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Well Design Form
1. Client / Location Information
Name
Phone
Company
Email
Well Type
Onshore
Offshore
Well Name/Number
Field
State
2. Well Completion Data
Casing Size, in
-select size-
4 1/2"
5 1/2"
7"
Casing Weight
-select weight-
9.5 lbs/ft
10.5 lbs/ft
11 lbs/ft
11.6 lbs/ft
12.6 lbs/ft
13.5 lbs/ft
15.5 lbs/ft
17 lbs/ft
20 lbs/ft
23 lbs/ft
20 lbs/ft
23 lbs/ft
26 lbs/ft
Shoe @
Liner Size, in
Liner Weight
Top @
Top Perf Depth, ft
Bottom Perf Depth, ft
Tubing Size, in
-select size-
2 3/8"
2 7/8"
3 1/2"
Tubing Weight
-select weight-
9.5 lbs/ft
10.5 lbs/ft
11 lbs/ft
11.6 lbs/ft
12.6 lbs/ft
13.5 lbs/ft
15.5 lbs/ft
17 lbs/ft
20 lbs/ft
23 lbs/ft
20 lbs/ft
23 lbs/ft
26 lbs/ft
Well Total Depth, ft
Well TVD, ft
Deviated Well
No
Yes
Deviation Survey Attached
3. Production Data
Current Production Mode
Flowing
Gas Lift
ESP
Rod Pump
PC Pump
Other
Pump Setting Depth, ft
Current Flow Rate, BFPD
H2O Cut, %
Producing GOR, CuFt/bbl
Static Fluid Level, ft
Dynamic Fluid Level, ft or flowing BHP @ ft
& BPD
Well Head Pressure, psi
4. Fluid Property Data
Oil Gravity, °API
Water Specific Gravity, g/cc
TDS, ppm
pH
BHT, °F
WHT, °F
5. Design Requirements
Design Flow Rate
Desired Pump Setting Depth
Power Supply Volts
Power Supply Hz
Drive System Design
Fixed Speed
Electronic VFD
Other Requirements
6. Other Data
Sand Content
Paraffin
H2S Content
Other
7. Send Data