Email Address:
Date:
Company:
Phone:
Contact Person:
Fax:
Well Name:
Legals:
Field:
County:
State:
Production Well
Injection Well
Casing Leak
Casing:
Tubing:
Formation:
Lithology:
Interval:
Open Hole:
Perfs:
Other Zones Open:
Temp:
Permeability:
Porosity:
API Gravity:
WOR:
Current Production (BOPD):
BWPD:
Completion Date:
Initial Production:
Fluid Levels: Static
Pumping:
Type of Pumping System:
Productive Zone Thickness:
Date and Amount Last Acid Treatment:
Treatment Objectives:
Post-Treatment Oil Rate:
Post-Treatment Water Rate:
Remarks: