Form C-126 "Permit to Transport Recovered Load Oil" - New Mexico

What Is Form C-126?

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 August 1, 2011;
  • 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-126 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-126 "Permit to Transport Recovered Load Oil" - New Mexico

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District I
State of New Mexico
Form C-126
1625 N. French Dr., Hobbs, NM 88240
Energy Minerals and Natural Resources
District II
Revised August 1, 2011
811 S. First St., Artesia, NM 88210
District III
Oil Conservation Division
Submit one copy
1000 Rio Brazos Road, Aztec, NM 87410
1220 South St. Francis Dr.
to appropriate
District IV
District Office
1220 S. St. Francis Dr., Santa Fe, NM 87505
Santa Fe, NM 87505
PERMIT TO TRANSPORT RECOVERED LOAD OIL
(NOTE: Required only when load oil was obtained from source other than lease on which used.)
(See 19.15.20.15 NMAC)
RECOVERED LOAD OIL
OPERATOR
ADDRESS
LEASE NAME
WELL NO.
POOL
COUNTY
LOCATION
TRANSPORTER
BBLS. LOAD OIL RECOVERED
SOURCE OF LOAD OIL
PURCHASED OIL
BARRELS PURCHASED
DATE PURCHASED
PURCHASED FROM
ADDRESS
BARRELS PURCHASED
DATE PURCHASED
PURCHASED FROM
ADDRESS
OIL TRANSFERRED FROM ANOTHER LEASE OR POOL
BARRELS TRANSFERRED
POOL FROM WHICH TRANSFERRED
LEASE FROM WHICH TRANSFERRED
DATE OF TRANSFER
BARRELS TRANSFERRED
POOL FROM WHICH TRANSFERRED
LEASE FROM WHICH TRANSFERRED
DATE OF TRANSFER
BARRELS TRANSFERRED
POOL FROM WHICH TRANSFERRED
LEASE FROM WHICH TRANSFERRED
DATE OF TRANSFER
OPERATOR:
I hereby certify the information above is true and
OIL CONSERVATION DIVISION
complete to best of my knowledge and belief
Signature
Approved by:
Printed Name
& Title
Title:
E-mail
Address
Date:
Date
Telephone No.
District I
State of New Mexico
Form C-126
1625 N. French Dr., Hobbs, NM 88240
Energy Minerals and Natural Resources
District II
Revised August 1, 2011
811 S. First St., Artesia, NM 88210
District III
Oil Conservation Division
Submit one copy
1000 Rio Brazos Road, Aztec, NM 87410
1220 South St. Francis Dr.
to appropriate
District IV
District Office
1220 S. St. Francis Dr., Santa Fe, NM 87505
Santa Fe, NM 87505
PERMIT TO TRANSPORT RECOVERED LOAD OIL
(NOTE: Required only when load oil was obtained from source other than lease on which used.)
(See 19.15.20.15 NMAC)
RECOVERED LOAD OIL
OPERATOR
ADDRESS
LEASE NAME
WELL NO.
POOL
COUNTY
LOCATION
TRANSPORTER
BBLS. LOAD OIL RECOVERED
SOURCE OF LOAD OIL
PURCHASED OIL
BARRELS PURCHASED
DATE PURCHASED
PURCHASED FROM
ADDRESS
BARRELS PURCHASED
DATE PURCHASED
PURCHASED FROM
ADDRESS
OIL TRANSFERRED FROM ANOTHER LEASE OR POOL
BARRELS TRANSFERRED
POOL FROM WHICH TRANSFERRED
LEASE FROM WHICH TRANSFERRED
DATE OF TRANSFER
BARRELS TRANSFERRED
POOL FROM WHICH TRANSFERRED
LEASE FROM WHICH TRANSFERRED
DATE OF TRANSFER
BARRELS TRANSFERRED
POOL FROM WHICH TRANSFERRED
LEASE FROM WHICH TRANSFERRED
DATE OF TRANSFER
OPERATOR:
I hereby certify the information above is true and
OIL CONSERVATION DIVISION
complete to best of my knowledge and belief
Signature
Approved by:
Printed Name
& Title
Title:
E-mail
Address
Date:
Date
Telephone No.