15
Dislrict 1 1625 N. French Dr., Hobbs, NM 88240 Dislrict II 1301 W. Grand, Artesia, NM 88210 District 111 1000 Rio Brazos Rd., Aztec, NM 87410 District IV 1220 S. St. Franci Dr., Santa Fe, NM 87505 ^S^e of New Mexico riflgJiSMinerals & Natural Resources Department VMS Form C-104 Revised June 10, 2003 Instructions on back Submit to Appropriate District Office 5 Copies 1 AMENDED REPORT I. REQUEST FOR ALLOWABLE AND AUTHORIZATION TO TRANSPORT / Operator Name and Address OGRID Number FULFER OIL & CATTLE LLC P.O. BOX 1224 JAL, NM 88252 141402 Reason for Filing Code/Effective Date 03/15 23 3 8 Netlib I s. ofSki m Oi I Sold API Number Pool Name Pool Code 30-025-09807 SWD;YATES-SEVEN RIVERS 96141 Property Code Property Name t Well Number 29160 BROWN 005 II. Surface Location UL or Lot Section Twnshp Range Lot ID Feet from the North/South Line Feet from the EastAVest Line County E 25 25S 36E 1650 NORTH 990 WEST LEA A Bo Horn Hole Local tion ULor Lot Section Twnshp Range Lot ID Feet from the North/South Line Feet from the EastAVest Line County Lsc Code Producing Method Code Gas Connection Date C-129 Permit Number C-129 Effective Date C-129 Expiration Date P Disposing III. Oil and Gas Transporters Transporter OGRID Transporter Name and Address POD O/G POD ULSTR Location and Description 243484 TRANSOIL MARKETING INC. 9999999 0 E-25-25S-36E TRANSOIL MARKETING INC. E-25-25S-36E IV. Produced Water POD POD ULSTR Location and Description Well Completion Data Spud Date Ready Date TD PBTD Perforations DHCMC Hole Size Casing & Tubing Size Depth Set Sacks Cement VI. Well Test Data Date New Oil Gas Delivery Date Test Date Test Length Tbg. Pressure Csg. Pressure Choke Size Oil Water Gas AOF Test Method 1 hereby certify that the rules of the Oil Conservation Division have been complied with and that the information given above is true and complete to the best of my knowledge and belief. Signature: Printed name: ~ ' ) V OIL CONSERVATION DIVISION Approved by: Title: Debbie McKelvey Title: Approval Date: Agent for Greg Fulfer, Principal Date: Phone. 5/2/13 505-392-3575 If this is a change of operator, fill in the OGRID number and name of the previous operator Previous Operator's Sign&ure: Printed Name: Title: Date: MAY 13 2013

VM S...and/or Petroleum Crude Oil MSDS. 2 . Se e U.S Dept of Transportation Guid 128 and/or Gasoline MSDS. 3. See U.S. Dept of Transportation Guide 131 and/or Natural Gas Condensate

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  • Dislrict 1

    1625 N. French Dr., Hobbs, NM 88240 Dislrict II 1301 W. Grand, Artesia, NM 88210 District 111 1000 Rio Brazos Rd., Aztec, NM 87410 District IV 1220 S. St. Franci Dr., Santa Fe, NM 87505

    ^S^e of New Mexico riflgJiSMinerals & Natural Resources Department

    VMS

    Form C-104 Revised June 10, 2003

    Instructions on back Submit to Appropriate District Office

    5 Copies

    — 1 AMENDED REPORT

    I . REQUEST FOR ALLOWABLE AND AUTHORIZATION TO TRANSPORT / Operator Name and Address OGRID Number

    FULFER OIL & CATTLE LLC P.O. BOX 1224 JAL, NM 88252

    141402

    Reason for Filing Code/Effective Date 03/15 23 3 8 Net l i b I s. ofSki m Oi I Sold

    API Number Pool Name Pool Code

    30-025-09807 SWD;YATES-SEVEN RIVERS 96141 Property Code Property Name

    t Well Number

    29160 BROWN 005

    II. Surface Location UL or Lot Section Twnshp Range Lot ID Feet from the North/South Line Feet from the EastAVest Line County

    E 25 25S 36E 1650 NORTH 990 WEST LEA A

    Bo Horn Hole Local tion ULor Lot Section Twnshp Range Lot ID Feet from the North/South Line Feet from the EastAVest Line County

    Lsc Code Producing Method Code Gas Connection Date C-129 Permit Number C-129 Effective Date C-129 Expiration Date

    P Disposing

    III. Oil and Gas Transporters Transporter OGRID Transporter Name and Address POD O/G POD ULSTR Location and Description

    243484 TRANSOIL MARKETING INC. 9999999 0 E-25-25S-36E TRANSOIL MARKETING INC. E-25-25S-36E

    IV. Produced Water POD POD ULSTR Location and Description

    Well Completion Data Spud Date Ready Date TD PBTD Perforations D H C M C

    Hole Size Casing & Tubing Size Depth Set Sacks Cement

    VI. Well Test Data Date New Oil Gas Delivery Date Test Date Test Length Tbg. Pressure Csg. Pressure

    Choke Size Oil Water Gas AOF Test Method

    1 hereby certify that the rules of the Oil Conservation Division have been complied with and that the information given above is true and complete to the best of my knowledge and belief. Signature:

    Printed name: ~ ' ) V

    OIL CONSERVATION DIVISION

    Approved by:

    Title:

    Debbie McKelvey Title: Approval Date:

    Agent for Greg Fulfer, Principal Date: Phone.

    5/2/13 505-392-3575 If this is a change of operator, fill in the OGRID number and name of the previous operator

    Previous Operator's Sign&ure: Printed Name: Title: Date:

    MAY 13 2013

  • tKBtRKETING, LLC

    4401 Maple Street ° P.O. Box 6697 • Abilene, TX 79608

    R U N T I C K E T

    Date: 3 ' ^ " (3 RRG#: Time In: Time Out:

    ticker

    56601

    Operator Q \ \

    Lease / Location:

    Product: C v u ^ / ^ Observed Gravity: ^ 4

    BS&W: '// Q A Tank #: ' -. Tank Size:

    Guages

    F t In.

    Meter Readings Tank Bottom P e T f t r e i * ^ -

    Station- • £~ A ' (~s r^

    OP

    EN

    0

    OP

    EN

    OPEN

    Meter uu o H o

    a

    CL

    OS

    E

    CLOSE Reading:

    Truck / Trailer No: M B' Estimated Bbls / / ~—j Net Bbls

    Mileaae: 5 T ^ 7 V " 5

    PRODUCT DESCRIPTION (Check One)

    1. C5 Petroleum Crude Oil, 3, UN 1267, PGII

    2. • Gasoline,3,UN 1203,PGII

    3. • Flammable Liquids, toxic n.o.s. (natural gas

    ^ condensate, sour), 3, UN 1992, PG I, RQ

    4. • Flammable Liquids, n.o.s. (natural gas condensate), 3,

    UN1993.PGI.RQ

    EMERGENCY INFO. 1. See U.S. Dept. of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept. of Transportation Guide 128

    and/or Gasoline MSDS. 3. See U.S. Dept. of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. 4. See U.S. Dept. of Transportation Guide 128

    and/or Natural Gas Condensate MSDS.

    THIS IS TO CERTIFY THAT TICABOVE-NAMro DESCRIBED, PACKAGED, MARKED, LABELED, AND ARE IN PROPER COtSprnON FOR TRANSPORTATION ACCORDING TO THE APPLICABLE RECMATIONS OFTTC D E P ^ ^

    Driver fe/k& o ficfi*. -t *(,

  • ] MARKETING, LLC I A B I L E N E - T E X A S

    Ticket #

    56608 4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    RUN TICKET Date: 3 / ^ 3 RRC#: Time In: Time Out-

    Operator:

    Lease / Location: feb^T-rf ^ • f c

    Product: C f d C -

    BS&W:

    . Observed Gravity: Temp:

    Tank #: Tank Size:

    •• Guages

    1 F t In.

    Meter Readings Tank Bottom Delivery / - „

    Station: i srS •> f-r,/ #

  • MARKETING, LLC A B I L E N E - T E X i X S

    Ticket #

    58118 4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    RUN TICKET

    Date: ? - ( ^ RRC#: Time In: ftx? A Time Out: 5 ^ ^ '

    Operator:

    Lease / Location: /job

    Product: c/~^>

    Observed Gravity: _ _ Temp: __£

    Tank#: / Tank Size: ^ &

    Guages

    Ft. In.

    z Ul

    Ul CO

    3 /

    Meter Readings

    Estimated Bbls

    Tank Bottom

    OPEN

    CLOSE

    Net Bbls

    Delivery Station:.

    Meter Reading:.

    Truck / Trailer No.: ?V g

    M i l e a q e ^ ^ f c ?

    PRODUCT DESCRIPTION (Check One)

    1. m'eu îeum Crude Oil, 3, UN 1267, PG II

    Z D Gasoline, 3, UN 1203, PGII

    3.0 Flammable Liquids, toxic n.o.s. (natural gas

    condensate, sour), 3, UN 1992, PG I, RQ

    4. • Flammable Liquids, n.o.s. (natural gas condensate), 3,

    UN1993,PGI,RQ

    EMERGENCY INFO. 1. See U.S. Dept. of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S: Dept. of Transportation Guide 128

    and/or Gasoline MSDS. 3. See U.S. Dept. of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. 4. See U.S; Dept. of Transportation Guide 128

    and/or Natural Gas Condensate MSDS.

    THIS ISTO CERTJRTHATTHEABOVE-NAMED MATERIALS ARE PROPERLY CLASSIRED, DESCRIBED, PACKAGED, MARKED, LABELED, AND ARE IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO THE APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION.

    •2 Driver: s€>' Driver: s€>'

    EMERGENCY CONTACT: Shipper: 1-325-698-0200 Seal Off: or

    1-325-260-8996 Seal On:

    RAM Business Forms • 632-0377

  • 1MARKETWG, IXC ' A B I L E N E - T E X A S

    Ticket #

    58394 4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    - 5 t * r ^ , R U N T I C K E T

    RFtCfr: M/A Date:

    Operator.

    Time In: ' K Time Out:

    Lease/ Location:

    ProductiC D C O Observed Gravity:.

    Tank #: . •• Tank Size:

    . Temp:

    BS&W:

    Guages

    F t In.

    Meter Readings Tank Bottom S T AlLD

    i-f OPEN

    OPEN

    Meter :> UJ CO

    a o

    CLOSE Readina: W - f

    Truck / Trailer No.: j ~~ / ^ 0

    Mileaae: •J 7 '."

    Estimat

    !

    4d Bbls Net Bbls

    Readina: W - f

    Truck / Trailer No.: j ~~ / ^ 0

    Mileaae: •J 7 '."

    PRODUCT DESCRIPTION (Check One)

    I^Petroleum Crude Oil, 3, UN 1267, PG II

    2^0 Gasoline, 3, UN 1203, PG II

    a • Flammable Liquids, toxic n.o.s. (natural gas

    condensate, spur), 3, UN 1992, PG I, RQ Q J

    4. • Flammable Liquids, n.|.s. (|ii^a|8as^derfOT^, 3,

    UN1993,PGI,RQ 0 • .l /ft (!) ®/u'

    EMERGENCY INFO. 1. See U.S. Dept. of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept of Transportation Guide 128

    and/or Gasoline MSDS. 3. See U.S. Dept. of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. 4. See U;S. Dept. of Transportation Guide 128

    and/or Natural Gas Condensate MSDS.

    THIS IS TO (ERTWTrWTHEAB0VE-r4AMED MATERIALS ARE PROPER CLASSIFIED, DESCRIBED, PACKAGED, MARKED, LABELED, AND ARE IN PROPER CONDITION FOR TRANSPORTATION ^ACCOR^to

    Driver:

    Shipper

    Seal Off:

    Seal On:

    EMERGENCY CONTACT: 1-325-698-0200

    or 1-325-260-8996

    RAM Business Forffl6 * 6B2m377

  • LLC

    4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    Ticket #

    56607

    Date: 2 ^ ^ J 3 RRC#:

    Operator -P-A \ IcT C> \ \

    R U N T I C K E T

    •• ' • ' ••:> -; Time In: .Time Out:

    Lease / Location: &Z> fid * / 4 ^ ^

    Product: C ^ ^ C L L O , \

    BS&W: Tank #:

    Observed Gravity: Temp: no

    . Tank Size:

    Guages

    F t In.

    Meter Readings Tank Bottom

    Meter jL

    OP

    EN

    OPEN

    Meter IU

    O ' CLO

    SE

    CLOSE Readinq:

    Truck / Trailer No: ~% ~ Estimated Bbls i / —v

    /

    Net Bbls

    Mileaae: h ° ( 0 ^ 3

    PRODUCT DESCRIPTION (Check One)

    1 . ^Petroleum Crude Oil, 3, UN 1267, PG II

    2. • Gasoline.3,UN 1203,PGII

    3. • Flammable Liquids, toxic n.o.s. (natural gas

    condensate, sour), 3, UN 1992, PG I, RQ

    4. • Flammable Liquids, n.o.s. (natural gas condeiiisate), 3,

    UN1993.PGI.RQ

    EMERGENCY INFO. ^ 1. See U.S. Dept. of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept. of Transportation Guide 128

    and/or Gasoline MSDS. 3. See U.S. Dept of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS.. 4. See U.S. Dept of Transportation Guide 128

    and/or Natural Gas Condensate MSDS.

    THIS ISTO CERTIFYTHATTrtE ABOVE-NAMED MATERIALS ARE PROPERLY CLASSIRED, DESCRIBED, PACKAGED, MARKED, LABELED, AND ARE IN PROPER CONDmON FOR TrWISPORTATION ACCORDING TO THE APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION.

    Driver "^J^JJ^UO Coo^A^)'

    Shipper.

    Seal Off: .j_

    Seal On: Rmf lOO

    EMERGENCY CONTACT:

    1-325-698-0200 or

    1-325-260-8996

  • 7S# HISBJL MARKETING, LLC A B I C E I M E - x e x A e

    Ticket #

    84472 4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    R U N T I C K E T

    Date^-^Vi RRC#: Time In: 95o Time OuvJb)

    Operator.

    Lease / Location:

    Product: C&t)d i Observed Gravity: _

    Tank #: .: 3-. Tank Size: ^ I f o

    Guages

    Ft. In.

    Meter Readings Tank Bottom Delivery ' > , / » -

    Station: • **

    fv f OPE

    N

    OPEN

    Meter / UJ

    If y >l CLOSE

    CLOSE Reading:

    Truck / Trailer Noif /

    M\\eaaeS9 3 C>^>

    Estimated Bbls Net Bbls

    Reading:

    Truck / Trailer Noif /

    M\\eaaeS9 3 C>^>

    PRODJtfCT DESCRIPTION (Check One)

    1 ./dPetroleum Crude Oil, 3, UN 1267, PG II

    2. • Gasoline,3,UN 1203,PGII

    : 3. • Flammable Liquids, toxic;n.o.s. (natural gas

    condensate, sour), 3, UN 1992, PG I, RQ

    4. • Flammable Liquids, n.o.s. (natural gas condensate),;3,

    UN1993,PGI,RQ

    EMERGENCY INFO. 1. See U.S. Dept. of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept. of Transportation Guide 128

    and/or Gasoline MSDS. 3. See U.S. Dept. of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. 4. See U.S. Dept. of Transportation Guide 128

    and/or Natural Gas Condensate MSDS.

    THIS IS TO CERTIFY THATTHE ABOVE-NAMED MATERIALS ARE PROPERLY CLASSIRED, DESCRIBED, PACKAGED, MARKED, LABELED, AND ARE IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO TWE AWLICABLE REGULATIONS OF THf

    Driver:

    Shipper: EMERGENCY CONTACT:

    1-325-698-0200 or Seal Off-

    EMERGENCY CONTACT: 1-325-698-0200

    or Seal On: 1-325-260-8996

    RAM Uustn*3S f=orm5 • 692-0377

  • Ticket #

    56611 4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    RUN TICKET

    Date: 3 RRC#: . • . Time In: Time Out:

    Operator:

    Lease / Location: / S ^ f l g * / $£>

    Product: C < " ^

  • MARKETING, LLC A O I T E I M E - - n s x ^ x e T "

    Ticket #

    66426

    3 - . .. Da Time In: f^STTimeOut/OZS"

    4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    RUN TICKET

    Operator. ^ ( J L F S " ^

    Lease / Location:

    P r o d u c ^ . ^ Q ^ f e Q T^CObserved Gravity: Temp Ob BS&W: 'Tank #: Tank Size

    Guages

    Ft. In.

    #0 3t

    Meter Readings

    Estimated Bbls

    Tank Bottom

    OPEN

    CLOSE

    Net Bbls

    Delivery Station: s /to Meter Reading:

    Truck / Trailer No.:

    Mileage:

    PRODUCT DESCRIPTION (Check One)

    1 j^fetroleum Crude Oil, 3, UN 1267, PGII

    2. • Gasoline,3,UN 1203,PGII

    3. • Flammable Liquids, toxic. n.o.s. (natural gas

    condensate, sour), 3, UN 1992, PG I, RQ

    4. • Flammable Liquids, n.o.s^tural |as ojrjdensate), 3,

    UN1993,PGI,RQ

    ^3-I «OG °/© I *00

    EMERGENCY INFO. 1. See U.S. Dept of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept. of Transportation Guide 128

    and/or Gasoline MSDS. . 3. See U.S. Dept of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. 4. See U.S. Dept. of Transportation Gujde 128

    and/or Natural Gas Condensate MSDS.

    THIS ISTO CERTIFYTHAT THEABOVE-NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED, LABELED, AND ARE IN PROPER CONDITION FOR TRANSPORTATION ACC0RDIW6J0 TH£ APPLICABLE REGULATIONS OFTHE DEPARTMENT OF TRANSPORTATION.

    Driver: ^hJAf \JlfhJ/>w—'

    /nf A H r ShiDDer: / f a / i 1

    EMERGENCY CONTACT: 1-325-698-0200

    or Seal Off: ^ ^ ^

    EMERGENCY CONTACT: 1-325-698-0200

    or Seal On: 1-325-260-8996

    RAM Business Forms • 692-0377

  • ' MARKETING, LLC :

    4401 Maple Street • P.O. Box 6697 * Abilene, TX 79608

    Ticket #

    65505

    Date: 3*J A/3 RRC#:

    Operator:

    RUN TICKET . Time In: //5~\ Time Out; £(D&

    Lease / Location:

    Product:

    BS&W: bJ/0

    Observed

    Tank#: J

    Gravity:_ _ Temp:

    . Tank Size:.

    Guages

    Ft In.

    1/ a §«* )>'L

    Meter Readings

    4* Estimated Bbls

    Tank Bottom

    OPEN

    CLOSE

    Net Bbls

    Delivery Station: _ MA Meter Reading:.

    Truck / Trailer No.:

  • fe-

    MARKETING, LLC A B I L E N E T E X A S .

    4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    RUN TICKET

    Ticket #

    56614

    Date: 3'

  • 1 MARKETING, LLC A B I L E N E - T e x t ' s

    Ticket*

    56619 4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    RUN T ICKET

    Date: h ' ^ ' f i RRC#: time In: Time Out:

    Operator;

    Lease / Location: ion: 5*^fc>

    Product: C / w !

    BS&W:

    . Observed Gravity: ^ ^ Temp:

    Tank* Tank Size:

    Guages

    Ft. In.

    Meter Readings Tank. Bottom Delivery >, ) • / "

    Station: r M • ^ r o s > ^ -

    Meter Readina:

    Truck / Trailer No • V 2^' $ A

    z U l -1

    O 1 3 OPEN

    OPEN

    Delivery >, ) • / " Station: r M • ^ r o s > ^ -

    Meter Readina:

    Truck / Trailer No • V 2^' $ A

    Ul CO / -> _ i « * O C

    LO

    SE

    CLOSE

    Delivery >, ) • / " Station: r M • ^ r o s > ^ -

    Meter Readina:

    Truck / Trailer No • V 2^' $ A Estimated Bbls

    7 Net Bbls

    Mi.eaoe: ^ 7 - * 7

    PRODUCT DESCRIPTION (Cheek One)

    1. C^Petroleum Crude Oil, 3, UN 1267, PG II

    2. • Gasoline, 3, UN 1203, PG II

    3. • Flammable Liquids, toxic n.o.s. (natural gas

    condensate, sour), 3, UN 1992, PG I, RQ

    4. • Flammable Liquids, n.o.s. (natural gas condensate), 3,

    UN1993,PGI,RQ

    EMERGENCY INFO. 1. See U.S. Dept of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept of Transportation Guide 128

    and/or Gasoline MSDS. 3. See U.S. Dept of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. 4. See U.S. Dept. of Transportation Guide 128

    and/or Natural Gas Condensate MSDS.

    THIS ISTO CErTnr^TrWTOE ABOVE-NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED, LABELED, AND ARE INI PROPER CONDITION FOR TRANSPORTATION ACCORDING TO THE APPLICABLE REGULATIONS OFTHE DEPARTMENT OF TRANSPORTATION.

    Driver: ^ e d f f & & fon-f^i.

    Shipper:

    Seal Off:

    Seal On: Fonn 8100

    EMERGENCY CONTACT: 1-325-698-0200

    or 1-325-260-8996

    RAM Business Fotms • 692-0377

  • I

    MARKETING, LLC

    4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    RUN TICKET

    Date: 2 ' J > / 3 R R C # : • Time In: - Time Out:

    "Ticket #

    56618

    Operator: F L 4 A T £ > , I

    Lease / Location

    Product: ^ r ^

    BS&W: 5k • Observed Gravity: 3 ? Temp: (o ^

    . Tank #:• ^ Tank Size:

    Guages

    Ft. In.

    s CL O

    123 Ul V co r Q 1 3

    Meter Readings

    Estimated Bbls

    Tank ; Bottom

    OPEN

    CLOSE

    Net Bbls

    Delivery Station: _

    Meter Reading:.

    Truck / Trailer No,

    Mileage: &&Q)S3*^

    PRODUCT DESCRIPTION (Check One)

    1. fif Petroleum Crude Oil, 3, UN .1267, PG II

    2. • Gasoline, 3, UN 1203, PG II

    3. • Flammable LiquidSj toxic n.o.s. (natural gas

    condensate,sour),3,UN 1992,PG LRU

    4. • Flammable Liquids, n.o.s. (natural gas condensate), 3,

    UN 1993, PG I, RQ

    EMERGENCY INFO. 1. See U.S. Dept. of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept. of Transportation Guide 128

    and/or Gasoline MSDS. 3. See U.S. Dept. of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. 4. See U.S. Dept. of Transportation Guide 128

    and/or Natural Gas Condensate MSDS.

    THIS IS TO CER71F/THATTHE ABOVE-NAMED MATERIAL ARE PROPERS PACKAGED, MARKED, LABELED, AND ARE IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO THE APPLICABLE REGULATIONS OFTHE DEPARTMENT OF TRANSPORTATION.

    Driver: ^^-/VO & (itx^t^i/^ EMERGENCY CONTACT:

    Shipper. 1-325-698-0200 Seal Off: or

    1-325-260-8996 Seal On:

    RAM Busfriess Forms • 692-0377

  • Ticket #

    : | - A B I u e i S ! I E . - . . T E X A S "

    4401 Maple Street • P.O. Box 6697 • Abilene, TX 79608

    Date: RRC#:

    Operator: - •

    RUN TICKET

    Time In: / / ^ Time Out: / j j [ f 0

    Lease / Location: _

    Product: Q j j J j k i

    BS&W:

    £- . Observed Gravity: _ Temp:

    • Tank #:

    r g Tank Size: ry

    Guages

    Ft. In.

    Meter Readings

    It §1 Estimated Bbls

    Tank Bottom

    OPEN

    CLOSE

    Net Bbls

    Delivery Station:

    Meter Reading:.

    Truck / Trailer No.:

    Mileage:/#Q ffffff

    PRODUCT DESCRIPTION (Check One)

    1. 34»r3froleum Crude Oil, 3, UN 1267, PG II

    2. OGasoline,3,UN 1203,PGII

    3. • Flammable Liquids, toxic n.o.s. (natural gas

    condensate, sour), 3, UN 1992, PG I, RQ

    4. O Flammable Liquids, n.o.s. (natural gas condensate), 3,

    UN1993.PGI.RQ

    EMERGENCY INFO. 1. See U.S. Dept. of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept. of Transportation Guide 128

    and/or Gasoline MSDS. 3. See U.S. Dept. of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. 4. See U.S. Dept. of Transportation Guide 128

    and/or Natural Gas Condensate MSDS;

    THIS IS TO CERTIFY THAT THE ABOVE-NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED, LABELED, AND: ARE IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO THE APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION.

    Driver: _

    Shipper-

    Seal Off:

    Seal On: Form* 100

    EMERGENCY CONTACT: 1-325-698-0200

    or 1-325-260-8996

    BAM Business Forms • 692-0377

  • MARKETING, LLC ' A B I L E N E • T E X A S

    Ticket #

    58394 4401 Maple Street • P.O. Box 6697 * Abilene, TX 79608

    ~ . _ R U N T I C K E T

    RliCf: m Date: Operator: Time In: Time Out:

    Lease / Location

    _ Observed Gravity:

    -7 < ; r- : Tank #: ; w Tank Size:

    . Temp:

    BS&W:

    Meter Readings Tank Bottom

    OPEN

    CLOSE

    Net Bbls

    Delivery Station:

    Meter • .;: Reading: ^ ••••^

    Truck / Trailer No.: __i

    Mileage: J^ "^ -islki:

    PRODUCT DESCRIPTION (Check One)

    I^Tetroleum Crude Oil, 3, UN 1267, PG II

    Z D Gasoline,3,UN 1203,PGII

    3. • Flammable Liquids, toxic n.o.s. (natural gas

    condensate, sour), 3, UN 1992, PG I, RQ r\

    .s. fm

    UN1993,PG1,RQ

    ,3,

    EMERGENCY INFO. 1. See U.S. Dept of Transportation Guide 128

    and/or Petroleum Crude Oil MSDS. 2. See U.S. Dept of Transportation Guide 128

    and/or Gasoline MSDS. 3; See U.S. Dept. of Transportation Guide 131

    and/or Natural Gas Condensate (Sour) MSDS. . 4. See U;S. Dept of Transportation Guide 128

    and/or Natural Gas Condensate MSDS.

    THIS IS TO CERTIFYTHATTHEABOIÊ PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED, 1ABELED, AND ARE IN PROPER CONDITION FOR TRANSPORTATION A C C G R § i ^ T r $ A r ^

    Driver

    Shipper

    Seal Off:

    Seal On: Form 1100

    EMERGENCY CONTACT: 1-325-698-0200

    or 1-325-260-8996

    HAM BusineoB Forme • 682-0377