CalWIMS

Notice Of Intention To Abandon		Date:
In compliance with Section 3203, Public resources Code, notice is hereby given that it is our intention to commence drilling the following well.

redrill

CalWIMS

Notice Of Intention To Rework		Date:
In compliance with Section 3203, Public resources Code, notice is hereby given that it is our intention to commence drilling the following well.

redrill

CalWIMS

Notice Of Intention To Redrill		Date:
In compliance with Section 3203, Public resources Code, notice is hereby given that it is our intention to commence drilling the following well.

redrill

CalWIMS

Notice Of Intention To Drill New Well		Date:
In compliance with Section 3203, Public resources Code, notice is hereby given that it is our intention to commence drilling the following well.

redrill

WELL STRATIGRAPHIC MARKER
Name	Top True Vertical Depth	Existence
	>	Actual

OIL AND GAS SHOW
Top True Vertical Depth	Bottom True Vertical Depth	Existence
		Actual

WELL DRY HOLE
True Vertical Depth	Geologic Age	Geologic Formation	Existence

Actual

LATEST PRODUCTION
Gas Rate	Oil Rate	Water Rate	Latest Production Date

LATEST INJECTION
Gas Rate	Oil Rate	Water Rate	Latest Injection Date

WELL CASING PLUGS
Top Depth	Bottom Depth	Volume	API Cement Class	Casing Type Plug	Existence
					Actual

WELL CASING PERFORATIONS
Top Depth	Bottom Depth	Shot Density	Existence
>			Actual

LEAD AGENCY
Information for compliance with the California Environmental Quality Ace of 1970 (C.E.Q.A.). If an environmental document has been prepared by the lead agency, please submit a copy of the document with this notice or supply the following information.
Lead Agency Name:	Mailing Address Street:
Mailing Address Street 2:	City:
State:	Zip Code:
First Name:	Last Name:
Phone#: Ext#:

PERSON FILING NOTICE CONTACT INFORMATION
It is understood that if changes to this plan become necessary, we are to notify you immediately. The agent will receive copies of any correspondence (including permits) resulting from this notice. Please add contact information for any other persons you wish to receive copies.
First Name:	Email Address:
Last Name:	Phone#: Ext#:
Mailing Address Street:	Phone#:
Mailing Address Street 2:	Contact Preference: email mail fax
City:	Date Notice Signed: Not Applicable
State:	Notice Submission Date:
Zip Code:

CASING CEMENT
Bottom Depth	Distance above Bottom Depth	Volume	API Cement Class	Cement Device	Cement Mixture	Existence
						Actual

WELL CASING STRING
Type	Diameter	Top Depth	Bottom Depth	Weight	Grade	Existence
						Actual

WELL BORE
Hole Diameter	Well Bore Bottom Depth	Existence
		Actual

WELL ELEVATION
Elevation of ground above sea level:	All depth measurements taken from the top of: Ground Level Casing Flange Crown Valve Derrick Floor Kelly Bushing Rotary Bushing Rotary Table Sea Floor Kickoff Point	That is: above ground.

Actual Plan -1

DIRECTIONAL BOTTOM HOLE LOCATION
Distance Bottom Hole is North or South From Surface Location:	Distance Bottom Hole is East or West From Surface Location:
Bottom Hole North or South Direction: North South	Bottom Hole North or South Direction: East West
True Vertical Depth at Total Depth:	Existence: Plan Plan

WELL USAGE TYPE
Well Usage Type	Intended Zone	Bottom TVD	Top TVD	Expected Pressure	Existence
					Actual

CRITICAL WELL
Is this a critical well according to the definition (default No)?: Yes

WELL PROPERTIES
Are you requesting Exploratory Status (default No)?: Yes
Is this a Multilateral Well (default No)?: Yes
Is this a Directional Well (default No)?: Yes
Tidelands Surface Location (default Onshore): Offshore
Estimated Total Depth:

MINERAL RIGHTS
Legal description of mineral rights consisting of (attach map or plat to scale in attachments screen) is as follows:
Mineral-Right Lease Legal Description: (Describe here or send attachment later in attachments screen.)

SURFACE LEASE
Do mineral and surface leases coincide (default No)?: Yes If answer is no, enter legal description below (or attach map or plat to scale later in Attachments screen).
Surface Lease Legal Description: (Describe here or send attachment later in attachments screen.)

CONFIDENTIAL WELL STATUS
Are you requesting confidential status for this well (default No)?: Yes If yes, please provide reason below.
Confidential Status Request Reason:

C. E. Q. A. INFORMATION
Exempt (default No): Yes	Exempt Class:
Negative Declaration (default No): Yes	S.C.H. NO. or Document ID:
Evironmental Impact Report (default No): Yes	S.C.H. NO. or Document ID:
Document Not Required By Local Jurisdiction (default No): Yes

WELL LOCATION
Lease Name:	Well#:	District:
Section:	Township:	Range:
Base and Meridian:	Field:	County:
Please enter Latitude and Longitude in NAD27 with six (6) decimal points accuracy (Example: "32.123456"). For any urban wells, please submit a location map in the Attachments screen.
Latitude:	Longitude:
Tidelands Surface Location (default Onshore): Offshore
Is this well on a BLM lease (default No): Yes

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