Form C-122 "Multipoint and One Point Back Pressure Test for Gas Well" - New Mexico

What Is Form C-122?

This is a legal form that was released by the New Mexico Energy, Minerals and Natural Resources Department - a government authority operating within New Mexico. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 15, 2009;
  • The latest edition provided by the New Mexico Energy, Minerals and Natural Resources Department;
  • 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 C-122 by clicking the link below or browse more documents and templates provided by the New Mexico Energy, Minerals and Natural Resources Department.

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Download Form C-122 "Multipoint and One Point Back Pressure Test for Gas Well" - New Mexico

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Submit one copy to
State of New Mexico
Form C-122
appropriate district office.
Energy Minerals and Natural Resources
Revised October 15, 2009
See Rule 19.15.19.8 NMAC
Oil Conservation Division
and Rule 19.15.7.30 NMAC
1220 South St. Francis Dr.
Santa Fe, NM 87505
MULTIPOINT AND ONE POINT BACK PRESSURE TEST FOR GAS WELL
Operator
Lease or Unit Name
Type Test
Test Date
Well No.
Initial
Annual
Special
Completion Date
Total Depth
Plug Back TD
Elevation
Unit Ltr. - Sec. - TWP – Rge.
Csg. Size
Wt.
County
d
Set At
Perforations:
From:
To:
Thg. Size
Wt.
d
Set At
Perforations:
Pool
From:
To:
Type Well - Single - Bradenhead - G.G. or G.O. Multiple
Packer Set At
Formation
Reservoir Temp. °F
Mean Annual Temp. °F
Producing Thru
Baro, Press - P
Connection
a
L
H
Gg
%C0
%N
%H
S
Prover
Meter Run
Taps
2
2
2
FLOW DATA
TUBING DATA
CASING DATA
Duration
Prover
Orifice
Temp.
Temp.
Temp.
Of
Press.
Diff.
Press.
Press.
No.
Line
X
°F
°F
°F
p.s.i.g.
h
p.s.i.g.
p.s.i.g.
Flow
w
Size
Size
SI
1.
2.
3.
4.
5.
RATE OF FLOW CALCULATIONS
COEFFICIENT
Pressure
Flow Temp.
Gravity Factor
Super Compress.
Rate of Flow
No.
(24 HOUR)
h
P
P
Factor Ft.
Fg.
Factor, F pv.
Q, Mcfd
w
m
m
1.
2.
3.
4.
5.
Temp. °R
No.
P
T
Z
Gas Liquid Hydrocarbon Ratio___________________________________ Mcf/bbl.
r
r
1.
A. P. I. Gravity of Liquid Hydrocarbons______________________________ Deg.
2.
Specific Gravity Separator Gas____________________________ XXXXXXXXX
3.
Specific Gravity Flowing Fluid __________XXXXX
_______________________
Critical Pressure ______________________________ P.S.I.A. ________P.S.I.A.
4.
Critical Temperature________________________________R. _____________R
5.
2
P
__________________________ P
____________
c
c
2
2
2
2
2
n
(1)
P
2
=___________________
(2)
P
= ________
No.
P
P
P
P
- P
c
c
t
w
w
c
w
_______
________
1.
2
2
2
2
P
- P
P
- P
c
w
c
w
2.
2
n
AOF = Q
P
= __________________
c
3.
_______
2
2
4.
P
- P
c
w
5.
Angle of Slope θ:
Absolute Open Flow ______________________________________________ Mcfd@ 15.025
Slope, n:
Remarks:
Approved By Division
Conducted By:
Calculated By:
Checked By
E-mail Address:
E-mail Address:
E-mail Address:
Submit one copy to
State of New Mexico
Form C-122
appropriate district office.
Energy Minerals and Natural Resources
Revised October 15, 2009
See Rule 19.15.19.8 NMAC
Oil Conservation Division
and Rule 19.15.7.30 NMAC
1220 South St. Francis Dr.
Santa Fe, NM 87505
MULTIPOINT AND ONE POINT BACK PRESSURE TEST FOR GAS WELL
Operator
Lease or Unit Name
Type Test
Test Date
Well No.
Initial
Annual
Special
Completion Date
Total Depth
Plug Back TD
Elevation
Unit Ltr. - Sec. - TWP – Rge.
Csg. Size
Wt.
County
d
Set At
Perforations:
From:
To:
Thg. Size
Wt.
d
Set At
Perforations:
Pool
From:
To:
Type Well - Single - Bradenhead - G.G. or G.O. Multiple
Packer Set At
Formation
Reservoir Temp. °F
Mean Annual Temp. °F
Producing Thru
Baro, Press - P
Connection
a
L
H
Gg
%C0
%N
%H
S
Prover
Meter Run
Taps
2
2
2
FLOW DATA
TUBING DATA
CASING DATA
Duration
Prover
Orifice
Temp.
Temp.
Temp.
Of
Press.
Diff.
Press.
Press.
No.
Line
X
°F
°F
°F
p.s.i.g.
h
p.s.i.g.
p.s.i.g.
Flow
w
Size
Size
SI
1.
2.
3.
4.
5.
RATE OF FLOW CALCULATIONS
COEFFICIENT
Pressure
Flow Temp.
Gravity Factor
Super Compress.
Rate of Flow
No.
(24 HOUR)
h
P
P
Factor Ft.
Fg.
Factor, F pv.
Q, Mcfd
w
m
m
1.
2.
3.
4.
5.
Temp. °R
No.
P
T
Z
Gas Liquid Hydrocarbon Ratio___________________________________ Mcf/bbl.
r
r
1.
A. P. I. Gravity of Liquid Hydrocarbons______________________________ Deg.
2.
Specific Gravity Separator Gas____________________________ XXXXXXXXX
3.
Specific Gravity Flowing Fluid __________XXXXX
_______________________
Critical Pressure ______________________________ P.S.I.A. ________P.S.I.A.
4.
Critical Temperature________________________________R. _____________R
5.
2
P
__________________________ P
____________
c
c
2
2
2
2
2
n
(1)
P
2
=___________________
(2)
P
= ________
No.
P
P
P
P
- P
c
c
t
w
w
c
w
_______
________
1.
2
2
2
2
P
- P
P
- P
c
w
c
w
2.
2
n
AOF = Q
P
= __________________
c
3.
_______
2
2
4.
P
- P
c
w
5.
Angle of Slope θ:
Absolute Open Flow ______________________________________________ Mcfd@ 15.025
Slope, n:
Remarks:
Approved By Division
Conducted By:
Calculated By:
Checked By
E-mail Address:
E-mail Address:
E-mail Address: