DEP Oil&Gas Form 11 "Monthly Producer's Natural Gas Report" - Florida

DEP Form Oil&Gas11 is a Florida Department of Environmental Protection form also known as the "Monthly Producer's Natural Gas Report". The latest edition of the form was released in March 1, 1998 and is available for digital filing.

Download a PDF version of the DEP Form Oil&Gas11 down below or find it on Florida Department of Environmental Protection Forms website.

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Download DEP Oil&Gas Form 11 "Monthly Producer's Natural Gas Report" - Florida

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Oil&Gas Form 11
Florida
MONTHLY PRODUCER’S NATURAL GAS REPORT
Form Title:
Department of
Date Revised:
March, 1998
Environmental Protection
File this report with Oil and Gas Program, 2600 Blair Stone Road, MS 3588, Tallahassee, Florida 32399-2400; (Phone 850/245-8336),
within 30 days subsequent to report period. Email:
OGP@dep.state.fl.us
Field/Area:
Month
Year
Producer:
Field Office Address/Phone:
PRODUCTION:
(Report all volumes in MCF at 14.65 PSI pressure and 60°F)
Well Name
Permit
County
Allowable MCF
Production MCF
and Number
Number
GRAND TOTALS
DISPOSITIONS
UTILIZATION
MCF
Producer’s Field Operations
Reserved by Lessors
Vented to Atmosphere from Gas Wells
Vented to Atmosphere from Oil Wells
Others (Denote)
SALES or DELIVERIES
Company Name
Address
GRAND TOTALS
PRODUCER’S STATEMENT
County:
_______________________________
State:
_______________________________
I, ________________________________________________________, am the _______________________________________________________________
(Name)
(Title)
of _________________________________________________________, and attest that all information contained herein is true and correct.
Date:
__________________________________
Signature: _____________________________________________________________
DEP 51-008(16)
Oil&Gas Form 11
Florida
MONTHLY PRODUCER’S NATURAL GAS REPORT
Form Title:
Department of
Date Revised:
March, 1998
Environmental Protection
File this report with Oil and Gas Program, 2600 Blair Stone Road, MS 3588, Tallahassee, Florida 32399-2400; (Phone 850/245-8336),
within 30 days subsequent to report period. Email:
OGP@dep.state.fl.us
Field/Area:
Month
Year
Producer:
Field Office Address/Phone:
PRODUCTION:
(Report all volumes in MCF at 14.65 PSI pressure and 60°F)
Well Name
Permit
County
Allowable MCF
Production MCF
and Number
Number
GRAND TOTALS
DISPOSITIONS
UTILIZATION
MCF
Producer’s Field Operations
Reserved by Lessors
Vented to Atmosphere from Gas Wells
Vented to Atmosphere from Oil Wells
Others (Denote)
SALES or DELIVERIES
Company Name
Address
GRAND TOTALS
PRODUCER’S STATEMENT
County:
_______________________________
State:
_______________________________
I, ________________________________________________________, am the _______________________________________________________________
(Name)
(Title)
of _________________________________________________________, and attest that all information contained herein is true and correct.
Date:
__________________________________
Signature: _____________________________________________________________
DEP 51-008(16)
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