STATE OIL AND GAS BOARD OF ALABAMA 

Well Record and Completion or Recompletion Report 

 ___________________________________________ ____________________________________________ 01 - - - - 

 Permit Number API Number 

 New Drill/Reentry Deepen Recompletion Conversion Sidetrack Plug Back 

Name of Operator ____________________________________________________________________________________________________ 

Address ____________________________________________ City _______________________ State ____________ Zip _____________ 

1. Well name and number 2. County 

(give footage from nearest section or offshore tract lines) Section-Township-Range or Tract 3. Well 

Location 

(actual surface) 

 Latitude Longitude 

(NAD27) ▪ (NAD27) ▪

(give footage from nearest section or offshore tract lines) Section-Township-Range or Tract 4. Well 

Location 

(actual bottom hole) 

 Latitude Longitude 

(NAD27) ▪ (NAD27) ▪

5. Field (If wildcat, so state) 6. Pool(s) 7. Closest distance from borehole 

 within pool to nearest unit line feet

8. Drilling contractor 9. Date spudded 10. Date drilling reached total depth 

11. Surveyed elevations (feet): KB DF GL 

12. Total Depth: driller logger plug back 

13. Total Depth in sidetracked hole: driller logger plug back 

14. Kickoff point: direction @ depth of 15. Depths measured from: KB DF GL 

16. Workover: Contractor Date operations commenced Date operations completed 

 CASING AND LINER RECORD Depth set below 

KB GL 

Purpose Size Weight/ft. Name & Type Other _______________ 

_____________________ _____________________ _____________________ _____________________ _____________________ 

_____________________ _____________________ _____________________ _____________________ _____________________ 

_____________________ _____________________ _____________________ _____________________ _____________________ 

_____________________ _____________________ _____________________ _____________________ _____________________ 

_____________________ _____________________ _____________________ _____________________ _____________________ 

CEMENT RECORD FOR CASING AND LINER 

Size of hole Interval cemented Date No. sacks 

of cement 

Yield 

(ft3

/sk) 

Type 

cement 

Test 

pressure 

Service 

company 

__________ _________to_________ ___________ _________ _________ _________ _________ _____________ 

__________ _________to_________ ___________ _________ _________ _________ _________ _____________ 

__________ _________to_________ ___________ _________ _________ _________ _________ _____________ 

__________ _________to_________ ___________ _________ _________ _________ _________ _____________ 

SQUEEZE CEMENT RECORD 

Interval squeezed Date No. sacks 

of cement 

Yield 

(ft3

/sk) 

Type 

cement 

Service 

company 

__________to__________ ___________ _____________ _____________ _________________ _______________________ 

__________to__________ ___________ _____________ _____________ _________________ _______________________ 

__________to__________ ___________ _____________ _____________ _________________ _______________________ 

__________to__________ ___________ _____________ _____________ _________________ _______________________ 

PERFORATION RECORD 

Interval perforated Date Holes/ft. Size & Type Service company 

___________to___________ _________________ _________________ _________________ _________________________ 

___________to___________ _________________ _________________ _________________ _________________________ 

___________to___________ _________________ _________________ _________________ _________________________ 

___________to___________ _________________ _________________ _________________ _________________________ 

___________to___________ _________________ _________________ _________________ _________________________ 

___________to___________ _________________ _________________ _________________ _________________________ 

___________to___________ _________________ _________________ _________________ _________________________ 

Form OGB-7, Rev. 07/13

(File in triplicate) 
Form OGB-7 ________________________ 

 (Page 2) Permit Number 

TUBING RECORD 

Size Weight/ft. Name & Type Depth set 

__________________ _________________ ____________________________________ ______________________________________ 

__________________ _________________ ____________________________________ ______________________________________ 

___________________ _________________ ____________________________________ ______________________________________ 

PACKER RECORD 

Size (O.D.) Size (I.D.) Name & Type Depth set Date Test pressure 

______________ _____________ ___________________________ _______________ _______________ _________________ 

______________ _____________ ___________________________ _______________ _______________ _________________ 

______________ _____________ ___________________________ _______________ _______________ _________________ 

MECHANICAL PLUG 

Size Weight range Name & Type Depth set Date Test pressure 

______________ _____________ ___________________________ _______________ _______________ _________________ 

______________ _____________ ___________________________ _______________ _______________ _________________ 

______________ _____________ ___________________________ _______________ _______________ _________________ 

WELL STIMULATION AND TREATMENT RECORD* 

Process Interval Date Material & Quantity Pressure Service company 

____________ ___________to___________ _________ _______________________ _________ _________________________ 

____________ ___________to___________ _________ _______________________ _________ _________________________ 

____________ ___________to___________ _________ _______________________ _________ _________________________ 

____________ ___________to___________ _________ _______________________ _________ _________________________ 

* Full details should be given on Form OGB-6, Report of Well Treatment. 

DRILL STEM TEST RECORD** 

Test date Interval Type and volume of fluids recovered (oil, gas, water, etc.) 

______________ ____________to____________ _____________________________________________ ; Rw = _____________________ 

______________ ____________to____________ _____________________________________________ ; Rw = _____________________ 

______________ ____________to____________ _____________________________________________ ; Rw = _____________________ 

______________ ____________to____________ _____________________________________________ ; Rw = _____________________ 

** Submit two copies of drill stem test results with this form. 

ARTIFICIAL LIFT 

Date installed: _________________________________ Type: ______________________________ Depth: __________________________ 

Phone number 

Fax number 

Person to contact regarding this form 

E-mail Address 

Remarks: 

Executed this the _______ day of ____________________ , 20 __________ ___________________________________________________ 

Signature

 Before me, the undersigned authority, on this day personally appeared ________________________________________ known to me to be the person 

whose name is subscribed to the above instrument, who being by me duly sworn on oath states that he/she is duly authorized to make the above report and that he/she 

has knowledge of the facts stated therein, and that said report is true and correct.

Subscribed and sworn to before me this _______ day of ____________________ , 20 _________ 

SEAL 

My commission expires ____________________ 

_____________________________________

Notary Public in and for _____________________ 

County, ________________________________