Upload
others
View
9
Download
0
Embed Size (px)
Citation preview
API P-17,2493/1Form No. IOW
(1970) 640` Acres
N
Locate Well Correctlyand Outline Lease
5070Commenced Plugging imfi 4 —. _
County :>,‘
SEsk Sec. Twp Range
Location in Sectia2- ' 1/4 1/4MI
1/4
Farm Name "4 14 (11"Challin Well No 4 Field Raaa"
Character of Well (whether oil, gas or dry) Temporarily Abandoned
Finished 4.640 Total Depth 674'
Was permission obtained from the Corporation Commission or its agents before plugging was commenced Teo
Signature of District Manager Perforations-
Name of Field Supervisor SleekName of producing sand Warta"
PLUGG.-41G kt;tuttutOKLAHOMA CORPORATION COMMISSION
Oil ond Gas Conservation DivisionOklahoma City, Oklahoma
NOTICE; All questions on this form must be satisfactorily answeredand mailed to District Office in duplicate. Within 15 daysafter plugging is completed.
Browdar & Rataliff Company Operating
Office Address KO. Sem 579 Dewey Okla. 74029
wathingten 6 288 13S
Depth top 618 Bottom 65°
Show depth and thickness of all fresh water, oil and gas formations. Oklahoma Tax Commission Assigned Lease No
SAND OR ZONE RECORDS CASING RECORDS
Formation Content From To Si ze Put In Pulled Out
Wayside c:iand Oil 618 650 8 5/8 52
7 418
Describe in detail the manner in which the wel was plugged, indicating where the mud fluid was placed and the methods used in introducing it
into the hole. If cement or other plugs were used, state the character of same and depth placed:
Rem 6501 of 2" thbing and pumped in 10 saoks (tomcat. Pulled 7* easing, Ran 3701 ot 2"
and pumped in 5 seeks oement. Pulled tUbing te 75' mod pumped in 5 seek* *sant.
(Meld between Emmet plugs)
Does the above conform strictly to the oil and gas regulations?
The Law requires that adjacent lease, and land—owners be notified; give their names with their addresses below:
This well be re-opened at a later dste. It i* just temporarily dbandoned•
REMARKS: Why plugged? If abandoned oil or gas well, state amount and date of last production
Plugging Contractor's Name• Address.
Correspondence regarding this well should be addressed to 6rewder & Roteliff P.O. Rex 579 Dewey Okla. 74029
Address
I, the undersigned, being duly sworn upon oath, state that this well record is true, correctoffice and to the best of my knowledge and belief.
Subscribed and sworn to before me this the
il
i
Alele'and title of representative of companyFa
e e according to the records of this
day of , 19
Commission expires Notary Public