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Inquiry Forms

Wellhead Equipment Inquiry

Contact Information

Customer Name:

*

Company Name:

*

Phone:

Email Address:

*

Location Information

Legal Location:

State:

Lease Name:

County:

Hole Program

Casing

Surface

Size:

Depth:

Weight:

Intermediate

Size:

Depth:

Weight:

Production

Size:

Depth:

Weight:

Tubing

Single

Size:

Thread:

Weight:

Dual

Size:

Thread:

Weight:

Wellhead Program

Independent

Casinghead

Bottom (MP, Fml, or SOW):

Working Pressure:

Tubinghead

Bottom (MP, Fml, or SOW):

Working Pressure:

Casing Ball Valves

Casing Ball Valve:

Yes No

Quantity:

Casing Gate Valves

Casing Gate Valve:

Yes No

Quantity:

Flanged

Casing Spool

Outlet:

Wkg Pres (Top Flange):

Gate Valve Qty:

Ball Valve Qty:

Casinghead

Outlet:

Wkg Pres (Top Flange):

Gate Valve Qty:

Ball Valve Qty:

Tubinghead

Outlet:

Wkg Pres (Top Flange):

Gate Valve Qty:

Ball Valve Qty:

Landing Base

Landing Base:

Yes No

X-mas Tree (Independent and Flanged)

Gate Valve:

Flanged End Threaded End

Swab Valve:

Yes No

Double Master:

Yes No

Safety Valve:

Yes No

Stripper Rubber:

Yes No

Tubinghanger:

Yes No

Wraparound:

Yes No

Back Press Valve Prep:

Yes No

Choke Info

Choke, Adjustable:

Yes No

Choke, Adjustable Inlet:

Choke, Adjustable Outlet:

Choke, Positive:

Yes No

Choke, Positive Inlet:

Choke, Positive Outlet:

Additional Information

Project Start Date:

Additional Information:

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Total Wellhead Rental & Tools | 401 S Juniper PO Box 1068 Perryton, TX 79070