DEP Oil&Gas Form 12 "Producer's Report of Condensate Produced From Gas Wells" - Florida

What Is DEP Oil&Gas Form 12?

This is a legal form that was released by the Florida Department of Environmental Protection - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 1998;
  • The latest edition provided by the Florida Department of Environmental Protection;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DEP Oil&Gas Form 12 by clicking the link below or browse more documents and templates provided by the Florida Department of Environmental Protection.

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Download DEP Oil&Gas Form 12 "Producer's Report of Condensate Produced From Gas Wells" - Florida

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Oil&Gas Form 12
PRODUCER’S REPORT OF CONDENSATE
Florida
Form Title:
PRODUCED FROM GAS WELLS
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),
OGP@dep.state.fl.us
within30 days subsequent to report period. Or, Email:
Field/Area: __________________________________________________________ Month ____________________ Year _ ________
County: ___________________ Producer (Mailing Address/Phone): ______________________________________________________
______________________________________________________________________________________________________________
REPORT COLUMNS BELOW BY WELLS
60°F)
(Report all volumes in MCF at 14.65 PSI pressure and
Permit
Oil or
Total Gas
Gas/Oil Ratio
API
Well Name
Number
Condensate
Produced
(Cu. Ft. per
Name of Company Taking Gas
and Number
Produced (Bbls)
(MCF)
Barrel)
or Other Dispositions
(1)
(2)
(3)
(4)
(5)
(6)
TOTALS
REPORT COLUMNS BELOW BY LEASES
Oil or
Total Oil or
Oil or
Condensate
Condensate
Run to
Other
Condensate on
Name of Person or
Acres
on Hand at
Produced
Pipe Lines
Disposals
Hand at End
Company Taking Oil or
(Use back of form
Lease Name
Beginning of
During Month
(Barrels)
(Barrels)
of Month
Condensate
if additonal space
is needed)
Month (Bbls)
(Barrels)
(Barrels)
(7)
(8)
(9)
(10)
(11)
(12)
Remarks:
PRODUCER’S STATEMENT
County: ___________________________________
State: _____________________________________
I, ___________________________________________________, am the _______________________________________________
(Name)
(Title)
of ____________________________________________________, and attest that all information contained herein is true and correct.
(Company)
Date: _______________________________
Signature: ______________________________________________
DEP 51-008(16)
Oil&Gas Form 12
PRODUCER’S REPORT OF CONDENSATE
Florida
Form Title:
PRODUCED FROM GAS WELLS
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),
OGP@dep.state.fl.us
within30 days subsequent to report period. Or, Email:
Field/Area: __________________________________________________________ Month ____________________ Year _ ________
County: ___________________ Producer (Mailing Address/Phone): ______________________________________________________
______________________________________________________________________________________________________________
REPORT COLUMNS BELOW BY WELLS
60°F)
(Report all volumes in MCF at 14.65 PSI pressure and
Permit
Oil or
Total Gas
Gas/Oil Ratio
API
Well Name
Number
Condensate
Produced
(Cu. Ft. per
Name of Company Taking Gas
and Number
Produced (Bbls)
(MCF)
Barrel)
or Other Dispositions
(1)
(2)
(3)
(4)
(5)
(6)
TOTALS
REPORT COLUMNS BELOW BY LEASES
Oil or
Total Oil or
Oil or
Condensate
Condensate
Run to
Other
Condensate on
Name of Person or
Acres
on Hand at
Produced
Pipe Lines
Disposals
Hand at End
Company Taking Oil or
(Use back of form
Lease Name
Beginning of
During Month
(Barrels)
(Barrels)
of Month
Condensate
if additonal space
is needed)
Month (Bbls)
(Barrels)
(Barrels)
(7)
(8)
(9)
(10)
(11)
(12)
Remarks:
PRODUCER’S STATEMENT
County: ___________________________________
State: _____________________________________
I, ___________________________________________________, am the _______________________________________________
(Name)
(Title)
of ____________________________________________________, and attest that all information contained herein is true and correct.
(Company)
Date: _______________________________
Signature: ______________________________________________
DEP 51-008(16)