MMS-133S Open Hole Data Report

U.S. Department of the Interior

OMB Control Number 1010-0141

Minerals Management Service

OMB Approval Expires xx/xx/xxxx

OPEN HOLE DATA REPORT (Supplement to the Well Activity Report)

BEGINNING DATE:

ENDING DATE:

REPORT IS NOT TO EXCEED 7 DAYS (1 WEEK) IN DURATION

CORRECTION

CHECK IF THIS IS THE LAST WELL ACTIVITY REPORT

GENERAL INFORMATION

1. API WELL NO. (12 digits)

2. OPERATOR NAME

3. WELL NAME

4. SIDETRACK NO.

5. BYPASS NO.

6. CONTACT NAME / CONTACT TELEPHONE NUMBER / CONTACT E-MAIL ADDRESS

7. OPEN HOLE TOOLS, MUDLOGS, AND DIRECTIONAL SURVEYS

GEOSCIENTIST NAME/ GEOSCIENTIST TELEPHONE NUMBER / GEOSCIENTIST E-MAIL ADDRESS:

Check This Box if Well Total Depth has been reached and this is the Last Logging Run.

SERVICE COMPANY

DATE OPERATIONS COMPLETED

TOOL LOGGING METHOD

LOG TOOL CODE

http://www.gomr.mms.gov/homepg/mmsforms/tool_code.pdf

INTERVAL DEPTH (MD)

TOP

BOTTOM

8. IDENTIFY OTHER OPEN HOLE DATA COLLECTED

Check the following Data Items if collected in the Borehole (Report when data is acquired)

Velocity Surveys

Vertical Seismic Profile

Conventional Cores/Rotary Sidewall Cores

Percussion Sidewall Samples

If Samples are collected, what analysis will be performed? (Report at completion of borehole)

PVT Analysis

Paleo Analysis

Geochem Analysis

PAPERWORK REDUCTION ACT OF 1995 (PRA) STATEMENT: The PRA (44 U.S.C. 3501 et seq.) requires us to inform you that we collect this information to obtain knowledge of equipment and procedures to be used in drilling operations. MMS uses the information to evaluate and approve or disapprove the adequacy of the equipment and/or procedures to safely perform the proposed drilling operations. Responses are mandatory (43 U.S.C. 1334). Proprietary data are covered under 30 CFR 250.197. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. Public reporting burden for forms MMS-133 and MMS-133S is estimated to average between 0.5-3 hours per response, depending on whether it is a paper submittal or electronic submittal. This includes the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Mail Stop 4230, Minerals Management Service, 1849 C Street, NW, Washington, DC 20240.

MMS

FORM MMS-133S

(August 2008 - Supersedes all previous versions of form MMS-133S which may not be used.) Page 1 of 1