Well Data Sheet
Customer Information
Company Name:
Company Address:
City: State/Prov.: Postal/Zip:
Field Name: Field Location/LSD: Well #:
Contact Person: Work #: Cell #:
Email:
Well Conditions
Well Configuration Please provide deviation survey if it is a deviated well (KOP ,measured depth,
(V, D, or H): hole angle, azimuth))
Perforation Depth attach diagram if Perforation attach diagram if Total Well Depth attach diagram if
(ft): available Interval(s): available (ft): available
Tubing Head
Tubing OD (in): Tubing Grade:
Pressure (psi):
attach diagram if Casing Head
Casing ID (in): Casing Grade:
available Pressure (psi):
Bottom Hole
Static Bottom Hole attach diagram if Bottom Hole Flowing attach diagram if
Temperature
Pressure (psi): available Pressure (psi): available
(˚F):
Bubble Point attach diagram if Productivity index Tubing Spool Size
Pressure (psi): available (BPD/Psi): (in)
Rathole below
attach diagram if available
perforations (ft)
Current Production Data
Well's current Artificial Lift/ Well completion
Flowing
production system Method: sketch to provide
Downhole Pump Downhole Pump
Type: Depth (ft):
Water Spec.
API Gravity (Deg.):
Gravity
Oil (bpd): Water (bpd): Gas (mcf/day)
Static Fluid Level
Measured at: Casing Well Head Pressure (psi)
from Surface (ft):
Dynamic Fluid
Level from Surface Measured at: Casing Well Head Pressure (psi)
(ft):
United Lift Technoligies All Rights Reserved. 1
Sand Percentage of Sand Particle Sizes
Produced Fluid (%): (in):
GOR: CO2 (Y/N): N H2S (Y/N): N
Paraffin Present Paraffin (%) if
(Y/N): available:
Reservoir Fluid Produced Fluid
Viscosity @ Bottom at ˚F Viscosity @ at ˚F
Hole (cP): Surface (cP):
Electricity and Ambient Conditions
Distance from Power
Electricity Source: Source to Pump
Control (ft):
Voltage (V): Phase: Frequency (Hz):
Ambient Ambient
Max.Wind Speed
Temperature Low Temperature High
(mile/h):
(˚F): (˚F):
Workover History and Issues
If well Is Deviated , please attached the direction survey in excel format
* Fill in the cells where applicable
Print Name: Date:
United Lift Technoligies All Rights Reserved. 2