Annual Inspection Log
Date/Time
Field
Select Field
Dixon
Simpson Chapel
Mineral City
Well
Select Well
Surface Casing Pressure (PSI)
Annulus Casing Pressure (PSI)
Valve Functional
Master
Y
N
Tubing
Y
N
Annulus
Y
N
Crossover
Y
N
Tail
Y
N
Wing
Y
N
Leak Checks
Master
N
Y
If “Yes”, Leak Type:
Internal
External
Both
Tubing
N
Y
If “Yes”, Leak Type:
Internal
External
Both
Annulus
N
Y
If “Yes”, Leak Type:
Internal
External
Both
Crossover
N
Y
If “Yes”, Leak Type:
Internal
External
Both
Tail
N
Y
If “Yes”, Leak Type:
Internal
External
Both
Wing
N
Y
If “Yes”, Leak Type:
Internal
External
Both
Notes
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