Chaparral Energy Rectifier/Bond Report

• Facility/Line Segment

• Conducted on

  Date

• Prepared by

• Location
  Address

Rectifier Information

• Rectifier Number

• Brand/Model Number

• Serial Number

• Voltage Input

• Volts

• AC Fuse:

• Amps

• DC Fuse:

• Amps

• Type of Groundbed

• Type/Number/Weight of Anodes

Test 1

• Location
  Address

• Date Read

  Date

• DC Volts

• DC Amps

• Course Setting

• Fine Setting

• Pipe-to-Soil Reading

• Remarks

• Picture(s)

  Media

Test 2

• Location
  Address

• Date Read

  Date

• DC Volts

• DC Amps

• Course Setting

• Fine Setting

• Pipe-to-Soil Reading

• Remarks

• Picture(s)

  Media

Test 3

• Location
  Address

• Date Read

  Date

• DC Volts

• DC Amps

• Course Setting

• Fine Setting

• Pipe-to-Soil Reading

• Remarks

• Picture(s)

  Media

Test 4

• Location
  Address

• Date Read

  Date

• DC Volts

• DC Amps

• Course Settings

• Fine Settings

• Pipe-to-Soil Readings

• Remarks

• Picture(s)

  Media

Test 5

• Location
  Address

• Date Read

  Date

• DC Volts

• DC Amps

• Course Settings

• Fine Settings

• Pipe-to-Soil Readings

• Remarks

• Picture(s)

  Media

Test 6

• Location
  Address

• Date Read

  Date

• DC Volts

• DC Amps

• Course Settings

• Fine Settings

• Pipe-to-Soil Readings

• Remarks

• Picture(s)

  Media

Test 7

• Location
  Address

• Date Read

  Date

• DC Volts

• DC Amps

• Course Settings

• Fine Settings

• Pipe-to-Soil Readings

• Remarks

• Picture(s)

  Media

Test 8

• Location
  Address

• Date Read

  Date

• DC Volts

• DC Amps

• Course Settings

• Fine Settings

• Pipe-to-Soil Readings

• Remarks

• Picture(s)

  Media

Bond

• Location of Bond
  Address

• Structure to Which Pipeline is Bonded

• Diode, Shunt, or Resistor Current Flow if Equipped

• Is the Bond a Critical Bond

• Yes

• No

• Employee's Signature

  Sign

• Supervisors Signature

  Sign

• Date

  Date