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One Call Gets It All

Candidates Form

Home /
About/
Artificial Lift/
Services/
Technology/
- Well Automation
- Downhole Gauges
Technical Papers/
News/
Contact/

Candidates Form

Fill out the form below to see if your well is a candidate for our services:

Company Name

Company Representative *

First Name

Last Name

Phone

(###)

###

####

Email

Lease/Well No.

Field/Address

Production Method

Formation Being Produced

Tapered Tubing String?

Yes

No

Production Tubing Diameter (inches)

Tubing Stop or Seating Nipple?

Yes

No

Multiple Completion?

Yes

No

Depth of Well

Wt.

Tubing Stop or Seating Nipple Depth

Standing Valve in Tubing Depth

Packer In Hole Depth

Standing Valve In Tubing?

Yes

No

Packer In Hole?

Yes

No

Master Valve Full Opening?

Yes

No

Perforation Intervals

Gas Sales Line Pressure

Separator Pressure: 1st

Separator Pressure: 2nd

Casing Pressure: Producing

Casing Pressure: Shut-In

Shut-In Bottom Hole Pressure

Casing Size

Gas Sales Line Pressure

Length of Flowline

Tubing Pressure: Producing

Tubing Pressure: Shut-In

Static Fluid Levels: Tubing

Static Fluid Levels: Casing

Producing Bottom Hole Pressure

Daily (24ht) Production Rates

Oil/Condensate

Gas

Water

Productivity Index

Oil Gravity

Gas Gravity

Paraffin Problems?

Yes

No

Thank you!

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About/
Artificial Lift/
Services/
Technology/
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ProLiftCo

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