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Customer & Well Identification
Oil Company
Company Field Rep
Contact Person
Office Phone Number
Fax Number
Home Phone Number
Cell Phone Number
Pager Number
Address
City
State
Zip
Lease Name
Well Name
Well Number
County
State
Country
ESS District
Location Type
Type of Operation
 
Well Information
Tubing Size & Weight
Casing Size & Weight
Nipple Type & Size
Minimum ID
Bottom Hole Temperature (F)
Top of Fill
Well Depth
Surface Pressure
Bottom Hole Pressure
Perforations
Top of Liner
Liner Depth
Top of Fish
What type of equipment will the tools be run on?
Type of Fluid
Mud Wt.
Personnel Required
Other Comments / Questions for Thru Tubing Specialist
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