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Plugging Affidavit (Wells) Mobile App

The Plugging Affidavit (Wells) mobile app includes the purpose of the well plugging, the work done to the well, the date completed and the materials used. This app can be easily modified to meet the needs of your company or county’s requirements.

  • Lendlease
  • The Cooperative
  • PG&E
  • Toys R Us
  • Red Bull
  • Mirvac

Take a peek inside the Plugging Affidavit (Wells) Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Operations Name

  • Ico textbox

    Permit Number

  • Ico dropdown

    STATE OF

  • Ico textbox

    CITY OF

  • Ico textbox

    COUNTY OF

  • Ico textbox

    Name

  • Ico textbox

    Name

  • Ico statictext

    I being first duly sworn, depose and say that: They are both experienced in the plugging of wells and participated in the plugging work which is the subject of this Affidavit on the referenced well.

  • Ico statictext

    THE PLUGGING WORK WAS FOR THE PURPOSE CHECKED

  • Ico checkbox

    At the end of production or other use

  • Ico checkbox

    After drilling, re-drilling or deepening was unsuccessful

  • Ico checkbox

    Partial plugging from the bottom of the hole to

  • Ico integer

    feet below the surface and continued operations by the well operator

  • Ico checkbox

    Partial plugging from the bottom of the hole to

  • Ico integer

    feet below the surface for development as a water well

  • Ico checkbox

    Re-plug

  • Ico checkbox

    Plugging of a corehole

  • Ico date

    THE MANNER OF PLUGGING OR RE-PLUGGING WAS COMMENCED ON

  • Ico date

    AND COMPLETED ON

  • Ico multiline

    PLUGGING DETAILS

  • Ico camera

    WELL SCHEMATIC

  • Ico statictext

    TYPES OF MATERIAL USED

  • Ico textbox

    Interval From Bottom Of Hole (From ___To___)

  • Ico textbox

    Formation(S)

  • Ico textbox

    Plugging

  • Ico textbox

    Filling

  • Ico textbox

    Bridge

  • Ico textbox

    Open Hole

  • ...and More!

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