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Get 3a Commission Texas 1983-2024

Form W-3A RAILROAD COMMISSION OF TEXAS Oil and Gas Division Notice of Intention to Plug and Abandon Type or print only Rev 1/1/83 02/00 WWW-1 Operators must comply with RRC plugging procedures as outlined on the reverse side. 1. Operator s Name and Address Exactly as shown on Form P-5 Organization Report 3. RRC District No. 4. County of Well Site 5. API No* 6. Drilling Permit No* 427. Rule 37 Case No* 8. Oil Lease No* or Gas Well ID No* 9. Well No* 2. RRC Operator Number 10. Field Name Exactly as shown on RRC records 12. Location Section No* 11. Lease Name Block No Survey No* Abstract No* A- Distance in miles and direction from a nearby town in this county name the town. 13. Type of well 1. oil 3. disposal 15. Total depth 14. Type of completion 5. other specify Single 2. gas 4. injection Enter appropriate no. in box 16. Usable-quality water strata as determined by Texas Dept. of Water Resources occur to a depth of feet and in deeper strata from to Multiple feet and from feet 17. If there are wells in this area which are producing from or have produced from a shallower zone state depth of zone If there are wells into which salt water is being or has been disposed of into a shallower zone state depth of zone 18. Casing record list all casing in well Size Top of cement determined by Drilled hole size Cement sacks Depth set w/ Calculated Anticipated casing recovery Temper. Bond Log Top of 20. Plugging proposal List all bridge and cement plugs. Load the hole with at least 9. 5 lbs. per gallon mud. 19. Has notice of intent to plug been filed previously for this well Yes / Mo. Day No Yr. 21. Record of perforated intervals or open hole Perforations Open Plugged No* of sacks Depth In feet top bottom Plugging method Open Hole 22. Name and address of cementing company or contractor Title of person Typed or printed name of operator s representative Telephone Area Code Number Date Signature RRC District Office Action Expiration date District Director. County of Well Site 5. API No* 6. Drilling Permit No* 427. Rule 37 Case No* 8. Oil Lease No* or Gas Well ID No* 9. Well No* 2. RRC Operator Number 10. Field Name Exactly as shown on RRC records 12. Location Section No* 11. Well No* 2. RRC Operator Number 10. Field Name Exactly as shown on RRC records 12. Location Section No* 11. Lease Name Block No Survey No* Abstract No* A- Distance in miles and direction from a nearby town in this county name the town. Lease Name Block No Survey No* Abstract No* A- Distance in miles and direction from a nearby town in this county name the town. 13. Type of well 1. oil 3. disposal 15. Total depth 14. Type of completion 5. other specify Single 2. 13. Type of well 1. oil 3. disposal 15. Total depth 14. Type of completion 5. other specify Single 2. gas 4. injection Enter appropriate no. in box 16. Usable-quality water strata as determined by Texas Dept. gas 4. injection Enter appropriate no. in box 16. Usable-quality water strata as determined by Texas Dept. of Water Resources occur to a depth of feet and in deeper strata from to Multiple feet and from feet 17. .

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