Management (BLM) requires this form or other BLM approval forms
(computerized, company, State, etc.) to be prepared for each month beginning with the month in
4. Surface Manager:
BLM
FS
Other
which drilling is initiated and filed in duplicate with the BLM, on or before the last day of the month
following unless exception is granted by the BLM.
The following is a complete and accurate report of all operations and production for the Month
5. Unit Agreement Name
of _______________________, 20______ .
6. Field or Area
Signed: ____________________________ Title: _________________________ Date: _______________
1. Name of Lessee/Operator
7. County
2. Address of Lessee/Operator
8. State
9. INDIVIDUAL WELL PRODUCTION
MONTHLY PRODUCTION OR INJECTION
PRODUCTION OR INJECTION RATE
AVERAGE
DAYS
TWSP, RGE
WELL
TYPE
PROD.
TEMPERATURE
PRESSURE
TOTAL
STEAM
WATER
TOTAL
STEAM
WATER
SEC., B&M
NUMBER
(STATUS)
OR INJ.
IN
OUT
psi
(lb)
(lb)
(lb)
(lb)
(lb)
(lb)
°F
°F
(Continued on page 2)

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