| Engineer | Form: (04)
400699397
10/01/2014 | Please submit form 17 for previous tests and after each new test. |
| Engineer | Form: (06)
401337335
08/08/2017 | Note changes to submitted form.
1) Provide 48 hour notice of MIRU via electronic Form 42.
2) Shoe plug: Tag 810' plug 50’ above surface casing shoe.
3) Surface plug: Cement from 50' to surface in casing and annulus.
4) Abandoned well marker shall be inscribed with the well identification per Rule 319.a.5.
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