Form BSEE-0133S "Open Hole Data Report (Supplement to the Well Activity Report)"

What Is Form BSEE-0133S?

This is a legal form that was released by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement on March 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2018;
  • The latest available edition released by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BSEE-0133S by clicking the link below or browse more documents and templates provided by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement.

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Download Form BSEE-0133S "Open Hole Data Report (Supplement to the Well Activity Report)"

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U.S. Department of the Interior
OMB Control Number 1014-0018
Bureau of Safety and Environmental
OMB Approval Expires 03/31/2021
Enforcement (BSEE)
OPEN HOLE DATA REPORT (Supplement to the Well Activity Report)
BEGINNING DATE:
ENDING DATE:
REPORT IS NOT TO EXCEED 7 DAYS (1 WEEK) IN DURATION
CORRECTION
CHECK IF THIS IS THE LAST WELL ACTIVITY REPORT
GENERAL INFORMATION
1. API WELL NO. (12 digits)
2. OPERATOR NAME
3. WELL NAME
4. SIDETRACK NO.
5. BYPASS NO.
6. CONTACT NAME / CONTACT TELEPHONE NUMBER / CONTACT E-MAIL ADDRESS
7. OPEN HOLE TOOLS, MUDLOGS, AND DIRECTIONAL SURVEYS
GEOSCIENTIST NAME/ GEOSCIENTIST TELEPHONE NUMBER / GEOSCIENTIST E-MAIL ADDRESS:
Check This Box if Well Total Depth has been reached and this is the Last Logging Run.
http://www.bsee.gov/About-BSEE/Procurement-
INTERVAL DEPTH (MD)
SERVICE COMPANY
DATE
OPERATIONS COMPLETED
TOOL
LOGGING
METHOD
LOG TOOL CODE
Business-Opportunities/BSEE-OCS-Operation-
Forms/tool_code.aspx
TOP
BOTTOM
8. IDENTIFY OTHER OPEN HOLE DATA COLLECTED
Check the following Data Items if collected in the Borehole (Report when data is acquired)
Velocity Surveys
Vertical Seismic Profile
Conventional Cores/Rotary Sidewall Cores
Percussion Sidewall Samples
If Samples are collected, what analysis will be performed? (Report at completion of borehole)
PVT Analysis
Paleo Analysis
Geochem Analysis
CERTIFICATION: I certify that the information submitted is complete and accurate to the best of my knowledge. I understand that making a false statement may subject me to crimincal penalties under 18 U.S.C. 1001.
Name and Title: __________________________________________________________________________________
Date: ______________________________________________
PAPERWORK REDUCTION ACT OF 1995 (PRA) STATEMENT:
The PRA (44 U.S.C. 3501 et seq .) requires us to inform you that we collect this information to obtain knowledge of equipment and procedures to be used in drilling operations.
BSEE uses the information to evaluate and approve or disapprove the adequacy of the equipment and/or procedures to safely perform the proposed drilling operations. Responses are mandatory (43 U.S.C. 1334). Proprietary data are covered under 30 CFR
250.197. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. Public reporting burden for Forms BSEE-0133 and BSEE-0133S is
approximately 1 hour per form per response. This includes the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to the
Information Collection Clearance Officer, Bureau of Safety and Environmental Enforcement, 45600 Woodland Road, Sterling, VA 20166.
BSEE
FORM BSEE-0133S
Page 1 of 1
(March/2018 - Supersedes all previous versions of this form which may not be used.)
U.S. Department of the Interior
OMB Control Number 1014-0018
Bureau of Safety and Environmental
OMB Approval Expires 03/31/2021
Enforcement (BSEE)
OPEN HOLE DATA REPORT (Supplement to the Well Activity Report)
BEGINNING DATE:
ENDING DATE:
REPORT IS NOT TO EXCEED 7 DAYS (1 WEEK) IN DURATION
CORRECTION
CHECK IF THIS IS THE LAST WELL ACTIVITY REPORT
GENERAL INFORMATION
1. API WELL NO. (12 digits)
2. OPERATOR NAME
3. WELL NAME
4. SIDETRACK NO.
5. BYPASS NO.
6. CONTACT NAME / CONTACT TELEPHONE NUMBER / CONTACT E-MAIL ADDRESS
7. OPEN HOLE TOOLS, MUDLOGS, AND DIRECTIONAL SURVEYS
GEOSCIENTIST NAME/ GEOSCIENTIST TELEPHONE NUMBER / GEOSCIENTIST E-MAIL ADDRESS:
Check This Box if Well Total Depth has been reached and this is the Last Logging Run.
http://www.bsee.gov/About-BSEE/Procurement-
INTERVAL DEPTH (MD)
SERVICE COMPANY
DATE
OPERATIONS COMPLETED
TOOL
LOGGING
METHOD
LOG TOOL CODE
Business-Opportunities/BSEE-OCS-Operation-
Forms/tool_code.aspx
TOP
BOTTOM
8. IDENTIFY OTHER OPEN HOLE DATA COLLECTED
Check the following Data Items if collected in the Borehole (Report when data is acquired)
Velocity Surveys
Vertical Seismic Profile
Conventional Cores/Rotary Sidewall Cores
Percussion Sidewall Samples
If Samples are collected, what analysis will be performed? (Report at completion of borehole)
PVT Analysis
Paleo Analysis
Geochem Analysis
CERTIFICATION: I certify that the information submitted is complete and accurate to the best of my knowledge. I understand that making a false statement may subject me to crimincal penalties under 18 U.S.C. 1001.
Name and Title: __________________________________________________________________________________
Date: ______________________________________________
PAPERWORK REDUCTION ACT OF 1995 (PRA) STATEMENT:
The PRA (44 U.S.C. 3501 et seq .) requires us to inform you that we collect this information to obtain knowledge of equipment and procedures to be used in drilling operations.
BSEE uses the information to evaluate and approve or disapprove the adequacy of the equipment and/or procedures to safely perform the proposed drilling operations. Responses are mandatory (43 U.S.C. 1334). Proprietary data are covered under 30 CFR
250.197. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. Public reporting burden for Forms BSEE-0133 and BSEE-0133S is
approximately 1 hour per form per response. This includes the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to the
Information Collection Clearance Officer, Bureau of Safety and Environmental Enforcement, 45600 Woodland Road, Sterling, VA 20166.
BSEE
FORM BSEE-0133S
Page 1 of 1
(March/2018 - Supersedes all previous versions of this form which may not be used.)