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Get LA DNR Form-CSG T 2008-2024

AFFIDAVIT OF TEST OF CASING IN WELL STATE OF LOUISIANA OFFICE OF CONSERVATION FORM - CSG T DATE WORK DONE DISTRICT OFFICE OPERATOR S NAME AND ADDRESS OPERATOR CODE PHONE WELL INFORMATION WELL NAME AND NO SERIAL NO FIELD PARISH SEC. TWP. RNG* WELL CONSTRUCTION INFORMATION CASING SIZE CASING WEIGHT HOLE SIZE NUMBER OF THREADS/ INCH MAKE IF SECOND HAND WAS PIPE TESTED GRADE SEAMLESS NEW OR 2ND HAND PIPE DESCRIBE G YES G NO DEPTH CASING SHOE LANDED BELOW DERRICK FLOOR FT. SIZE OF HOLE NO. OF SACKS OF CEMENT AMOUNT OF CEMENT LEFT IN PIPE METHOD OF CEMENTING CEMENT SET IN TOTAL DEPTH OF UNDER TOTAL TIME SET HOURS DETAIL OF PRESSURE TEST BEFORE DRILLING PLUG DATE OF TEST GAUGE PRESSURE OF CASING PRESSURE AT END OF 30 MINUTES TEST FLUID WATER MUD PRESSURE DROP VISCOSITY REMARKS CERTIFICATION BY OPERATOR I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED IN THIS FORM AND THAT BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THAT THE INFORMATION IS TRUE ACCURATE AND COMPLETE* I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT L*R*S* 30 17. TWP. RNG* WELL CONSTRUCTION INFORMATION CASING SIZE CASING WEIGHT HOLE SIZE NUMBER OF THREADS/ INCH MAKE IF SECOND HAND WAS PIPE TESTED GRADE SEAMLESS NEW OR 2ND HAND PIPE DESCRIBE G YES G NO DEPTH CASING SHOE LANDED BELOW DERRICK FLOOR FT. SIZE OF HOLE NO. OF SACKS OF CEMENT AMOUNT OF CEMENT LEFT IN PIPE METHOD OF CEMENTING CEMENT SET IN TOTAL DEPTH OF UNDER TOTAL TIME SET HOURS DETAIL OF PRESSURE TEST BEFORE DRILLING PLUG DATE OF TEST GAUGE PRESSURE OF CASING PRESSURE AT END OF 30 MINUTES TEST FLUID WATER MUD PRESSURE DROP VISCOSITY REMARKS CERTIFICATION BY OPERATOR I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED IN THIS FORM AND THAT BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THAT THE INFORMATION IS TRUE ACCURATE AND COMPLETE* I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT L*R*S* 30 17. .

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Keywords relevant to LA DNR Form-CSG T

  • RNG
  • 2008
  • Cementing
  • VISCOSITY
  • SEAMLESS
  • Certification
  • submitting
  • certify
  • conservation
  • obtaining
  • Penalties
  • DERRICK
  • Operators
  • Ft
  • THREADS
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