DEQ Form 652-700 "Class V Injection Well Inventroy Sheet" - Oklahoma

What Is DEQ Form 652-700?

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

Form Details:

  • Released on July 1, 2016;
  • The latest edition provided by the Oklahoma Department of Environmental Quality;
  • 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 DEQ Form 652-700 by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Environmental Quality.

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Download DEQ Form 652-700 "Class V Injection Well Inventroy Sheet" - Oklahoma

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CLASS V INJECTION WELL INVENTROY SHEET
Facility or Owners Name: ________________________________________________________________
Address: _____________________________________________________________________________
City: ______________________________________ St: ______________ Zip: _______________
Phone: ___________________________
Legal Contact:
Owner
Operator
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City: _____________________________________ St: _______________ Zip: _______________
Phone: ___________________________
Well Data:
Type: ______________________________________________
Well Code: _____________________
Legal Location
_____¼ of _____ ¼ of _____ ¼ of Sec: _____ Twp: _____ Rge: _____
___________ County
Finding Location: (From highway intersections or prominent landmarks)
Well Depth: __________
Casing Diameter: __________ Casing Length: __________
Tubing Diameter: __________ Tubing Length: __________
Cementing: ______________________________________________
Casing Type: _____________________
Tubing Type: _____________________
Injection Rate: _____________________
Injection Pressure: _____________________
Injection Fluids: _______________________________________________________________________
Comments:
Revised July 2016
DEQ Form # 652-700
CLASS V INJECTION WELL INVENTROY SHEET
Facility or Owners Name: ________________________________________________________________
Address: _____________________________________________________________________________
City: ______________________________________ St: ______________ Zip: _______________
Phone: ___________________________
Legal Contact:
Owner
Operator
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City: _____________________________________ St: _______________ Zip: _______________
Phone: ___________________________
Well Data:
Type: ______________________________________________
Well Code: _____________________
Legal Location
_____¼ of _____ ¼ of _____ ¼ of Sec: _____ Twp: _____ Rge: _____
___________ County
Finding Location: (From highway intersections or prominent landmarks)
Well Depth: __________
Casing Diameter: __________ Casing Length: __________
Tubing Diameter: __________ Tubing Length: __________
Cementing: ______________________________________________
Casing Type: _____________________
Tubing Type: _____________________
Injection Rate: _____________________
Injection Pressure: _____________________
Injection Fluids: _______________________________________________________________________
Comments:
Revised July 2016
DEQ Form # 652-700