CUSTOMER

Customer

Address

Email Address
Confirm Email Address

Contact
Phone Number
Fax

Location
Field or Area
Quantity Required

WELL

Total Well Depth
Pump Setting Depth
Perforation Depth
Casing Size
Tubing Size
Anchor/Packer Depth
Deviation (Survey if possible)
Well Profile: Vertical
Well Profile: Horizontal
Rod Size and Grade
Rod Guides/Scrapers
Strokes Per Minute
Surface Stoke Length
Pump Seating Nipple Required

PRODUCTION DATA

Current Production Rate
Required Production Rate
Static Fluid Level
Working Fluid Level
Water
Sand
Scale
Gas/Liquid Ratio
Flow Line Pressure
Casing Pressure
Gas Production Rate
Productivity Index
Pump Seating Nipple Type

IPR DATA

Static Reservoir Pressure
Bubble Point Pressure

TEST POINT

Producing Pressure
Fluid Rate

FLUID

API Gravity
Fluid Density
CO2 +/or H2 S(%)
Temp at Pump Setting Depth
Temp at Surface
Fluid Viscosity at Pump Setting Depth
Fluid Viscosity at Surface
S.G. of Produced Water
S.G. of Gas

OTHER INFORMATION

Prime Mover
Electrical Supply:v
Electrical Supply:ph
Electrical Supply:Hz
Ambient Temp: Max.
Ambient Temp: Min.
Chemical Treatment: Yes/No
If yes, give details


Other Information