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HomeMy WebLinkAboutCO 331Conservation Order Cover Page XHVZE This page is required for administrative purposes in managing the scanning process. It marks the extent of scanning and identifies certain actions that have been taken. Please insure that it retains it's current location in this file. ~.~ _ Conservation Order Category Identifier Organizing RESCAN [] Color items: [] Grayscale items: [] Poor Quality Originals: [] Other: NOTES: DIGITAL DATA [] Diskettes, No. [] Other, No/Type OVERSIZED (Scannable with lame plotter/scanner) [] Maps: [] Other items OVERSIZED (Not suitable for plotter/scanner, may work with 'log' scanner) [] Logs of various kinds [] Other BY: .... ~ARIA Scanning Preparation TOTAL PAGES Production Scanning Stage I PAGE COUNT FROM SCANNED DOCUMENT: ~ PAGE COUNT MATCHES NUMBER IN SCANNING PREPARATION' 'V~ YES NO Stage 2 IF NO IN STAGE 1, PAGE(S) DISCREPANCIES WERE FOUND: __ YES NO (SCANNING IS COMPLETE AT THIS POINT UNLESS SPECIAL ATTENTION IS REQUIRED ON AN INDIVIDUAL PAGE BASIS DUE TO QUALITY, GRAYSCALE OR COLOR IMAGES) General Notes or Comments about this Document: 5/21/03 ConservOrdCvrPg.wpd STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION 3001 Porcupine Drive Anchorage Alaska 99501-3192 Re~ THE APPLICATION OF ARCO ) ALASKA, INC. for an order granting ) an exception to spacing requirements of ) Title 20 AAC 25.055 to provide for the ) drilling of the ARCO Bergschrund ) No. 1 exploratory oil well. ) Conservation Order No. 331 ARCO Alaska Inc. Bergschrund No. 1. March 1.4, 1994 IT APPEARING THAT: ARCO Alaska, Inc. submitted an application dated February 22, 1994 requesting exception to 20 AAC 25.055(a)(1) to allow drilling the ARCO Bergschrund No. 1 exploratory oil well closer thm~ 500 feet to a drilling unit boundary. . Notice of hearing was published in the Anchorage Daily News on February 24, 1994 pursuant to 20 AAC 25.540. 3. No protests to the application were received. FINDINGS: . . . The ARCO Bergschrund No. 1 well as proposed will be a straight hole drilled to a bottom- hole location 2200' from the north line and 1600' from the east line of Section 32, T12N, R5E, Umiat Meridian. Offset owners Chevron U.S.A. Production Company and Union Texas Petroleum Alaska Corporation have been duly notified. gm exception to 20 AAC 25.055(a)(1) is necessary to allow drilling of this well. CONCLUSION: Granting a spacing exception to allow drilling of the ARCO Bergschrund No. 1 well as proposed will not result in waste nor jeopardize correlative rights. Conservation Orde~ ~4o. 331 March 14, 1994 NOW, THEREFORE, IT IS ORDERED: ARCO Alaska, Inc.'s application for exception to 20 AAC 25.055 for the purpose of drilling the Bergschrund No. 1 well is approved as proposed. DONE at Anchorage, Alaska and dated March 14, 1994. AS 31.05.080 provides that within 20 days after receipt of written notice of the entry of an order, a person affected by it may file with the Cmmnission an application for rehearing. A request for rehearing must be received by 4:30 PM on the 23rd day following the date of the order, or next working day if a holiday or weekend, to be timely filed. The Conunission shall grant or refuse the application in whole or in part within 10 days. The Commission can refuse an application by not acting on it within the 1 O-day period. An affected person has 30 days from the date the Commission refuses the application or mails (or otherwise distributes) an order upon rehearing, both being the final order of the Commission, to appeal the decision to superior Court. Where a request for rehearing is denied by nonaction of the Commission, the 30-day period for appeal to Superior Court runs from the date on which the request is deemed denied (i.e., 10th day after the application for rehearing was filed). BP EXPLORATION March 8, 1994 ARCO Alaska, Inc. RECEIVED Mr. David W. Johnston Alaska Oil and Gas Conservation Commission 3001 Porcupine Drive Anchorage, Alaska 99501-3192 MAR -8 1994 Alaska Oil & Gas Cons. Commission Anchorage Re: Comments on Draft Conservation Order No. 331 Modifying Conservation Order 145, Rule 5: Automatic Shut In Equipment Dear Mr. Johnston, Thank you for the opportunity to review and comment on draft Conservation Order No. 331. We also appreciate your consideration of our verbal comments conceming the recent Niakuk rule governing automatic shut-in equipment. We offer the following comments and suggestions. Suggested revisions are shown in italics. Page 1, Finding 1: C.O. 145, Rule 5 does not currently address surface safety valves (SSV's). We suggest the Finding read: "Rule 5 of Conservation Order No. 145 requires subsurface safety valves be installed in Prudhoe Oil Pool wells." Page 2, Conclusion 1: We suggest the conclusion be reworded as follows: "Requiring specific notice and approval from the Commission prior to temporary removal of SSSV's for routine maintenance and well work would impose significant burden on the Commission without commensurate benefit." Page 2, Rule 5 a. ii. After further consideration, we request the required minimum SSSV setting depth be changed to be consistent with the required depth within the Kuparuk River Pool. This change would allow additional flexibility for future completions. We suggest this section be worded as follows: "a fail-safe automatic subsurface safety valve (SSSV), unless other types of subsurface valves are approved by the Commission, shall be installed in the tubing string at a depth of 500feet or greater below ground level and be capable of preventing uncontrolled flow." Page 2, Rule 5 b. To clarify that a water injection well does not require a SSSV, we suggest the following: "A well that is incapable of unassisted flow of hydrocarbons, as determined by a "no flow" performance test witnessed by a Commission representative, is not required to have a fail-safe automatic SSSV. Wells used for continuous water injection are incapable of unassisted flow of hydrocarbons," Co-Operators, Prudhoe Bay Unit BP Exploration (Alaska) Inc. Post Office Box 196612 Anchorage, Alaska 99519-6612 Telephone (907) 561-5111 ARCO Alaska, Inc. Post Office Box 100360 Anchorage, Alaska 99510-0360 Telephone (907) 276,1215 D~ W. Johnston {' { March 8, 1994 Page 2 Page 2, Rule 5 c. i. To account for unforeseen circumstances near the 30 day limit, we suggest the following wording: "Written or verbal notification will be required for those wells that will have SSSV's removed for longer than the 30 day period." Page 3, Rule 5 c. ii. To allow the use of our current tagging system, we suggest the following wording: "... shall be identified by a clearly visible sign or tag on the wellhead ..." Page 3, Rule 5 d. We suggest the following wording for clarification: "The Low Pressure Sensor (LPS) system shall not be deactivated except during repairs to the LPS or while engaged in active well work or well operations. During times when the LPS is deactivated, the pad must be manned at all times or the well shut-in at the wellhead and manifold building. Repairs to the LPS must be completed within 24 hours or the well shut-in at the wellhead and at the manifold building." Page 3, Rule 5 d. i To allow the use of our current tagging system, we suggest the following wording: "... shall be identified by a clearly visible sign or tag on the wellhead or safety panel..." Page 3, Rule 5 e. For clarity, we suggest the following: - Move this section to the Rule 5 b location renumber and reword as follows: "The safety valve systems must be maintained in working condition at all times unless the well is shut in and secured, or the well is being operated in conformance with other sections of this rule." If you have any questions concerning the above comments, we would be happy to meet with you at your convenience. Sincerely, C. J. Phillips Manager, PBU Operations Engineering BP Exploration, (Alaska), Inc. D. F. Scheve Manager, PB Operations Engineering ARCO Alaska, Inc. [~EdE[V~D MAR - 8 1994 Alaska Oil & Gas Cons. Commission Anchorage Notice of Public Hearing STATE OF ALASKA Alaska Oil and Gas Conservation Commission Re: The application of ARCO Alaska, Inc. for exception to 20 AAC 25.055 to allow drilling the Bergschrund No. 1 exploration oil well. ARCO Alaska, Inc. by letter dated February 22, 1994, has requested an exception to the provisions of 20 AAC 25.055(a)(1) for the drilling of an exploratory oil well due west of the Kuparuk River Unit on the North Slope. The exception would allow ARCO to drill the Bergschrund No. 1 exploratory oil well to a bottom-hole location that is closer than 500 feet from a quarter section line. The well will be drilled as a straight hole at the following location: 2200' from the north line and 1600' from the east line of Section 32, T12N, R5E, Umiat Meridian (UM). A person who may be harmed if the requested order is issued may file a written protest prior to 4:00 PM March 11, 1994 with the Alaska Oil and Gas Conservation Commission, 3001 Porcupine Drive, Anchorage, Alaska 99501, and request a hearing on the matter. If the protest is timely filed and raises a substantial and material issue crucial to the Commission's determination, a hearing on the matter will be held at the above address at 9:00 am on March 28, 1994 in conformance with 20 AAC 25.540. If a hearing is to be held, interested parties may confirm this by calling the Commission's office, (907) 279-1433 after March 11, 1994. If no protest is filed, the Commission will consider the issuance of the order without a hearing. Tuckerman Babcock Commissioner Alaska Oil and Gas Conservation Commission Published February 24, 1994 5388 / ( 08-5766 AFFIDAVIT OF STATE OF ALASKA, ) ~-{IP~D JUDICIAL DISTRIC]'. ) Maria Louise Schumacher being first duly sworn on oath deposes and says that he/she is an advertising representative of the Anchorage Daily News, a daily newspaper. That said newspaper has been approved by the Third Judicial Court, Anchorage, Alaska, and it now and has been published in the English language continually as a daily newspaper in Anchorage, Alaska, and it is now and during all said time was printed in an office maintained at the aforesaid place of publication of said newspaper. That the annexed is a copy of an advertisement as it was published in regular issues (and not in supplemental form) of said newspaper on 2/24, 1994 and that such newspaper was regularly distributed to its subscribers during all of said period. That the full amount of the fee charged for the foregoing publication is not in excess of the rate charged private individuals. Subscribed and sworn to before me this '..~. '~.~ day o ............ the State of Alaska. Third Division. Anchorage. Alaska MY CO~%41SSION EXPIRES ..... PUBLICATION I --N~[-~-bFPublic Hea:riAn~ . ~.,, :~,.STATE OF ALAS~K , 'Alaska 011 'aH . Re: T~' a~li~i~ M ARCO ~C ~ t° ~11~ drilli~m Be~hru~ NO. 1 exploration oll ~11. ' ARCO AI~ I~. le~er, River Slope. ,*°uid ai,w AR- the' Bergschrund] i confirm.. Commission ~279-1~33, after March 11,. 1994.~ If no protest Is filed, the com-~ t mission will consider the Issu'~ lance of the order withoUt a/ h~arlng., :commlss oner :'.:, ,' ' / AlaSka'Oil a~d,':', , J ,,Gas ~0n~atl0n,'commissl°n 1 publish Peb~~ ARCO Alaska, Inc. i"' Post Office Box '~00360 Anchorage, Alaska 99510-0360 Telephone 907 276 1215 February 22, 1994 Mr. David W. Johnston, Chairman Alaska Oil and Gas Conservation Commission 30001 Porcupine Dr. Anchorage, Alaska 99501 Re: Request for Exception to 20 AAC 25.055 Bergschrund No. 1 Well North Slope, Alaska Dear Chairman Johnston: ARCO Alaska, Inc. ("ARCO") hereby applies for an exception to the provisions of 20 AAC 25.055 for the drilling of the Bergschrund No. 1 Well. The well will be drilled as a undirected straight hole from a surface location of 1600' FEL and 2200' FNL of Section 32, T12N-R5E, UM. The surface and bottomhole of the well is on ADL-25558 which is owned by ARCO and Union Texas Petroleum Alaska Corporation. The attached Exhibit 1 shows the location of the Bergschrund No. 1 well and all other adjoining governmental quarter sections and wells. There are no other completed or drilling wells on the property. The names and addresses of all owners and operators of the governmental quarter sections directly, and diagonally offsetting Sections 32 are set forth in the attached Exhibit 2. All owners in the well are also owners in the governmental quarter sections directly and diagonally, offsetting Section 32. Included in the attached Exhibit 3 is the verification required by the referenced provisions, a copy of the notice sent to the other owners listed in Exhibit 2, and the date such notice was mailed. If you have any questions or require any additional information, please contact me at 265-6115. Sincerely, ~rad L. Dowdell Senior Landman Attachments ARCO Alaska, Inc. is a Subsidiary of Atlantic Richfield Company AR3~..6003..C T12N,R5E,UM ../~/AAI,~ 92.5v, ,o~ ,---, UTP 1 5~ .... 29'" '" "'~'~2~ 1-31-75 -~__,~ ~B 1 1__3.__75 ' Bergsehrund ffl ALN47 ~ 6 [/ ALK,-7 ~ 8 ADL 25558/ ADL 25557 EXHIBIT 1 Bergschrund ~1 Well Application for ~"=~oo0' Location Exception B. Dowdell 2/22/94 AK94022204 A00 EXHIBIT 2 List of all owners and operators of governmental quarter sections directly and diagonally offsetting the quarter section of the Bergschrund No. 1 well surface location (NE/4 Sec. 32, T12N-R5E, UM). ADL25558 & ADL-25557 Owners Operator: ARCO Alaska, Inc. P.O. Box 100360 Anchorage, AK 99501-0360 Non-Operator: Union Texas Petroleum Alaska Corporation 1330 Post Oak Boulevard Houston, TX 77252 Royalty: State of Alaska Department of Natural Resources Division of Oil and Gas P.O. Box 107034 Anchorage, AK 99516 Overriding Royalty: Chevron U.S.A. Production Company 1301 McKinney Street Houston, TX 77010 EXHIBIT 3 TO THE ALASKA OIL AND GAS CONSERVATION COMMISSION Before the Commissioners of the ) Alaska Oil and Gas Conservation ) VERIFICATION OF FACTS AND Commission in the Matter of the ) AFFIDAVIT OF BRAD L. DOWDELL Request of ARCO Alaska, Inc. for ) an Exception to the Provisions ) of 20 AAC 25.055 for ARCO Bergschrund No. 1 Well STATE OF ALASKA THIRD JUDICIAL DISTRICT ) ) ) ) ) §§ ) Brad L. Dowdell, being first duly sworn, upon oath, deposes and states as follows: 1. My name is Brad L. Dowdell. I am over 19 years old and have personal knowledge of the matters set forth herein. 2. I am a Senior Landman for the well operator, ARCO Alaska, Inc. 3. I am acquainted with the facts associated with the drilling of Bergschrund No. 1 Well. 4. I have reviewed the application submitted for the exception to 20 AAC 25.055. To the best of my knowledge and belief all facts therein are true and accurate. 5. I have reviewed the plat attached as Exhibit I and it correctly portrays pertinent and required data. 6. Pursuant to 20 AAC 25.055 (b), ARCO Alaska, Inc. ("ARCO"), the well operator, prepared a Notice of Request for Exception to the Provision of 20 AAC 25.055. A copy of this notice is attached hereto. 7. On February 22, 1994, pursuant to 20 AAC 25.055 (b), ARCO sent a copy of said notice by certified mail to the last known address of all owners and operators of governmental quarter sections directly and diagonally offsetting the governmental quarter section of the proposed location of ARCO's Page 1 of 2 Bergschrund No. 1 Well. These names and addresses are set forth on Exhibit 2 attached to ARCO's Request for Exception to Provisions of 20 AAC 25.055 dated February 22, 1994. Subscribed and sworn to this 22 nd day of February, 1994. ~ / ~'rac~.-Dowdeli' ' STATE OF ALASKA ) ) §§ THIRD JUDICIAL DISTRICT ) This instrument was subscribed and sworn before me this 22 nd day of February, 1994. ' OFFICIAL S~L ........ 8'I'ATE OF ALASKA Janis L. 8hary NOTARY PUBLIC Comm. Ex~re~, ,_~ Notary Public, St-ate o"'f' Alaska My Commission Expires: c,/./~,,/¢~. STATE OF ALASKA ) ) §§ THIRD JUDICIAL DISTRICT ) This instrument was acknowledged before me this 22 nd day of February, 1994, by Brad L. Dowdell. STATE OF ALASKA danis L. Shary NOTARY PUBLIC IMy Oo~.~ m.,.,,~_r~s A~.,~, ~e97 Notary Public, State Of/Alaska My Commission Expires: Page 2 of 2 ARCO Alaska, inc. ~ Post Office BoX ~d0360 Anchorage, Alaska 99510-0360 Telephone 907 27S 1215 February 22, 1994 State of Alaska Department of Natural Resources Division of Oil and Gas P.O. Box 107034 Anchorage, AK 99516 Att: Mr. James E. Eason, Director Union Texas Petroleum Alaska Corporation 1330 Post Oak Boulevard Houston, TX 77252 Att: Ms. Elizabeth R. Williams Chevron U.S.A. Production Company 1301 McKinney Street Houston. TX 77010 Att: Mr. Paul G. Walker Re: Notice of Request for Exception to the Provisions of 20 AAC 25.055 Bergschrund No. 1 Well Colville River Area, Alaska ADL-25558, ALK-4716 C..,ERTIFIED MAIL Ladies and Gentlemen: Pursuant to the provisions of 20 AAC 25.055 (b), ARCO Alaska, Inc. hereby gives notice of a request to the Alaska Oil and Gas Conservation Commission (AOGCC) for an exception to the well spacing requirements of 20 AAC 25.055. ARCO's request, if approved, will permit the drilling of the Bergschrund No. 1 well as an undirected straight hole from a surface location of 1600' FEL and 2200' FNL of Section 32, T12N-R5E, UM. The surface and bottomhole of the well is on ADL-25558 which is owned by ARCO and Union Texas Petroleum Alaska Corporation. Should you have any questions, please call the undersigned at 265-6115. Sincerely, Brad L. Dowdell Senior Landman ARCO Alaska, Inc. is a Subsidiary of Atlantic Richlield Comt~any PS Form 3800, June 1990 · ~.~1 ~ · I ~1 ~ ~= o= _ I ~ ~l~gl I~es b. E,ason State of Alaska DNR/DOG P.O. Box 107034 Anchorage, AK 99516 -?, '~' ~,'.~!,' '. ,-,~k~[:n:.,, ....... "- .... ' . ,'.. 31 · .... ' · · w , Corn let ........ <ir -uumonal semcel,'.;, ~,.,,...' :..c. ,,.~)~7-; ;" I. :also wish to .. , ~':'..~:'.. ' · · '.. - ' '~ [~ :,'~ .... 'A..~:'~L':.:.' F:.;:: :: :-~..~...:~.;""~' '.., . eive the . ~, ~,.~..~?~. ~. · . ,, . ,~ · : .. . ... : '.. .~ . 1 ~ Addressee ~Addre ";: " ~. ~-. ~-~..~.-. , W~te R~mR ' .. ,, ...... ~ . ........ ... ~ sS ,. ~. ,, . ~ Ihow t= whom ~ , .~'- .......... ' ....... .'~r'. . aehvema . ' ' ....... a~cle wal ~1~ a~ ..... 2, ~ Restrl~ed . ~.- .~ Delive ..... = ~. . , . .. ~ · . ,. .......... ., . ,.. ~ ,. ~~,. t;. ~:. 3, A~icle Add~e~ +~. · . ' ......... ~s~t ~ostmaSta~ ta,,~', : ~: ~ i.. .;:.';-... ~ · ~O~ .~ ,~.. . ...... . ~ . ~i ~ . ;~.. ~ ...... .~. ,. :'i tare ol ~as~a .... . ......~ . .. ~+....~.. · ........ ... . DN OG ' , ~"~.;:. c' ~ ''. e~e~ :'.;~ COD "": 'J'' '~: r: ~' ~:''''':'"" ...... t ~ ~reas Mall ~etum F '.' :~" '~ ~ ~ Recei tfor:~' ': ' .... ...... I .... :' P '-~ - ' ~~:~1~, i- ~1- ..... ' .... ~... '..'~..'.:t...'.?= . .. · ..... :'-f<~7:~..m.~=,--~& ...... .-, .... ~, ~ .' ..-..", ..... '.:., '.' ....... ~ 1:.'., :.., ~ f . ~ ~ - --~,,--~1 ...... ~~' ~' ~~(~.:. ~'~ aha me m paidl ~=t.~ ........ ~... ~ ~"~t,~-:. ~.~ .,?~....: -. =~na~ure [A~fi . . ~..~':'" .... .~r .?~"~: ? ' ~' .:'.., ,. :~:..' ... ~ ~' ...... . ...... . ..,....: ..... .. ~ ~...,.~ :?:.:~,, ..: .... ....~,~..L?,.:~.. ::':?~. .. /.: ,..~ ....~ ~ ..--....?. .... .';.:. ; --~ PS Form December 1991 ~ U,S.G.P,O,.:1992-307,530 DOMESTIC RETURN RECEIPT ',~, ¥~ ;.~:.~. ',~. ~.. , .. ...... .., ~,,_ .~ .... ..,.,,,.,~..-~.~..,:~ .,. ..... . ~.. :: ................ ~,.. ,, ,~,,.,~,.~. ~= ~; ;~ ~'~ ,,. PS Form 3800, June 1990 Elizabeth Williams Union Texas Petroleum Alaska Corp 1330 Post Oak Blvd. Houston, TX 77252 --.5---' .. /.... ,~.; ~ : Complete .items 1 end/or 2 for additional services. ~...~..... ,,." . ' Complete items 3, and 4e & b. i;:i .",:' -~ .::" ~i' ~ ' Print your name and address on the reverse of thle form so that we can · :t ' - ~....,~.~..,~.~,:~?~ :...,~,,; .,. ~ return this card to. you.  · Attach thle form to the front of the mallplece, or on the back if apace :' ;'" does not permit , ,'., ,, ,' .. ,, E,..,.~:i~,;~..~ ,::.,?' ~_ ~, write "Return Receipt Reclue~ted'' on the meilplece below the article numl~ir ]; ':'.:'~ ,~?:,~:.".::'-. ~"~a, ',,. ,The.Return Receipt will show to whom the article,wae delivered and the date ~;'-"~"!;'"';~'?:'~::'~':" ~".'": ¢" delivered.,,~",.', ....... ~,, ~ ..... ' ..... :~,.?' "." '; ':::,.. .... ' ~..:,?;;~.;:.-'::.'.~';. .,,.~.~. · ........ ".'":" ',~.,-~ 3. ~rbcle Addressed to:., , , .,'., ,, ,., i:;.', ..," Elizabeth Williams Union Texas Petroleum Alaska Corp. 1330 Post Oak Blvd. Houston, TX 77252 i" also wish' to receive, the following services (for an extra fee): '.. ' .:.. _ ~ . ., ~ ~,. . ,~,,, ,~ ,,~ ,~,;,..,, ,' . . .'!':,.;,1'~ ~] .Address~e's Address :.'.~ Consult postmaster fora. fee; 4b. I'-]. Registere,,.d.. : . . . [] ExPreSa:~ail .':'1-1 Return Flec'~ipt .for ?:: .~... .... .,.:~;,.~,.iz~::~:::i":'~i::~!~;;.~.'''.:?~:'~''' .- ~i~;:,::.i:~:. ':':' .: ',~ ~:- ~'~,.:' ,:': ...~,...-....~.".~, -.-.' ':.. ' ' i~ ~,~.. ,',. aC 5. Signature (Addressee) 8. Addreasee'a. Address (Only if requested '~,il ~: ..~ . . ,r and fee is paid) "!~'-"'~ ....... ' '"' m ~,, .,,~:,, ...... ~" 'I:, 6. Signature (Agent) .,,:,.~ .,,,%,:~ :~,_- PS Form 3811, December 1991 ~ u,s,(3,P,O,:1992-307-530 DOMESTIC RETURN RECEIPT- , ~.~ .' :, ,..~ . ...'(i~: ' Ik~,,:r.A..~_.~,.~;~,d:.',' ~... L. ~,,,,. . , . . . -. ~, ,,.~ . . . :..~, ~,~ .,:,', ~, .....,.."":;~ '." . - PS Form 3800, June 1990 ~.~1~ ~ _=. . ~ .~. ~. ~, ~' Pa~l ~alker Chevron U.S~. Production Co Houstont Tx ~010 '" SENDER:'~ .... :'. ~ · Complete Item~ i end/Or 2 for edditionel Services.:- '';~' .... m . Complete Iteml 3, end 4l & b. · .... ~return' PrtntthilYour.namecard to~muend eddrell on the reverIe of thll form' IO that we can · Attach thee form to the front of the meilpiece, or on the beck if space I!, dram not permit.'.. "": .?.:!::.' ~;.~ · Write "Return Receipt Requested" on the mailpiece below the article number ' The Return Receipt will show to whom the article wee delivered and the date Chevron U.S.A. Production Co 1301 McKinney St. Houston, Tx 77010 ., 5. Signature (Addressee):,.:', 6. Signature{Agent) :~'~ ....... ..:.':' ...~', .. ~ PS Form.3811, December 1991 ~ u.s.a.P.O..:1992-3o7.530 I also wish to receive the following services (for an extra fee): .,. 1. D Addressee's Address .. 2. [] Rest.ricted Delivery 'I~ "' Consult postmaster for. fee: 4a. Article Number 4b. Service ~l'ype ......',.*'. ~:,:...:,::.....:.,,~.. ,,. ~;~ :: "' ' [] Registered ' [] Inaure~': . [] . [::] Express Mail 1-1 ~letuln'Receipt for 8. Addressee's Address (Only if requested ,..~':" and fee is paid) · · : ..... ~ ... DOMESTIC RETURN RECEIPT