ST0502A-CS150226Plugging Report. Tracking #:99958
STATE OF TEXAS PLUGGING REPORT for Tracking #99958
Page 1 of 2
Owner:
Mary Twell
Owner Well #:
No Data
Address:
288 South Freeport Pkwy.
Grid #:
32-08-3
Total Depth of Borehole:
Coppell , TX 75019
Date Well Plugged:
2/1212015
Well Location:
300 South Freeport PIKWY
Latitude:
32' 58'01 " N
Operation:
Coppell , TX 75019
License Number of
2176
Well County:
Dallas
Longitude:
0970 00' 54" W
Plugging Variance #:
No Data
GPS Brand Used:
I phone
Well Type: Water
HISTORICAL DATA ON WELL TO BE PLUGGED
Original Well Driller: Unknown
Driller's License Number No Data
of Original Well Driller:
Date Well Drilled:
No Data
Well Report Tracking
No Data
Number:
Diameter of Borehole:
4" inches
Total Depth of Borehole:
285' feet
Date Well Plugged:
2/1212015
Person Actually
Jerry Browning
Performing Plugging
Operation:
License Number of
2176
Plugging Operator:
Plugging Method:
Tremmie pipe bentonite from bottom to 2 feet from surface, cement top 2 feet.
Plugging Variance #:
No Data
Casing Left Data:
1st Interval: 4 inches diameter, From 0 ft to 285 ft
2nd Interval: No Data
3rd Interval: No Data
Cement/Bentonite Plugs
1 st Interval: From 0 ft to 10 ft; Sack(s)/type of cement used: 2 portland cement
Placed in Well:
2nd Interval: From 10 ft to 285 ft; Sacks)/type of cement used: 15 Bentonite
3rd Interval: No Data
4th Interval: No Data
5th Interval: No Data
Certification Data:
The plug installer certified that the plug installer plugged this well (or the well was plugged
under the plug installer's direct supervision) and that each and all of the statements herein
are true and correct. The plug installer understood that failure to complete the required items
will result in the logs) being returned for completion and resubmittal.
Company Information:
Millican Well Service LLC
P.O. Box 820487
Fort Worth, TX 76182
Plug Installer License
2176
Number:
bttps://texaswellreports.twdb.state.tx.us/drillers-new/pluggingreportprint.asp 2/1912015
Plugging Report: Tracking #:99958 Page 2 of 2
Licensed Plug Installer Jerry Browning
Signature:
Registered Plug Installer No Data
Apprentice Signature:
Apprentice Registration No Data
Number:
Plugging Method No Data
Comments:
Please include the plugging report's tracking number (Tracking #99958) on your written request.
Texas Department of Licensing & Regulation
P.O. Box 12157
Austin, TX 78711
(512) 463-7880
https:lltexaswellreports.twdb. state.tx.usldrillers-newlpluggingrreportprint_asp 2/19/2015