OCTG STRING DESIGN REQUEST FORM

DATE:

CUSTOMER: _______________________________________________________

REQUESTED BY: ___________________________________________________

WELL LOCATION: _________________________________________________

(CITY, COUNTY, OR STATE)

DESIGN INFORMATION:

TOTAL DEPTH OF WELL (FEET): ____________________

DESIGN NUMBER: _________ _________ _________ _________

CASING O.D. (IN): _________ _________ _________ _________

START DEPTH (FT): _________ _________ _________ _________

SETTING DEPTH (FT): _________ _________ _________ _________

MUD WEIGHT (#/GAL): _________ _________ _________ _________

H₂S SERVICE? _________ _________ _________ _________

C0₂SERVICE? _________ _________ __________ _________

SAFETY FACTORS:

STANDARD _____NON-STANDARD____

IF NON-STANDARD, THEN COMPLETE BELOW:

STANDARD REQUIRED

COLLAPSE: 1.125 ____________

TENSION YIELD: 1.250 ____________

TENSION ULTIMATE: 1.800 ____________

INTERNAL YIELD: 1.000 ____________

LEAK RESISTANCE: 1.000 ____________

COMMENTS: _____________________________________________________________________________________
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