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This document is used for reporting the details of well plugging for core, exploratory, or seismic holes that do not penetrate salt water, to be filed within 60 days after holes are plugged.
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How to fill out affidavit and plugging report

How to fill out AFFIDAVIT AND PLUGGING REPORT
01
Begin by filling out the top section with your name, address, and contact information.
02
Specify the title 'Affidavit and Plugging Report' prominently at the top.
03
Include details about the well, such as its name, location, and identification number.
04
Indicate the type of plugging activity undertaken and provide a summary of the work completed.
05
List materials used for plugging, including quantities and types.
06
Attach any necessary supplemental documentation, such as photographs or engineering reports.
07
Sign the affidavit in the presence of a notary public to ensure its validity.
08
Submit the completed report to the appropriate regulatory agency.
Who needs AFFIDAVIT AND PLUGGING REPORT?
01
Individuals or companies responsible for the plugging of abandoned wells.
02
Environmental regulatory agencies that require documentation of well plugging activities.
03
Landowners or operators needing to demonstrate compliance with local or state regulations.
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What is AFFIDAVIT AND PLUGGING REPORT?
An Affidavit and Plugging Report is a legal document that verifies the proper plugging and abandonment of oil and gas wells, ensuring that they are sealed according to regulatory standards to prevent environmental contamination.
Who is required to file AFFIDAVIT AND PLUGGING REPORT?
Operators or owners of oil and gas wells that are being plugged and abandoned are required to file an Affidavit and Plugging Report with the relevant regulatory authority.
How to fill out AFFIDAVIT AND PLUGGING REPORT?
To fill out the Affidavit and Plugging Report, ensure you provide accurate information regarding the well's location, the methods used for plugging, date of plugging, and any relevant certifications from plugging companies or personnel.
What is the purpose of AFFIDAVIT AND PLUGGING REPORT?
The purpose of the Affidavit and Plugging Report is to demonstrate compliance with environmental regulations by documenting the proper sealing of wells to prevent leaks and protect groundwater resources.
What information must be reported on AFFIDAVIT AND PLUGGING REPORT?
The report must include well identification details, plugging methods used, dates of plugging operations, signatures of responsible parties, and any required logs or supporting documentation.
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