Get Form H-5

Filling out the Form H-5 online can streamline the documentation process for disposal and injection well pressure test reporting. This guide provides step-by-step instructions to help users accurately complete each section of the form.

Follow the steps to successfully fill out the Form H-5 online.

1. Press the ‘Get Form’ button to obtain the form and access it in the editor.
2. In the first section, enter the operator’s name, operator number, address, district number, county, field name, field number, API number, lease name, oil lease number, and gas ID number. Ensure each entry corresponds correctly to the details required.
3. Provide the reason for the test in the designated field, followed by entering the date of the test. Indicate whether this is a retest by selecting 'Yes' or 'No'. If 'Yes', consult Instruction No. 5.
4. Detail the well's completion status by indicating the size and depth set for the surface casing, long string casing, and tubing. Specify if the well is under annual or five-year testing requirements.
5. Enter the packer make and model along with the depth set for the injection. Provide the authorized injection pressure and permitted injection interval, detailing both the top and bottom measurements.
6. Record the test pressure in PSIG for tubing, casing, and surface casing, along with the corresponding time intervals for validation.
7. Describe the characteristics of the injection fluid and the annulus fluid, following the provided instructions for each entry.
8. Indicate whether the test was witnessed by an RRC representative. If it was witnessed, include the representative's name.
9. Note any additional tests or surveys performed at the same time, if applicable. Provide any operator comments about the test, attaching additional sheets if necessary.
10. Finally, confirm the well status and include the declarative statement by entering the signature, name of the person, telephone number, title, and date.
11. Once all sections are completed, save any changes made to the form and use the available options to download, print, or share the completed document.

Start filling out your Form H-5 online today for a smoother submission process.