BOEM-0140 Bottomhole Pressure Survey Report

U.S. Department of the Interior
Bureau of Ocean Energy Management

OMB Control No.: 1010-0114
Expiration Date: xx/3x/202x
Submit one original plus one copy.

BOTTOMHOLE PRESSURE SURVEY REPORT
Field

Lease

API No. (with completion code)

Well Name

Reservoir Name

Operator Name & Address

Date of Test

Test Data
Shut-in Time

Bottomhole Temperature

KB to Sea Level Elevation

Product (Oil or Gas)

Test Number (1, 2, ….)

Shut-in Tubing Pressure

KB to THF Elevation

THF to Sea Level Elevation

Perforations

Bottomhole Pressure Points
(Attach any additional points)
Measured Depth from THF

COMPANY CONTACT NAME:

True Vertical Depth from KB

Pressure

Pressure Gradient

TELEPHONE NO.

_______________________________________________________________________________________
COMPANY CONTACT ADDRESS:

EMAIL ADDRESS:

_______________________________________________________________________________________
REMARKS:

_______________________________________________________________________________________
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 15 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, 45600 Woodland Road, Sterling, VA 20166.

Form BOEM-0140 (Month 2020)
Previous Editions are Obsolete.

Page 1 of 1