Well Evaluation Form

Company

Well Name

Date Design Needed

Contact

Formation

Region/Basin

Planned Install Date

Wellbore and Producing Status

Casing Size/wt

Tubing Size/wt

Btm Spring Depth

EOT Depth, ft

Packer? Depth, ft

Nipple Type

Nipple Depth

Inclin at EOT/BHS

Inter Profile?
[inter-profile]YesNo

If Yes, what is the depth?

Casing Liner Size

Casing Liner Depth

Oil Rate, bbl/day

H20 Rate, bbl/day

Production Gas, MCFD

Choke?

Choke Size

Flowing Ptbg, psi

Flowing Pline, psi

Flowing Pcsg, psi

Static BHP (Pres), psi

Top Perf, ft MD

Bottom Perf, ft MD

Gas SG

N2/H20/CO2 %

Water SG

Oil/Cond SG, ºAPI

Wellhead Temp, ºF

Producing BHT, ºF

Currently Producing Below Forecast?

For How Long

Gas Injection Information

Gas Lift Mandrels Installed?
YesNo

If yes, conventional or side pocket?
ConventionalSide Pocket

Poor Boy Injection?
YesNo

Kickoff Gas Pressure, psi

Maximum Gas Pressure, psi

Tubing Standing Valve?
YesNo

Lift Gas Gravity

Maximum Injection Gas, MCFD

Intermitting?
YesNo

Kill Fluid (psi/ft)

Other Details?

Additional Information

Maximum Deviation

Horizontal or Vertical Well
HorizontalVertical

Average Plunger Lift

Lubricator Manufacturing Type

Current Plunger

Sales Valve Type

Lubricator Pressure Rating

Lubricator Outlet Type

Number of Lubricator Outlets

Controller

Average Shut-in Pcsg, psi

Average Shut-in Ptbg, psi

Current Off Time

Current Afterflow

Kick On Rate

Evaluation Criteria

Desired Production

Oil Rate, bbl/day

Fluid Level (production)

H2O Rate, bbl/day

Fluid Level (static)

Production Gas, MCFD