Title Page
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Conducted on
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Prepared by
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Location
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Customer:
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Well Name:
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Asset Number:
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Owned or Rental? If rental, who does the equipment belong to?
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Select date
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Add location
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Engine Oil Level at an acceptable level?
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Battery and Electrical Connections Checked?
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Fuel Level and Fuel Connections Checked?
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Belt Guard Bolts Checked?
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Oil Level Checked in Triplex Pump
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Air Filter Checked?
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All 4 Way Valve Handles Checked?
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All Tubing and Piping Checked For Damage?
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All Signs and 4-Way Valve Locks Checked?
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Y-Strainers Checked?
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Hydraulic Tank Level Checked?
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Ensure Bypass Valves are in Normal Operations
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Engine Started and Unit Pressure Tested?
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Check Accumulator Gauge For Precharge in Bottles 1,000 PSI
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Check Unit Shuts Off at 3,000 PSI
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Unit External Leaks?
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Check Regulator Set Pressure at 1,000.
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Function Test all 4 Way Valves. Open and Close
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Check Relief Valves for Leaks
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Other Information that Requires Attention Not Listed On This Check List
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I agree this inspection as completed to the best of my abilities.