*Company:
Field Location:
*Contact:
Address:
Phone:
City:
State:
Zip:
Fax:
*Email:
Gross liquid flow rate:
Min:
Normal:
Max:
Units:
Water cut:
Gas Flow Rate:
API gravity of crude oil:
Viscosity of oil at operating temp:
Specific gravity (or density) of produced water:
Operating Pressure:
Operating Temperature:
Design Code (ASME B31.3, Section VIII, etc.):
ANSI Rating (150#, 300#, 600#, etc.):
Max Allowable Working Pressure:
Instrument air supply available? (Yes/No):
NACE (Yes/No):
Does crude oil have foaming tendency?
Lift method (rod pump, gas lift, etc.):
Other notes/comments:
What is "black gold"? (hint: 3 letters; "crude ___"):