Form DM1 R "Oil Well Potential Report" - Louisiana

What Is Form DM1 R?

This is a legal form that was released by the Louisiana Department of Natural Resources - a government authority operating within Louisiana. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on November 1, 2013;
  • The latest edition provided by the Louisiana Department of Natural Resources;
  • 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 printable version of Form DM1 R by clicking the link below or browse more documents and templates provided by the Louisiana Department of Natural Resources.

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STATE OF LOUISIANA
DISTRICT
CODE
OPERATOR
CODE
INPUT TYPE
DM 1 R (11-13)
OFFICE OF CONSERVATION
FIELD
CODE
ADDRESS
1
OC ONLY
OIL WELL POTENTIAL REPORT
PARISH
CODE
2
ORIGINAL
3
CORRECTION
AGENT SIGNATURE
AGENT NAME/TITLE
REPORT DATE
AGENT CONTACT #/EMAIL
PAGE
of
MONTH
YEAR
WELL DATA
POTENTIAL TEST
WELLHEAD PRESSURE
PERFORATED
OIL
WATER
GOR
API
STATUS
DATE OF
SERIAL
LUW
WELL
INTERVAL
BBLS
BBLS
CHOKE
BS & W
CF/
GRAV.
SHUT-IN
PM
IF
TEST OR
O.C. USE
NUMBER
CODE NO.
CURRENT WELL NAME
NUMBER
/DAY
/DAY
/64"
%
BBL
@
FLOWING
IF RUN
INACTIVE
STATUS
ONLY
FROM
TO
60 F.
PSIG
PSIG
(MM-DD-YY)
STATE OF LOUISIANA
DISTRICT
CODE
OPERATOR
CODE
INPUT TYPE
DM 1 R (11-13)
OFFICE OF CONSERVATION
FIELD
CODE
ADDRESS
1
OC ONLY
OIL WELL POTENTIAL REPORT
PARISH
CODE
2
ORIGINAL
3
CORRECTION
AGENT SIGNATURE
AGENT NAME/TITLE
REPORT DATE
AGENT CONTACT #/EMAIL
PAGE
of
MONTH
YEAR
WELL DATA
POTENTIAL TEST
WELLHEAD PRESSURE
PERFORATED
OIL
WATER
GOR
API
STATUS
DATE OF
SERIAL
LUW
WELL
INTERVAL
BBLS
BBLS
CHOKE
BS & W
CF/
GRAV.
SHUT-IN
PM
IF
TEST OR
O.C. USE
NUMBER
CODE NO.
CURRENT WELL NAME
NUMBER
/DAY
/DAY
/64"
%
BBL
@
FLOWING
IF RUN
INACTIVE
STATUS
ONLY
FROM
TO
60 F.
PSIG
PSIG
(MM-DD-YY)