1-800-625-3791
1733 W Road, Plainville, Kansas 67663
www.polymergel.com
WELL DATA FOR TREATMENT DESIGN
Date
Email
Company
Phone
Contact Person
Fax
WellName
Legals
Field
County
State
Treatments Type:
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 OR T.F.
Completion Date
Initial Production
Fluid Levels: Static
Pumping
Type of Pumping System
ProductiveZoneThickness
Date and Amount Last Acid Treatment
Treatment Objectives
Post-Treatment Oil Rate
Post-Treatment Water Rate
Remarks
ATTACHMENTS
PLEASE ATTACH COPIES OF LOGS, STRUCTURE MAPS, PRODUCED WATER ANALYSIS
Please note attachments are limited to 5MB in size.
Select 1st File To Upload:
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