API No.: 42-

11. Purpose of filing A. Producers Initial potential Retest Reclass 6. Well Latitude/Longitude (minimum five decimal pl aces required): Latitude/Longitude type: Well record only (explain in remarks) 12a. Spud date B. Injection/Disposal/ Recompletion or reclass M ultiple completion Storage/Brine Mining 12b. Date of first production after rig released Initial completion Reclass Well record only 14. Type(s) of electric or other log(s) run (explain in remarks)

15. Date of test 16. Gas measurement method (check all that apply) 17. Gas production during

Orifice meter Flange taps Positive choke Pitot tube Other test Mass flow meter Pipe taps Orifice vent meter Critical flow prover (explain in remarks) MCF Temp. Gravity (Ftf ) (Fg ) 1 2 3 4 Was the well preflowed for 48 hours? YES NO 21. Gravity (mixture) Deg. API CF/Bbl Gmix = °F °F@ (Depth)

Shut-In 3 1 4 2 5 24. Type of completion 25. Permit to Drill, Plug DATE PERMIT NO. Back, or Deepen New well Deepening Side track O ther Rule 37 Exception DATE CASE NO. Re-entry Plug back Recompletion (explain in remarks) 26. Number of producing wells on this lease in this field (reservoir) 27. Total number of acres in lease Fluid Injec tion DATE PERMIT NO. including this well Permit F- O&G Waste Disposal DATE PERMIT NO. 28. Date of plug back, Commenced Ended 29. Distance tonearest well in this Permit deepening, recompletion, lease & reservoir Other (explain) DATE PERMIT NO. or drilling operations 30. Elevation (DF, RKB, RT, GR, etc.) 31. Was directional survey made other than inclination (Form W-12)? YES NO 34. For new drill or re-entry, surface casing depthdetermined by: TVD MD TVD MD GAU Groundwater Protection Depth: Determination Date: 35. Rotation time within surface casing 36. Is Cementing Affidavit (Form W-15) (hours) attached? SWR 13 Exception Depth: YES NO 

### http://www.rrc.state.tx.us)

Volume Well No. RRC Operator No.

Choke Size (in.) Wellhead Press. PW (PSIA) Wellhead Flow Temp.

(°F) 18. Gravity (dry gas) 

### GAS MEASUREMENT DATA

Run No. Line Size Orif. or Choke

Size (in.) 24 hr. Coeff. Orif. or

Choke (in.) Static P m or Choke (in.)

Run No. Time of Run

(Min.) 22.Avg. shut-in temp. 20. Gas-Liquid Hydro Ratio 19. Gravity (liquid hydrocarbon) 5a. Location (section, block and survey)

Prior Service Type (oil, gas, 13. If recompletion or reclass, give former field ( with reservoir) & Gas ID or Oil Lease No. If multip le completion, list all reservoir names (completions i n this well) and Gas ID or Oil Lease No. Field & Reservoir Gas ID or Oil Lease No.

Compress 5b. This well is located _____________ miles in a _______________ direction from _______________, whic h is the nearest town in the county.

injection/disposal, other)



### DATA ON WELL COMPLETION

Diff. ( hw )

23. Bottom hole temp. 

### FIELD DATA AND PRESSURE CALCULATIONS

Run No. Time of Run

(Min.) Choke Size (in.) Wellhead Press. PW(PSIA) Wellhead Flow

Temp. (°F) Flow Temp. (°F) 

### Type or Print Only (Online filing availabe at 

## RAILROAD COMMISSION OF TEXAS Oil and Gas Division 

# Form G-1 Rev. 01/2014

(F pv ) (MCF/day) 7. RRC District No. 8. RRC Gas ID No. 

## GAS WELL BACK PRESSURE TEST, COMPLETION OR RECOMPLE TION REPORT, AND LOG
3. Operator's Name (exactly as shown on Form P-5, O rganization Report) 4. Operator's Address (include street, city, state, zip code) 9. Well No. 1. Field Name (as per RRC Records or Wildcat) 2. Lea se Name 10. County

33. Plug Back Depth (ft.) 32. Total Depth (ft.)API No.: 42- 37.

1 2 3 4 38.

1 2 

### 39. 40. Does this well currently have tubing set? YES NO From To From To From To From To From To 41. Was hydraulic 42. Is well equipped with a downho le 43. Production casing test pressure 44. Actual maximum 45. Has the hydraulic fracturing fluid fracturing treatment actuation sleeve? YES NO (PSIG) prior to hydraulic fracturing pressure (PSIG) during disclosure been reported to FracFocus performed? If yes, provide actuation pressure (PSIG) treatment hydraulic fracturing disclosure registry (SWR 29)? YES NO YES NO

From To From To From To

47. Do the producing intervals of this well produceH 2 S with a 48. Is the completion being down-hole commingled (S WR 10)? concentration in excess of 100 ppm (SWR 36)? YES NO YES NO 

### REMARKS: 

# Form G-1

Slurry Volume (cu. ft.) Top of Cement



### LINER RECORD

Cement Cement Slurry Volume



### ACID, FRACTURE, CEMENT SQUEEZE, CAST IRON BRIDGE PL UG, RETAINER, ETC. Top of Cement Determined By

Type of Operation (indicate acid, fracture, cement squeeze,

cast iron bridge plug, retainer, etc.) 

### PRODUCING/INJECTION/DISPOSAL INTERVAL Liner Size (in.) Hole Size (in.) Liner Top (ft.) Liner Bottom (ft.) Top of Cement Determined by 

### CASING RECORD

Row Type of Casing (conductor, surface, intermediate, conventional production, tapered production or other) Casing Size (in.) Hole Size (in.) Setting Depth (ft.) Multi-Stage

Tool Depth (ft.) Multi-Stage

Shoe Depth (ft.) Cement Class Cement Amount (sacks)

Row Class Top of (cu. ft.)

Indicate if formation is a permitted disposal/injec tion formation, productive zone, potential flow zone, and/or a zonewith

corrosive formation fluids TVD MD Is formation isolated in this well? (YES/NO) (if NO, explain in remarks) 

### TUBING RECORD Indicate top and bottom measured depths of completi on interval(s) or open hole



### 46. FORMATION RECORD (list depths of principal geological markers and fo rmation tops, including, but not limited to, allpermitted disposal/injection formations within 1/4-mile of the wellbore, productive zones, potential flow zones, and corrosive formation fluidzones) Principal Geological Markers and Formation Tops Depth (ft.) Amount and Kind of Material Used Depth Interval (ft. ) Size (in.) Depth Set (ft.) Packer Depth/Type Cement Amount (sacks)



### OPERATOR’S CERTIFICATION: I declare under penalties prescribed in Sec. 91.143 , Texas Natural Resources Code, that I am authorize d to make this report, that I prepared or supervised and dire cted this report, and that data and facts stated th erein are true, correct, and complete, to the best of my knowledge.



### _____________________________________ _________________________________________ Tel:_______________

_________ Signature: Operator’s representative Title Area Code Number



### _________________________________________ _______________________________ _________________________ ____________________ Printed Name Date Email (include email address only if you affirmatively consent to its public release)