| Engineer | Form: (04) 402752674 12/22/2021 | 1) This approval is good for one year and a new application must be made before 7/15/2022 (1 year from prior application). Updates for the planned utilization of the well should be included with the application.
2) The Form 7 reporting must reflect the well status dates reported on the Form 4-TA request. Correct production reporting from SI to TA for 8/2017-6/2019
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