form 1022a – vacuum pump use application. this presentation will assist you in the completion of...
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FORM 1022A – VACUUM PUMP USE APPLICATION
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FORM 1022A – VACUUM PUMP USE APPLICATION
This presentation will assist you in the completion of the Form 1022A. The vacuum use application.
Date of Last Revision: 2002
Rule Requirement: 10-3-31
Explanation of Form: Operator shall file one copy of Form 1022A with the required attachments with the Technical Services Department of the Conservation Division. [Reference 165:10-3-31]
Question concerning this Form: For more information contact Geology Department at (405) 521-6044.
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FORM 1022A – VACUUM PUMP USE APPLICATION
TYPE OF APPLICATION – WELL or LEASE
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FORM 1022A – VACUUM PUMP USE APPLICATION
CD NUMBER – This item is not needed unless the use is protested and is referred to Administrative Law.
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FORM 1022A – VACUUM PUMP USE APPLICATION
NAME OF OPERATOR
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FORM 1022A – VACUUM PUMP USE APPLICATION
OTC/OCC OPERATOR NUMBER
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FORM 1022A – VACUUM PUMP USE APPLICATION
MAILING ADDRESS, PHONE NUMBER, CITY, STATE, ZIP CODE AND FAX NUMBER
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FORM 1022A – VACUUM PUMP USE APPLICATION
LEASE NAME / NUMBER
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FORM 1022A – VACUUM PUMP USE APPLICATION
NUMBER OF WELLS ON LEASE
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FORM 1022A – VACUUM PUMP USE APPLICATION
LOCATION WITHIN THE SECTION, SECTION, TOWNSHIP AND RANGE ALONG WITH THE COUNTY WHERE THE WELLS ARE LOCATED
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FORM 1022A – VACUUM PUMP USE APPLICATION
API NUMBER
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FORM 1022A – VACUUM PUMP USE APPLICATION
OTC LEASE NUMBER
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FORM 1022A – VACUUM PUMP USE APPLICATION
COMPLETION DATE
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FORM 1022A – VACUUM PUMP USE APPLICATION
TOP OF PAY AVERAGE DEPTH
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FORM 1022A – VACUUM PUMP USE APPLICATION
PRODUCING FORMATION(S)
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FORM 1022A – VACUUM PUMP USE APPLICATION
DATE OF LAST TEST – - Oil (In Barrels) - Water (In Barrels) - Gas (In MCF)
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FORM 1022A – VACUUM PUMP USE APPLICATION
AVERAGE TEST (IF LEASE APPLICATION) - Oil (In Barrels) - Water (In Barrels) - Gas (In MCF)
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FORM 1022A – VACUUM PUMP USE APPLICATION
VACUUM APPLIED FOR – (Indicate if measured in PSIG or Inches of Mercury)
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FORM 1022A – VACUUM PUMP USE APPLICATION
VACUUM BEING PULLED _______ INCHES OF MERCURY
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FORM 1022A – VACUUM PUMP USE APPLICATION
ESTIMATED INCREASE IN PRODUCTION - Oil (In Barrels) - Water (In Barrels) - Gas (In MCF)
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FORM 1022A – VACUUM PUMP USE APPLICATION
PLANNED DISPOSITION OF GAS – CHECK ONE - Sale - Flare - Vent - Fuel
Permit Number
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FORM 1022A – VACUUM PUMP USE APPLICATION
NUMBER OF WELLS WITHIN 1 MILE RADIUS ON VACCUM
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FORM 1022A – VACUUM PUMP USE APPLICATION
HAVE OFFSET OPERATORS BEEN NOTIFIED OF THIS APPLICATION? Do not make application unless this item has been completed.
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FORM 1022A – VACUUM PUMP USE APPLICATION
REQUIRED DATA – These items must be attached to this application or it cannot be processed.
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FORM 1022A – VACUUM PUMP USE APPLICATION
OPERATOR’S SIGNATURE BLOCK
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FORM 1022A – VACUUM PUMP USE APPLICATION
FOR OCC USE ONLY – Do Not Write Below this Line