1-800-625-3791 1733 W Road, Plainville, Kansas 67663 www.polymergel.com

Operator   Project
Contact   Field
Email Address   Well
Telephone   Legal
Fax   County, State
Prepared by   Date
         
RESEVOIR DATA     Frac Grad.  psi/ft
Formation Name   Avg. TVD
Litholoy   Avg. Gross Zone
Drive Mechanism   Avg. Net Pay
Natural Fractures  Yes   No   Casing OH
Permeability Range  md      
Porosity  %   PRODUCTION WELL SPECIFICS
Oil Gravity  ° API      
Oil Viscosity  cps at BHT   Current BOPD
Formation Volume Factor  Boi ¹   Current BWPD
Injection Water Source   Gas Production  mcfd
Injection Water tds   Gross Zone  ft
BHST  ° F   Net Zone  ft
Spacing  Acres   Thief Zone  ft
Sor  %   Fluid Level  ft from perfs
SWC  %   Type of Pump
      Decline Rate  %
WATERFLOOD DATA     INJECTION WELL SPECIFICS
         
Unitization Date   Current BWIPD
PV Water injection to date  PV's   PW @ Wellhead  PSIG
No. Active P.W.'s   Gross Zone  ft
No. Active I.W.'s   Net Pay  ft
No. SI Producers   Thief Zone  ft
Patterns   Injection Profile Available  Yes   No
Current WOR   Tubing String
Primary Recovery  %OOIP   Dedicated Injection Pump
Secondary Recovery  %OOIP   Surface Area Serviced by this well  Acres
         
ECONOMIC DATA     PAYOUT ESTIMATE  
      Bbls Oil/LB Polymer
WOR Economic Limit   Months after treatment
Water Handling Costs   Success
Net Oil Price  $/bbl   Failure
         
PRODUCTION DATA     Comments  
Pre-Treatment  
Post-Treatment  
     
¹ Reservoir BBLS/Stock Tank BBLS      
       
ATTACHMENTS        
Examples: Map, Time Rate Production Curve (oil, water, gas), Completion Diagram/Well Work History, WOR vs. Cumulative Oil Curve
Please note attachments are limited to 5MB in size.
         
         
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