This Form Is Not to Be Used

This form is not to be used
For reporting Packer Leakage
Test in Northwest New Mexico / NEW MEXICO OIL CONSERVATION DIVISION

SOUTHEAST NEW MEXICO PACKER LEAKAGE TEST

/

Revised 11/23/11

Well API #______

Operator ______Well Name & No.______

Location Of Well: Unit ______Section ______Township ______Range ______County ______

Name of Reservoir or Pool / Type of Prod.
(Oil or Gas) / Method of Prod.
(Flow Art. Lift) / Prod. Medium
(Tbg. Or Cag.) / Choke Size
Upper
Completion
Lower
Completion

FLOW TEST NO. 1

Both zones shut-in at (hour, date): ______

Upper Lower

Well opened at (hour, date): ______Completion Completion

Indicate by (X) the zone producing………………………………………………………………… ______

Pressure at beginning of test……………………………………………………………………….. ______

.

Stabilized? (Yes or No)…………………………………………………………………………… ______

Maximum pressure during test……………………………………………………………………. ______

Minimum pressure during test…………………………………………………………………….. ______

Pressure at conclusion of test……………………………………………………………………… ______

Pressure change during test (Maximum minus Minimum)……………………………………….. ______

Was pressure change an increase or a decrease?………………………………………………….. ______

Total Time On

Well closed at (hour, date):______Production ______

Oil Production Gas Production

During Test: ______bbls; Grav. ______; During Test ______MCF; GOR ______

Remarks: ______

______

FLOW TEST NO. 2

Both zones shut-in at (hour, date): ______

Upper Lower

Well opened at (hour, date): ______Completion Completion

Indicate by (X) the zone producing………………………………………………………………… ______

Pressure at beginning of test……………………………………………………………………….. ______

Stabilized? (Yes or No)…………………………………………………………………………… ______

Maximum pressure during test……………………………………………………………………. ______

Minimum pressure during test…………………………………………………………………….. ______

Pressure at conclusion of test……………………………………………………………………… ______

Pressure change during test (Maximum minus Minimum)……………………………………….. ______

Was pressure change an increase or a decrease?………………………………………………….. ______

Total Time On

Well closed at (hour, date):______Production ______

Oil Production Gas Production

During Test: ______bbls; Grav. ______; During Test ______MCF; GOR ______

Remarks: ______

______

I hereby certify that the information herein contained is true and complete to the best of my knowledge.

Approved ______20______Operator ______

New Mexico Oil Conservation Division

By ______

By ______Title ______

Title ______E-mail Address ______

Date ______