Form MMS-133 Well Activity Report

30 CFR 250, Subpart D, Oil and Gas Drilling Operations

Form 133 exp 8-11.xls

465b(3); 466; 467; 468b, c; 469 - Applying for Permit to Modify and Well Records

OMB: 1010-0141

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Overview

MMS-133 pg 1
MMS-133 pg 2
MMS-133 pg 3


Sheet 1: MMS-133 pg 1

U.S. Department of the Interior

OMB control Number 1010-0141
Minerals Management Service
Submit ORIGINAL OMB Approval Expires xx/xx/xxxx


WELL ACTIVITY REPORT




BEGINNING DATE:


ENDING DATE:



REPORT IS NOT TO EXCEED 7 DAYS (1 WEEK) IN DURATION



CORRECTION
CHECK IF THIS IS THE LAST WELL ACTIVITY REPORT
GENERAL INFORMATION
1. API WELL NO. (10 digits) 2. OPERATOR NAME



3. WELL NAME

4. SIDETRACK NO.


5. BYPASS NO.

6. CONTACT NAME / CONTACT TELEPHONE NUMBER / CONTACT E-MAIL ADDRESS





7. RIG NAME OR PRIMARY UNIT (e.g., wireline unit, coil tubing unit, etc.) 8. WATER DEPTH (surveyed) (ft) 9. ELEVATION AT KB (Surveyed) (ft)




10. CURRENT WELLBORE INFORMATION
SURFACE BOTTOM
LEASE NO. AREA NAME BLOCK NO. LEASE NO.
BLOCK NO.







WELLBORE START DATE TD DATE STATUS END DATE KOP (MD) MD TVD MW PPG LAST BOP TEST DATE LAST BOP TEST PRESSURE










LOW HIGH





11. WELLBORE HISTORICAL INFORMATION
WELLBORE BOTTOM LEASE START DATE TD DATE PA DATE FINAL MD FINAL TVD




























































































MMS Form MMS-133 (August 2008 - Supersedes all previous versions of form MMS-133 which may not be used.) Page 1 of 3

Sheet 2: MMS-133 pg 2

WELL ACTIVITY REPORT
12. CASING / LINER / TUBING RECORD
TUBULAR TYPE HOLE SIZE (IN) SIZE (IN) WEIGHT (#/ft) GRADE TEST PRESSURE (psi) SHOE TEST (EMW) SETTING DEPTH (MD) CEMENT QUANTITY (cubic ft.)
TOP BOTTOM


























































































13. WELL ACTIVITY SUMMARY
Provide a daily summary of well activities.












14. Open Hole Log Data
Minerals Management Service's Technical Data Management Section requires an Open Hole Well Report (Form MMS-133S) to accompany this Well Activity Report if any of the below conditions have occurred for this wellbore during this period:

None of the following have occurred:












Any of the above have occurred; if checked then submit Form MMS-133S.
15. Significant Well Events
Please check as many events from the list below:


Kick Occurrence
Well Control Equipment Failure


Shallow Water Flow
H2S Encounter


Weather and Oceanographic Conditions
New Technology Failure


General Rig Equipment Failure
Stuck Pipe


Lost Returns
Wellbore Integrity Failure


Station Keeping Failure
Other




















MMS Form MMS-133 (August 2008 - Supersedes all previous versions of form MMS-133 which may not be used.) Page 2 of 3

Sheet 3: MMS-133 pg 3

WELL ACTIVITY REPORT






















Please provide narrative information with regards to any significant events. Provide attachments, if necessary.
































MMS:



































































































































































































PAPERWORK REDUCTION ACT OF 1995 (PRA) STATEMENT: The PRA (44 U.S.C. 3501 et seq.) requires us to inform you that we collect this information to obtain knowledge of equipment and procedures to be used in drilling operations. MMS uses the information to evaluate and approve or disapprove the adequacy of the equipment and/or procedures to safely perform the proposed drilling operations. Responses are mandatory (43 U.S.C. 1334). Proprietary data are covered under 30 CFR 250.197. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. Public reporting burden for forms MMS-133 and MMS-133S is estimated to average between 0.5 - 3 hours per response, depending on whether it is a paper submittal or electronic submittal. This includes the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Mail Stop 4230, Minerals Management Service, 1849 C Street, NW, Washington, DC 20240.
























MMS Form MMS-133 (August 2008 - Supersedes all previous versions of form MMS-133 which may not be used.) Page 3 of 3
File Typeapplication/vnd.ms-excel
AuthorMMS
Last Modified Byblundonc
File Modified2008-04-28
File Created2005-01-03

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