Application Data Sheet

Company *

Contact Name *

Telephone *

Fax

Email *

Project Name *

Location *

Green or Brown Field

Date *

Oil Production Rated (BOPD)

Minimum (BOPD)

Maximum (BOPD)

Water Production Rated (BWPD)

Minimum (BWPD)

Maximum (BWPD)

Gas Production (in standard) Rated (MSCFD)

GOR - Rated

Minimum (MSCFD)

Maximum (MSCFD)

Pump Suction Pressure Suction Rated (PSIG)

Suction Minimum (PSIG)

Suction Maximum (PSIG)

Pump Discharge Pressure Discharge Rated (PSIG)

Discharge Minimum (PSIG)

Discharge Maximum (PSIG)

Well Shut-in Pressure Maximum (PSIG)

API Gravity - Rated

Specific Gravity - Rated

Starting Viscosity - Rated (cP)

Flowing Viscosity - Rated (cP)

Pump Suction Temperature (deg. F)

Solids (Volume %)

H2S (PPM)

CO2 Rated (PPM)

Minimum (PPM)

Maximum (PPM)

Wax or Parafin

Wax
Parafin

Prime Mover Type (Electrical, Natural Gas, Diesel)

Area Classification Requirement

Footprint Available (L x W)(Ft)

Isolation Valves by LEISTRITZ
Instrument & Control System (PLC/VFD) by LEISTRITZ
Relief Valves Required (ESD)

Available Electrical Power (V/Hz)

Flange Rating (PSIG per ANSI B16.5)

Paint Spec.

Available Utilities (Air, Water, Fuel, Gas)

Onshore or Offshore

Onshore
Offshore

Pump Discharging To

How Many Wells Are feeding The Pump

Other Comments

Name