Fillable Test Data BOTTOMHOLE PRESSURE SURVEY REPORT (Minerals Management Service)

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Test Data BOTTOMHOLE PRESSURE SURVEY REPORT (Minerals Management Service)

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U.S.A. forms for Minerals Management Service

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U.S. Department of the Interior
Bureau of Ocean Energy Management
OMB Control No.: 1010-0114
Expiration Date: 02/28/2023
Submit one original plus one copy.
BOTTOMHOLE PRESSURE SURVEY REPORT
Field
Lease
Well Name
Reservoir Name
Operator Name & Address
API No. (with completion code)
Date of Test
Test Data
Shut-in Time
KB to Sea Level Elevation
KB to THF Elevation
THF to Sea Level Elevation
Product (Oil or Gas)
Shut-in Tubing Pressure
Perforations
Bottomhole Pressure Points
(Attach any additional points)
Measured Depth from THF
True Vertical Depth from KB
Pressure
Pressure Gradient
COMPANY CONTACT NAME: 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.
Page 1 of 1
Form BOEM-0140 (February 2020)
Previous Editions are Obsolete.
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Completed 26 September 2021

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