Form BOEM-0127 Sensitive Reservoir Information (SRI) Report

U.S. Department of the Interior Bureau of Ocean Energy Management

Submit one original plus two copies. One copy must be marked “Public Information.”

OMB Control No.: 1010-0114 Expiration Date: xx/xx/xxxx

SENSITIVE RESERVOIR INFORMATION (SRI) REPORT

1.  Original  Correction

8. FIELD NAME

50. RESERVOIR NAME

26. CONTACT NAME

11. OPERATOR NAME and ADDRESS (Submitting Office)

117. Drive Mech.

10. BOEM OPERATOR NO.

118. DiscOVERY YEAR

121. TYPE OF REQUEST  INITIAL  REVISION  ANNUAL REVIEW  RECLASSIFY RESERVOIR

89. ATTACHMENTS PER 30 CFR 550.1167  LOG SECTION  RESERVOIR STRUCTURE MAP  OTHER ______________

122. RESERVOIR TYPE

123. RESERVOIR CLASSIFICATION

OPERATOR REQ.

BOEM

OPERATOR REQ.

BOEM

 OIL  GAS  OIL WITH GAS CAP

 OIL  GAS  OIL WITH GAS CAP

 SENSITIVE  NONSENSITIVE

 SENSITIVE  NONSENSITIVE

VOLUMETRIC DATA

124. Upper ø Cut-off

125. Lower ø Cut-off

126. Upper k Cut-off

127. Lower k Cut-off

128. G/O Interface

129. W/O Interface

130. G/W Interface

131. Ag

132. Ao

133. Vo

134. Vg

135. Ho

136. ho

137. Hg

138. hg

139. øe

140. Sw

141. Sg

142. So

143. Boi

144. Bgi

145. N

146. G

147. Kh

148. Kv

149. AVG Well Depth

150. Rio

151. Rig

152. RioN

153. RigG

154. Np(2)/N

155. Gp(2)/G

FLUID ANALYSIS DATA

156. API @ 60O F

157. SG

158.Rsi

159. µoi

160. µo

161. Tavg

162. Pi

163. PI DATE

164. Pws

165. Pws DATE

166. Pb

167. Pd

168. Datum Depth

PRODUCTION DATA

169. GOR

170. GOR DATE

171. WOR

172. WOR DATE

173. No. of Injection Completions

174. No. of Abandoned Completions

175. No. of Active Completions

176. Np(1)

177. Np(1) DATE

178. Gp(1)

179. Gp(1) DATE

180. Wp(1)

181. Wp(1) DATE

182. Np(2)

183. Np(2) DATE

184. Gp(2)

185. Gp(2) DATE

186. Wp(2)

187. Wp(2) DATE

115. ACTIVE COMPLETIONS IN RESERVOIR (Continue in Remarks or attach an additional sheet if necessary.)

LEASE NO.

WELL NAME

API WELL NO.

LEASE NO.

WELL NAME

API WELL NO.

1.

5.

2.

6.

3.

7.

4.

8.

119. PRESENT MAXIMUM EFFICIENT RATE (MER) (Required only for Pacific and Alaska Regions.)

120. REQUESTED MER (Required only for Pacific and Alaska Regions.)

THIS SPACE FOR BOEM USE ONLY

REQUESTED MER  ACCEPTED  REJECTED (Pacific and Alaska OCS Regions)

BOEM REGIONAL AUTHORIZING OFFICIAL

EFFECTIVE DATE

FORM BOEM-0127 (Month/Year) Previous Editions are Obsolete.

Page 1 of 2

SENSITIVE RESERVOIR INFORMATION REPORT (Continued)

116. REMARKS
27. CONTACT TELEPHONE NO.	32. CONTACT E-MAIL ADDRESS
28. AUTHORIZING OFFICIAL (Type or print name)	29. TITLE
30. AUTHORIZING SIGNATURE	31. DATE
PAPERWORK REDUCTION ACTOF 1995 (PRA) STATEMENT: The PRA (44. U.S.C. 3501 et seq.) requires us to inform you that we collect this information to obtain definite and firsthand knowledge of reservoir characteristics and parameters. We use this information to classify the reservoir as sensitive and to evaluate the lessee's request for approval of a Maximum Efficient Rate of Production. Responses are mandatory (43. U.S.C. 1334). Proprietary data are covered under 30 CFR 550.197. 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 of this form is estimated to average 3 hours per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may direct comments regarding the burden estimate or any other aspect of the this form to the Information Collection Clearance Officer, Bureau of Ocean Energy Management, 45600 Woodland Road, Sterling, VA 20166.

FORM BOEM-0127 (Month/Year) Page 2 of 2

Previous Editions are Obsolete.