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Form W-3C, Certification of Surface Equipment Removal for an 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the OPERATOR NAME exactly as shown on your P-5 Organization Report in the designated field.
- Fill in the OPERATOR ADDRESS, ensuring you include the city, state, and zip code.
- Input your OPERATOR P-5 NUMBER. If filing for a single well, complete fields 4 through 10 with relevant information such as LEASE NAME, API NUMBER, and FIELD NAME.
- If certifying multiple wells, leave fields 4 through 10 blank and enter the number of wells and pages in Item 11.
- Check all applicable certification boxes (A-D) based on your compliance status regarding surface equipment removal.
- Sign and date the form at the bottom. Ensure that all entries are clear and legible.
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Related links
CERTIFICATION OF. SURFACE EQUIPMENT REMOVAL. FOR AN INACTIVE WELL. Form W-3C. (Rev. 06/2019}. 1. OPERATOR NAME exactly as shown on P-5. Organization Report.Read more
Cleaning of Equipment for Water Sampling (Version 2.0, 4/2004) This report is accessible online at These data are used for
Admin. Code 3.15) to DocHub that an operator has fulfilled the requirements related to surface equipment removal for an inactive well. A person with personalRead more