26 MAC Pt. 2, Ch. 1, R. 1.57
ADOPTION OF FORMS
Cite as 26 Miss. Admin. Code Pt. 2, Ch. 1, R. 1.57
ADOPTION OF FORMS. The forms hereinafter listed and attached to these rules
as exhibits 1 to 19 and Form Z, inclusive, are hereby adopted and made a part of these rules for
all purposes and the same shall be used and the information required thereby shall be furnished
as directed by the Board's rules in the giving of notice and in making of reports and requests to
the Board, said amended forms being numbered and entitled as follows:
Form No. Title
Organization Report
Application for Permit to Drill, Workover or Change Operator
Well Completion or Recompletion Report and Well Log
4-A Gas Well Deliverability Test
Notice of Intention to Plug and Abandon
6-a
Application for Multiple Completion
6-b
Packer Setting Report
6-c
Packer Leakage Test
Plugging Record
Operator's Certificate of Compliance
and Authorization to Transport Oil or Gas from Drilling Unit
9-12-
15-Z Producer's Monthly Report for Oil & Gas Wells
Transporter's and Storer's Monthly Report
Gasoline Plant or Pressure Maintenance Plant
Monthly Report
Gas Purchaser's Monthly Report
Refiner's Monthly Report
Monthly Report on Fluids Injected
Permit to Clean Tank
Well Test Report
Application for Earthen Pit
Certificate of Compliance for
Hydrogen Sulfide Operations
Copies of printed forms will be supplied upon request.