U.S. Department of the Interior Bureau of Ocean Energy Management |
Submit original plus one copy |
OMB Control No. 1010-0041 Expiration Date: 03/31/13 |
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BOTTOMHOLE PRESSURE SURVEY REPORT |
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Field |
Lease |
Well Name |
Reservoir Name |
Operator Name & Address |
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API No. (with completion code) |
Date of Test |
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Test Data |
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Shut-in Time |
Bottomhole Temperature |
KB Elevation |
Shut-in Tubing Pressure |
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Product (Oil or Gas) |
Test Number (1, 2, ….) |
THF Elevation to sea level |
Perforations |
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Bottomhole Pressure Points (Attach any additional points) |
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Measured Depth from THF |
True Vertical Depth from KB |
Pressure |
Pressure Gradient |
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Company Contact:_______________________________ |
Phone No. _______________________ |
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REMARKS:______________________________________________________________________________ ________________________________________________________________________________________ |
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Paperwork Reduction Act Statement: The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us to inform you that we collect this information to implement the various environmental provisions of the OCS Land Act. We use this information in reservoir engineering calculations for the conservation of natural resources, prevention of waste, and protection of correlative rights including Federal royalty interests. Responses are mandatory (43 U.S.C. 1334). Proprietary data are covered under 30 CFR 550.197. 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 this form is estimated to average 14 hours per response, including the time for lining up the test, performing the test, reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of the form to the Information Collection Clearance Officer, Bureau of Ocean Energy Management, 381 Elden Street, Herdnon, VA 20170. |
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Form BOEM-0140 (October 2011 – Supersedes all previous versions of form BOEM-0140 which may not be used). Page 1 of 1 |
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| File Type | application/msword |
| Author | MMS |
| Last Modified By | Minerals Management Service |
| File Modified | 2011-10-06 |
| File Created | 2011-09-26 |