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Get TX H-1A 2004-2024

5. Current Lease Name 6. Lease/Gas ID No. 7. Lease is __________ miles in a __________________ direction from ________________________________ (center of nearest town). 8. Well No. 9. API No. 10. UIC No. 11. Total Depth 12. Date Drilled 13. Base of Usable Quality Water (ft) 14. (a) Legal description of well location, including distance and direction from survey lines: (b) Latitude and Longitude of well location, if known (optional) 15. New Injection Well Ƒ or Injection Well Amendment Ƒ .

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