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Florida 

Department of 

Environmental Protection 

Oil&Gas Form 9 

Form Title: WELL COMPLETION REPORT 

(FIRST PRODUCTION OR RETEST REPORT) 

Date Revised: March, 1998 

Incorporated by Reference in: Section 62C-26.008, F.A.C. 

File this report with the Florida Department of Environmental Protection, Oil and Gas Program, 2600 Blair Stone Road, MS 3588, 

Tallahassee, Florida 32399-2400 (phone 850/245-8848), within 30 days after testing. 

Type of Report: 

Permit Number: 

A. P. I. Number: 

 __________________________________________ 

Field: ________________________________________________ 

Operator: _____________________________________________ 

Well Name & Number: __________________________________ 

Type of Well (Oil or Gas): ________________________________ 

County: ______________________________________________ 

Location (Section Calls, Section, T, R) ______________________ 

Date Completed: _______________________________________ 

Flowing or Pumping: ____________________________________ 

Production Horizon: _____________________________________ 

Producing From: __________________ To: _________________ 

Perforated From: __________________ To: ________________ 

Oil String Size: _________________ Seat:: _________________ 

Tubing Size: ___________________ Bottom: _______________ 

Total Depth: ___________________________________________ 

Elevation: DF ___________ KB ____________ GL ___________ 

Type of Subsurface Safety Device: _________________________ 

Depth Set: ____________________ DF Ht.: _________________ 

(First Production or Retest?) 

Time Gauged or Metered: ________________________________ 

Opening Tank Gauge: _________________ Ft. ___________ In. 

Closing Tank Gauge: __________________ Ft. ___________ In. 

Difference: ___________________________Ft. ___________ In. 

Volume Metered: _______________________________________ 

Tank Co-Eff. (Bbls./In.) _________________________________ 

Oil ________________________ Bbls. per _______________ Hrs. 

Gas ________________________ M.C.F. per ____________ Hrs. 

Salt Water ___________________ Bbls. per _____________ Hrs. 

Oil ______________________________ Estimated Bbls. per Day 

Salt Water ________________________ Estimated Bbls. per Day 

Gas ___________________________ Estimated M.C.F. per Day 

Choke Size: ______________________ Type: _______________ 

If pumping, Strokes/Min.: _________________________________ 

Gas Oil Ratio: _________________________________________ 

Tubing Pressure: _______________________________________ 

Casing Pressure: _______________________________________ 

Volume or Percent B. S. & W.: ____________________________ 

Corrected Gravity: ______________ A.P. I. __________________ 

Amount of Oil Produced Prior to Test: ______________________ 

BHSI Pressure: ________________________________________ 

Gauged By: ______________________________________________________________________________________________________ 

(Name) (Title) 

Witnessed By: ____________________________________________________________________________________________________ 

(Name) (Title) 

[Type here] 
 

 

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OPERATOR’S STATEMENT 

State: _________________________________
 

County: ________________________________
 

I, _____________________________________________________, am the ___________________________________________________
 (Name) (Title) 

of ________________________________________________________ and attest that all information contained herein is true and correct. 

(Name of Company) 

Date: ___________________________________________________ 

Signature: ________________________________________________ 

DEP No. 51-005(16)