Title Page
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Site Name
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API
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Location
Equipment
Wellhead
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Lift Type
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Engine Model
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Plunger Lift Present?
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Plunger Controller Make / Model
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Controller Settings (number of cycles per day)
Connections
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Oil
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Gas
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Water
Flanges
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Oil
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Water
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Gas
Valves
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Oil
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Gas
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Water
Seals
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Oil
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Water
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Gas
Separator
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Burner present?
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Size (in)
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Level Controller Height (from bottom of vessel) (in)
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Separator Temperature (F)
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Separator Dump Pressure (PSI)
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Motor Valve Controller present?
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Motor Valve On Time Setting (Min On)
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Motor Valve Off Time Setting (Min Off)
Connections
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Oil
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Gas
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Water
Flanges
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Oil
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Water
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Gas
Valves
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Oil
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Gas
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Water
Seals
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Oil
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Water
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Gas
Compressor
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Compressor Present?
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Make
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Model
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Serial Number
Connections
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Oil
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Gas
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Water
Flanges
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Oil
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Water
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Gas
Valves
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Oil
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Gas
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Water
Seals
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Oil
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Water
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Gas
Meter
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Meter Tube Diameter (in)
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Meter Length (ft)
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7-Day Average MCFPD
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Pressure (PSI)
Connections
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Oil
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Gas
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Water
Flanges
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Oil
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Water
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Gas
Valves
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Oil
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Gas
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Water
Seals
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Oil
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Water
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Gas
Natural Gas Powered Pneumatic Devices
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Pneumatic Type (Level, Temp, Motor, Dump, etc)
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Purpose
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Pressure to Device
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Size (in)
Signature
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Signature
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Date