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3173 11 site facility diagram

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N.W. Mail Stop 401 LS Washington D.C. 20240 Form 3160-5 page 2. Lease Serial No* SUNDRY NOTICES AND REPORTS ON WELLS Do not use this form for proposals to drill or to re-enter an abandoned well* Use Form 3160-3 APD for such proposals. 6. If Indian Allottee or Tribe Name 7. If Unit of CA/Agreement Name and/or No* SUBMIT IN TRIPLICATE Other instructions on page 2. 1. Type of Well Oil Well Gas Well 8. Well Name and No* Other 2. Name of Operator 9. API Well No* 3a* Address 3b. Phone No* include ar ...

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