For INJECTION WELLS FORM UIC-WH1 - dnr louisiana 2025

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The document outlines the requirements for filing a report with the Injection & Mining Division after completing work on an injection well. It specifies that one original and two copies of the report must be submitted within twenty days, detailing well history, work performed, casing and cement records, testing data, and signatures from authorized personnel. The form includes sections for various technical details related to the well's construction and testing.

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Click ‘Get Form’ to open the For INJECTION WELLS FORM UIC-WH1 in the editor.
Begin by entering the SERIAL NUMBER and APPLICATION/PERMIT NUMBER at the top of the form. Ensure these are accurate as they are crucial for identification.
Fill in the PERMITTED INJECTION ZONE, including TOP and BOTTOM depths. This information is essential for regulatory compliance.
Complete the WELL DATA section, specifying WORK TYPE and WELL TYPE by checking the appropriate boxes. Provide details such as WELL NAME and OPERATOR information.
In the CASING AND LINER RECORD section, input historical casing data, including sizes and depths. If any information is unknown, indicate it clearly.
Proceed to fill out the PLUG BACK RECORD with acceptable plug types and their respective depths. Ensure all measurements are precise.
Finally, review all sections for completeness before signing and dating your submission at the bottom of the form.

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