WR-35 DATE:
Rev (5-01) API # :
State of West Virginia
Department of Environmental Protection
Office of Oil and Gas
Well Operator's Report of Well Work
Farm name:________________________________________ Operator Well No.:__________________________
LOCATION: Elevation: _____________________________ Quadrangle: _______________________________
District: __________________________________ County: __________________________________
Latitude:____________Feet South of_______Deg. _________Min._________Sec.
Longitude___________Feet West of _______Deg._________Min._________Sec.
Company: _________________________________
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Casing &
Tubing |
Used in
drilling |
Left in well |
Cement fill up
Cu. Ft. |
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Address: |
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Agent: |
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Inspector: |
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Date Permit
Issued: |
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Date Well Work
Commenced: |
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Date Well Work
Completed: |
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Verbal
Plugging: |
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Date
Permission granted on: |
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Rotary Cable
Rig |
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Total Depth (feet): |
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Fresh Water Depth (ft.): |
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Salt Water Depth (ft.): |
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Is coal being
mined in area (N/Y)? |
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Coal Depths
(ft.):__________________________ |
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OPEN FLOW DATA
Producing formation________________________Pay zone depth (ft)________
Gas: Initial open flow_______MCF/d Oil: Initial open flow________Bbl/d
Final open flow_________MCF/d
Final open flow _________Bbl/d
Time of open flow between initial and final tests___________Hours
Static rock Pressure_________psig (surface pressure) after ______Hours
Second producing formation________________ Pay zone depth (ft)________
Gas: Initial open flow_______MCF/d Oil: Initial open flow________Bbl/d
Final open flow_________MCF/d
Final open flow _________Bbl/d
Time of open flow between initial and final tests___________Hours
Static rock Pressure_________psig (surface pressure) after ______Hours
NOTE: ON BACK OF THIS FORM PUT THE FOLLOWING: 1). DETAILS OF PERFORATED
INTERVALS, FRACTURING OR STIMULATING, PHYSICAL CHANGE, ETC. 2). THE WELL
LOG WHICH IS A SYSTEMATIC DETAILED GEOLOGICAL RECORD OF ALL FORMATIONS,
INCLUDING COAL ENCOUNTERED BY THE WELLBORE.
Signed: _________________________________________
By:_________________________________________
Date:_______________________________________
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