| Engineer | Form: (02)
400474553
09/10/2013 | 1) Provide remedial cement from 250’ to at least 50’ above surface casing shoe (due to WW Permit #0041777, 160’ deep, located SWSW13-1N-58W).
2) Injection is not authorized until approval of forms 31 and 33.
3) Prior approval of form 4 is required for step rate and injectivity tests.
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| Engineer | Form: (04)
400474649
09/10/2013 | 1) Provide remedial cement from 250’ to at least 50’ above surface casing shoe (due to WW Permit #0041777, 160’ deep, located SWSW13-1N-58W).
2) Injection is not authorized until approval of forms 31 and 33.
3) Prior approval of form 4 is required for step rate and injectivity tests.
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| UIC | Form: (02)
401485046
03/05/2018 | 1. Injection is not authorized until approval of Subsequent Forms 31 and 33.
2. Retrieve water sample(s) from injection zone(s) before stimulating formation. Samples must be analyzed for Total Dissolved Solids at a minimum.
3. PRIOR TO PERFORMING OPERATIONS: Approval of Form 4 is required for acid and fracturing jobs. (New as of 4/13/2016).
4. PRIOR TO PERFORMING OPERATIONS: Operator is required to contact COGCC to discuss Step Rate Test or Injectivity Test criteria for Maximum Surface Injection Pressure determination. Prior approval of Form 4 is required for step rate and injectivity tests.
5. Operator must provide all tops of formations encountered from surface to TD on the Form 5 when submitted.
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