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    Oklahoma Corporation Commission: Packer Setting Report

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    eng20072007
    The document is a packer setting report form used by the Oklahoma Corporation Commission Oil and Gas Conservation Division. It collects information about the operator, well location, type of packer used, date set, and certification that the packer effectively sealed the annular space to prevent fluid movement across it. A diagram is also included to sketch the multiple completion installation.

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    Oklahoma Corporation Commission: Packer Setting Report

    Uploaded by

    eng20072007
    75 views2 pages
    The document is a packer setting report form used by the Oklahoma Corporation Commission Oil and Gas Conservation Division. It collects information about the operator, well location, type of packer used, date set, and certification that the packer effectively sealed the annular space to prevent fluid movement across it. A diagram is also included to sketch the multiple completion installation.

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    Original Title

    1024

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    The document is a packer setting report form used by the Oklahoma Corporation Commission Oil and Gas Conservation Division. It collects information about the operator, well location, type of packer used, date set, and certification that the packer effectively sealed the annular space to prevent fluid movement across it. A diagram is also included to sketch the multiple completion installation.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    75 views2 pages

    Oklahoma Corporation Commission: Packer Setting Report

    Uploaded by

    eng20072007
    The document is a packer setting report form used by the Oklahoma Corporation Commission Oil and Gas Conservation Division. It collects information about the operator, well location, type of packer used, date set, and certification that the packer effectively sealed the annular space to prevent fluid movement across it. A diagram is also included to sketch the multiple completion installation.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
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    OKLAHOMA CORPORATION COMMISSION Form 1024

    Oil & Gas Conservation Division Rev. 2001


    Post Office Box 52000
    Oklahoma City, Oklahoma 73152-2000

    Packer Setting Report

    Operator OCC No.

    Address Phone No.

    City State Zip FAX No.

    Well Name/No. API No. OTC No.

    Location within Section Sec Twp Rge County

    Make/Type of Packer Packer Depth Set Date Packer Set

    Service Company Name Service Co. Representative

    I, the undersigned, being of lawful age and having full knowledge of the facts herein set out do certify that the data and facts presented are true, correct

    and complete. That the purpose of setting this packer was to effect a seal in the annular space between two strings of pipe where the packer was set

    so as to prevent the commingling, in the bore of this well, of fluids produced from a stratum below the packer with fluids produced from a stratum above the

    packer; that this packer was properly set and that it did, when set, effectively and absolutely seal off the annular space between the two strings of pipe

    where it was set in such manner as that it prevented any movement of fluids across the packer.

    Signature Date Name & Title (Typed or Printed)

    STATE OF OKLAHOMA )
    )
    ) SS:
    )
    COUNTY OF )

    Subscribed and sworn to before me, a Notary Public, this day of , .

    My Commission Expires:
    Notary Public
    DIAGRAMMATIC SKETCH SHOWING MULTIPLE COMPLETION INSTALLATION

    Date

    Operator

    Lease

    Location within Sec.

    Sec Twp Rge

    County

    Field

    Casing Set Depth Total Depth

    Top at Feet

    UPPER ZONE Name Perforated Feet

    Completion this zone: This zone produced thru:

    Bottom at Feet

    Packer set at Feet

    Tubing Landed at Feet

    Top at Feet

    LOWER ZONE Name Perforated Feet

    Completion this zone: This zone produced thru:

    Bottom at Feet

    NOTE: This form is furnished only as an example. The diagrammatic sketch which is filed should depict the particular installation for which approval is
    being requested.

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