In the realm of well operation and maintenance within the state of Louisiana, the CSG T form plays a pivotal role in ensuring the integrity and safety of well casings. Officially titled as the Affidavit of Test of Casing in Well by the Office of Conservation, this document serves as a comprehensive record of the physical and operational standards met during the construction or modification of well casings. The form requires detailed information including the date work was performed, operator details, well specifics such as name, serial number, field, and location by parish, as well as intricate construction details like casing size, weight, material grade, and whether the casing was new or second-hand. It also mandates documentation of the cementing process, including the amount of cement used, the method of cementing, and the pressure test results conducted before drilling. These pressure tests, vital for assessing the casing's strength and durability under operational conditions, must note the initial gauge pressure, pressure after thirty minutes, and any pressure drop, alongside the test fluid's characteristics. By certifying the accuracy and completeness of this information under penalty of law, operators uphold regulatory standards, thus protecting both environmental and public health. This document underscores the stringent regulatory framework within which oil and gas operators work, ensuring that each well’s structural integrity is rigorously verified before operational use.
| Question | Answer |
|---|---|
| Form Name | Form Csg T |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | la dnr t, louisiana form csg t, csg form, RNG |
AFFIDAVIT OF TEST OF CASING IN WELL
STATE OF LOUISIANA
OFFICE OF CONSERVATION
FORM - CSG T
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DATE WORK DONE: |
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DISTRICT OFFICE: |
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OPERATOR=S NAME AND ADDRESS: |
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OPERATOR CODE: |
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PHONE: |
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WELL INFORMATION |
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WELL NAME AND NO:
SERIAL NO:
FIELD:
PARISH:
SEC.
TWP.
RNG.
WELL CONSTRUCTION INFORMATION
CASING SIZE
HOLE SIZE
CASING WEIGHT
MAKE
NUMBER OF
THREADS/ INCH
GRADE
SEAMLESS
NEW OR 2ND*
HAND PIPE
*IF SECOND HAND, WAS PIPE TESTED: G YES G NO
DESCRIBE:
DEPTH CASING SHOE LANDED BELOW DERRICK FLOOR: __________ FT. NO. OF SACKS OF CEMENT: ____________ |
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SIZE OF HOLE: ____________ |
AMOUNT OF CEMENT LEFT IN PIPE: ____________ |
METHOD OF CEMENTING: ____________
CEMENT SET IN ____________ HOURS |
UNDER ____________ PSIG |
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TOTAL DEPTH OF
TOTAL TIME SET |
HOURS |
DETAIL OF PRESSURE TEST BEFORE DRILLING PLUG
DATE OF TEST: |
GAUGE PRESSURE OF CASING ____________ PSIG |
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PRESSURE AT END OF 30 MINUTES ____________ PSIG |
PRESSURE DROP ____________ PSIG |
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TEST FLUID:
WATER
MUD |
WEIGHT: ____________ VISCOSITY: ____________ |
REMARKS:
CERTIFICATION BY OPERATOR
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED IN THIS FORM AND THAT, BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION, I BELIEVE THAT THE INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT (L.R.S. 30:17).
WITNESS:
OPERATOR REP:
SIGNATURE:
SIGNATURE:
FORM - CSG T |
REV. 3/2008 |