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SSi Order Form

The document is an application data sheet for obtaining a work-up and preliminary quotation for an SSi Lift System for individual wells. It requires detailed company and well information, including well conditions, production data, and specifics about the artificial lift method. Additionally, it mentions communication options with the SSi unit, highlighting the standard use of a cell modem.

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27 views1 page

SSi Order Form

The document is an application data sheet for obtaining a work-up and preliminary quotation for an SSi Lift System for individual wells. It requires detailed company and well information, including well conditions, production data, and specifics about the artificial lift method. Additionally, it mentions communication options with the SSi unit, highlighting the standard use of a cell modem.

Uploaded by

saeed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Application Data Sheet

To obtain an SSi Lift System work-up and a preliminary quotation, please complete this form for each individual well. If you have any questions or need
assistance, please feel free to call. Toll free: 1-844-LIFT-SSI (543-8774)

Company Information:
Send Quotation to: (name)
Company Name:
Address:
City: State: Postal:
Country: Phone #: Fax #:
Mobile #: Email: Website:
Field Name: Field Location: Well#:
Well Conditions:
Formation Name:
Well Configuration (Check that apply):
Vertical: Horizontal: Deviated:
Perforation Depth: Total Depth of Well:
Static Bottom Hole Pressure: Date taken:
Producing Bottom Hole Pressure: Date taken:
Bottom Hole Temperature:
Measured Pump Intake: Fluid Level Over Pump:
Gas Present?: MCF/Day:
Casing Diameter: Casing Weight: Casing Pressure:
Tubing Diameter: Tubing Weight: Tubing Pressure:
Electricity Present?: Phase: Voltage:
Production:
Oil BBL/D: Water BBL/D:
Last Production test date:
Oil API gravity: Water Sp. Gravity:
Current Artificial Lift Method:
Downhole Equipment:
Gas Separation:
Tubing Anchor Depth: Liner Size: Liner Depth:
If Rod Pumping:
Surface Unit Manufacturer: Surface Unit size (API): Stroke length:
Bottom hole pump size: Strokes per Minute: Motor Rating:
Rod String Design (include sinker bars):
Rod Type: Rod Length: Rod diameter:
Rod Type: Rod Length: Rod diameter:
Rod Type: Rod Length: Rod diameter:
Rod Type: Rod Length: Rod diameter:
Rod Type: Rod Length: Rod diameter:
Rod Taper:

Communication: The standard communication with the Ssi unit is by cell modem. Other options are available upon request. There may
be a cost associated with other communication protocols.

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