| Engineer | Form: (04 )
402928816
1/18/2022 | 1) Report work completed with a Form 4 Sundry REPORT OF WORK DONE - Repair Well noting final pressure test results
2) If wellbore geometry changes or cement work is executed, submit information on a Form 5
3) If a casing leak is identified, contact area engineer with repair plans
4) Complete a Form 21 MIT to verify repairs for injection wells
5) Complete repairs by 4/14/2022
6) Submit an updated WBD
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